[Epidural conduction anesthesia versus general anesthesia. A critical evaluation of outcome studies using as examples cesarean section and patients with hip fractures].

H A Adams, G Hempelmann
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Abstract

In the field of anaesthesiology, outcome studies are undertaken to investigate the influence of different anaesthetic techniques on the intra- and postoperative course of patients in special clinical situations. The design of these studies should follow high methodological standards. In the past, most studies were undertaken in patients during Caesarean section and in the treatment of hip fractures in the elderly. Up to now, results do not clearly indicate the use of certain techniques in concrete clinical situations. Decisions must be made in accordance with clinical aspects, individual experience and in cooperation with the patient and the surgeon.

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硬膜外传导麻醉与全身麻醉。以剖宫产术和髋部骨折患者为例,对结局研究进行批判性评价。
在麻醉学领域,结果研究是为了调查不同麻醉技术对特殊临床情况下患者术中和术后过程的影响。这些研究的设计应遵循较高的方法标准。在过去,大多数研究是在剖腹产患者和老年人髋部骨折的治疗中进行的。到目前为止,结果并没有明确指出某些技术在具体临床情况下的应用。决定必须根据临床方面,个人经验,并与患者和外科医生的合作。
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