Evaluation of Neurologic and Adaptive Capacity Score after Induction with Thiopental in Cesarean Section

BACKGROUND:
The neurologic and adaptive capacity score (NACS) is a multi-item scale to measure the effects of intrapartum drugs on the neonate. The purpose of this study was to assess NACS after induction with thiopental.

METHODS:
In this prospective study, for 76 elective cesarean section parturient, anesthesia induced with thiopental 4 mg/kg, succinyl choline 1.5 mg/kg and maintained with halothane and N2O/O2 (50/50). Iv fluids and all drugs administration were similar in all patients. Apgar (1th, 5th) and NACS were checked 15 minutes, 2 and 24 hours after birth.

FINDINGS:
Eleven neonates (%14/4) had NACS≤34, 15 minutes after birth. Only two neonates had NACS≤34, 2 hours after birth. None of them had no NACS≤34, 24 hours after birth. There was significant difference for NACS in all 3 times (p=0.0001). The most frequency of NACS was 38-40 in all the times.

CONCLUSION:
There was no significant changes in neuro adaptive and Apgar scores clinically.
There was direct correlation between NACS and Apgar in all the times.

KEY WORDS:
NACS, thiopental, Apgar, induction, cesarean