Kuczkowski Krzysztof M
Department of Anesthesiology, University of California San Diego, San Diego, CA 92103-8770, USA.
Arch Gynecol Obstet. 2005 Feb;271(2):97-103. doi: 10.1007/s00404-004-0670-6. Epub 2004 Sep 9.
Obstetrical anesthesia is considered by many to be a high-risk subspecialty of anesthesia practice that is laden with clinical challenges and medico-legal liability. 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.
Communication skills and exchange of information (between anesthesiologists, obstetricians, and nurses) in an ever changing environment of labor and delivery are essential for a perfect outcome, which is always expected when providing safe passage for both the mother and her fetus from antepartum to postpartum period. The safe provision of labor anesthesia and/or analgesia requires appropriate staff, facilities, and equipment for proper patient safety.
This article is intended for obstetricians and reviews the current guidelines for the administration of obstetrical anesthesia and analgesia.
许多人认为产科麻醉是麻醉实践中的一个高风险亚专业，充满了临床挑战和医疗法律责任。在美国，与麻醉相关的并发症是与妊娠相关的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与麻醉相关的孕产妇并发症的主要促成因素。
在不断变化的分娩环境中，麻醉医生、产科医生和护士之间的沟通技巧和信息交流对于实现完美结局至关重要，在为母亲及其胎儿提供从产前到产后的安全通道时，总是期望有完美结局。安全地提供分娩麻醉和/或镇痛需要适当的人员、设施和设备以确保患者安全。
本文面向产科医生，回顾了当前产科麻醉和镇痛管理的指南。
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