Algorithm for the anesthetic management of cesarean delivery in patients with unsatisfactory labor epidural analgesia.
Algorithm for the anesthetic management of cesarean delivery in patients with unsatisfactory labor epidural analgesia.
复制标题
肉毒硬膜外镇痛的患者剖宫产的麻醉算法。
DOI：
10.12688/f1000research.6381.1
复制
发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Mets B
中科院分区：
文献类型：
--
作者：
Vaida S;Cattano D;Hurwitz D;Mets B
对硬膜外分娩镇痛效果不满意的病人的处理对想要为剖宫产提供安全麻醉护理的麻醉师来说是一个严峻的挑战。及早认识到分娩镇痛效果不佳，可更换硬膜外导管。将硬膜外分娩镇痛改为剖宫产麻醉的决定是基于剖宫产的紧迫性、呼吸道检查以及是否存在残留的感觉和运动阻滞。根据剖宫产的紧迫性，我们提出了一种在我科实施的算法。
The management of a patient presenting with unsatisfactory labor epidural analgesia poses a severe challenge for the anesthetist wanting to provide safe anesthetic care for a cesarean delivery. Early recognition of unsatisfactory labor analgesia allows for replacement of the epidural catheter. The decision to convert labor epidural analgesia to anesthesia for cesarean delivery is based on the urgency of the cesarean delivery, airway examination, and the existence of a residual sensory and motor block. We suggest an algorithm which is implemented in our department, based on the urgency of the cesarean delivery.