Kuczkowski Krzysztof M, Reisner Laurence S, Benumof Jonathan L
Department of Anesthesiology Department of Reproductive Medicine, University of San Diego Medical Center, San Diego, CA, USA.
J Clin Anesth. 2003 Nov;15(7):552-63. doi: 10.1016/j.jclinane.2002.12.001.
Anesthesia-related complications are the sixth leading cause of pregnancy-related maternal mortality in the United States. Difficult or failed intubation following induction of general anesthesia for cesarean delivery remains the major contributory factor to anesthesia-related maternal complications. Although the use of general anesthesia has been declining in obstetric patients, it may still be required in selected cases. Because difficult intubation in obstetric anesthesia practice is frequently unexpected, careful and timely preanesthetic evaluation of all parturients should identify the majority of patients with difficult airway and avoid unexpected difficult airway management.
在美国，麻醉相关并发症是妊娠相关孕产妇死亡的第六大主要原因。剖宫产全身麻醉诱导后插管困难或失败仍然是麻醉相关孕产妇并发症的主要促成因素。尽管产科患者全身麻醉的使用一直在减少，但在某些特定情况下仍可能需要使用。由于产科麻醉实践中插管困难常常出乎意料，因此对所有产妇进行仔细及时的麻醉前评估应能识别出大多数气道困难的患者，并避免意外的气道管理困难情况。
