To compare the effects of oxytocin and carbetocin, used as uterotonics in elective caesarean section surgeries, in terms of intraoperative hemodynamic changes.
Patients scheduled for caesarean sections
Between 18-40 years
ASA I-II group
Those who will undergo general anesthesia
Those who prefer spinal or epidural anesthesia
Those who are outside the age range of 18-40
Those who are ASA III and above
Those with HT, DM, cardiac and respiratory diseases
Parallel
Group-C
Procedure/Surgery100 iu carbetosin administered to carbetocin group
Group-O
Procedure/SurgeryIn cesarean surgery, 5 IU of oxytocin will be administered after the baby delivered.
Uterine tonus
The effect of carbetocin on uterine tone will be evaluated by the surgical team using a numerical scoring scale between 0-10. A score of 0 will indicate atony, and a score of 10 will indicate full contraction.
Additional uterotonic drug requirement
If the uterine tone is 7 or below, the surgical team will perform uterine massage, and in patients who do not see a sufficient increase in uterine tone, an additional uterotonic, 0.2 mg methylergonavine (Methyl ampoule 0.2 mg/ml) will be administered IM by the anesthesia team and recorded.
Intraoperative bleeding
Total intraoperative bleeding was recorded by calculating and estimating the aspirator volume, pad-sponge-compress count and surgical area.
Mean Blood Pressure
Mean blood pressure will be measured every 5 minutes intraoperatively using a noninvasive method.
Heart Rate
Heart rate will be measured every 5 minutes intraoperatively using a noninvasive method.
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