Schneck H, von Hundelshausen B, Wagner R, Scheller M, Kochs E
Institut für Anaesthesiologie der Technischen Universität München, Klinikum rechts der Isar.
Anasthesiol Intensivmed Notfallmed Schmerzther. 1999 Apr;34(4):204-13. doi: 10.1055/s-1999-10833.
A survey of all German hospitals providing obstetric anesthesia was performed in 1997 (n = 1061, recovery rate 82%; comprising about 700,000 deliveries and 115,000 cesareans, resp.) concerning the routine prophylactic measures for acid aspiration syndrome (AAS) in pregnant patients and before obstetric procedures (i.e., prevention of aspiration by positioning, Sellick's manoeuvre, reduction of intragastric volume, or reduction of gastric content acidity). In pregnant patients, any prophylaxis of AAS is performed in 36%. Of the patients expecting delivery in the labour ward, only 7% receive pharmacological AAS treatment. Before scheduled (urgent, non-emergency) cesarean section in general anesthesia, 93% (94%) of patients receive prophylactic treatment, either pharmacological or non-pharmacological. Before regional anesthesia, the corresponding numbers are 52% for both scheduled or urgent CS.
1997年对德国所有提供产科麻醉的医院进行了一项调查（n = 1061，回收率82%；分别包括约700,000例分娩和115,000例剖宫产），内容涉及孕妇及产科手术前预防酸性误吸综合征（AAS）的常规预防措施（即通过体位预防误吸、Sellick手法、减少胃内容量或降低胃内容物酸度）。在孕妇中，36%的人采取了任何AAS预防措施。在产房待产的患者中，只有7%接受了AAS药物治疗。在全身麻醉下进行择期（紧急、非急诊）剖宫产术前，93%（94%）的患者接受了药物或非药物预防性治疗。在区域麻醉前，择期或紧急剖宫产的相应比例均为52%。
