Spinal anaesthesia in obstetrics

IF 4.7 3区 医学 Q1 ANESTHESIOLOGY Best Practice & Research-Clinical Anaesthesiology Pub Date : 2023-06-01 DOI:10.1016/j.bpa.2023.03.006
Vincent Pirenne (Trainee in Anesthesia), Geertrui Dewinter (Professor in Anesthesia), Marc Van de Velde (Professor in Anesthesia)
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Abstract

This article provides a comprehensive review of the technique, drugs of choice, and potential side effects and complications associated with the drugs used and the single-shot spinal anaesthesia (SSS) technique for caesarean delivery. Although neuraxial analgesia and anaesthesia are generally considered safe, all interventions come with potential adverse effects. As such, the practice of obstetric anaesthesia has evolved to minimize such risks. This review highlights the safety and efficacy of SSS for caesarean delivery while also discussing potential complications such as hypotension, postdural puncture headache, and nerve injury. In addition, drug selection and dosages are examined as well, emphasizing the importance of individualized treatment plans and close monitoring for optimal outcomes.

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产科脊柱麻醉
本文对剖宫产手术的技术、药物选择、所用药物的潜在副作用和并发症以及单次脊髓麻醉(SSS)技术进行了全面综述。尽管神经轴镇痛和麻醉通常被认为是安全的,但所有干预措施都有潜在的副作用。因此,产科麻醉的实践已经发展到将这种风险降至最低。这篇综述强调了SSS用于剖腹产的安全性和有效性,同时也讨论了潜在的并发症,如低血压、硬膜后穿刺头痛和神经损伤。此外,还检查了药物选择和剂量,强调了个性化治疗计划和密切监测最佳结果的重要性。
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来源期刊
自引率
0.00%
发文量
37
审稿时长
36 days
期刊最新文献
Editorial Board Non-neuraxial labour analgesia Preeclampsia and eclampsia: Enhanced detection and treatment for morbidity reduction Initiation and maintenance of neuraxial labour analgesia: A narrative review Epidemiology, trends, and disparities in maternal mortality: A framework for obstetric anesthesiologists
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