[Complications of loco-regional anaesthesia in obstetrical practice (author's transl)].

Anesthesie, analgesie, reanimation Pub Date : 1981-01-01
L Lecron
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Abstract

Complications of loco-regional anaesthesia in obstetrics are usually due to several factors: 1. choice of drugs: this must be judicious, taking into account duration of effect, potency and eventual maternal and foetal toxicity. This rule includes also morphinic drugs; 2. choice of technique: taking into consideration the stage of labour and also the eventual surgical procedure. Paracervical block must be avoided because of the numerous side-effects, chiefly foetal distress. Spinal anaesthesia is indicated only for instrumental procedures or caesarian section, with the usual reserves about headaches, severe hypotension. Peridural anaesthesia may present some complications, like extensive peridural anaesthesia, hypotension. In eclampsia and gemellarity, loco-regional, anaesthesia must be induced with the utmost caution. Moreover, an unrecognized uterine rupture may happen during labour under medullary anaesthesia if the patient had previously a caesarian section.

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产科手术中局部区域麻醉的并发症(作者简介)。
产科局部区域麻醉的并发症通常是由以下几个因素引起的:1。药物的选择:这必须是明智的,考虑到作用的持续时间,效力和最终的母婴毒性。这条规则也包括吗啡类药物;2. 技术选择:考虑到分娩阶段和最终的手术程序。必须避免宫颈旁阻滞,因为有许多副作用,主要是胎儿窘迫。脊髓麻醉仅适用于器械手术或剖宫产,通常用于头痛、严重低血压。硬膜外麻醉可能出现一些并发症,如广泛的硬膜外麻醉、低血压。在子痫和子痫中,局部局部麻醉必须非常谨慎。此外,如果病人以前做过剖腹产手术,在髓质麻醉下分娩时可能会发生未被识别的子宫破裂。
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