Nasal intubation and previous cleft palate repair

Nasal intubation and previous cleft palate repair
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鼻插管和先前的腭裂修复

DOI:
10.1111/j.1365-2044.2004.03919.x
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发表时间:
2004
期刊:
影响因子:
10.7
通讯作者:
K. Solan
K. Solan
中科院分区:
医学1区
文献类型:
--
作者:
K. Solan

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通过应答者是失败的脊髓或硬膜外组件的阻滞。报告的原因是硬膜外导管无法穿线(61%),硬膜外导管中有血(59%)和导管推进时疼痛(40%)。大多数麻醉师(93%)估计硬脊膜穿刺后头痛的发生率低于1 / 100,其中19人报告从未见过。记录其他严重并发症的观察结果(见表1)。结果表明,在实践中广泛的变化CSE在经验丰富的产科麻醉师。实践中的差异反映了对所使用的[1]技术的争议,以及与单独的脊髓或其他麻醉技术相比,CSE的失败率可能更高[2,3]。CSE并发症的发生率值得关注[4-6]。大型前瞻性研究或数据库的建立可能会进一步阐明与不同CSE技术相关的失败频率和并发症。我们感谢产科麻醉师协会在提供地址和审查问卷方面的支持。
by respondents were failure of either the spinal or epidural component of the block. Reported causes were inability to thread the epidural catheter (61%), presence of blood in the epidural catheter (59%) and pain on catheter advancement (40%). Post-dural puncture headache was estimated to be less frequent than 1 in 100 by the majority of anaesthetists (93%) with 19 reporting never having seen one. The observations of other more serious complications were recorded (see Table 1). The results show a wide variation in practice of CSE amongst experienced obstetric anaesthetists. The variation in practice reflects controversy over the technique used [1] and the potential for higher failure rates of CSE than individual spinal or other anaesthetic techniques [2,3]. There is concern over the frequency of complications with CSE [4–6]. A large prospective study or establishment of a database might shed further light on the frequency of failure and complications associated with different CSE techniques. We thank the Obstetric Association of Anaesthetists for their support in providing addresses and reviewing the questionnaire.