Bowring J, Fraser N, Vause S, Heazell A E P
Department of Obstetrics and Gynaecology, St. Mary's Hospital, Manchester, UK.
J Obstet Gynaecol. 2006 Jul;26(5):433-4. doi: 10.1080/01443610600720345.
The Royal College of Anaesthetists have set the standard that 85% of emergency caesarean sections should be carried out under regional anaesthesia. Reducing the frequency of caesarean sections carried out under general anaesthesia may serve to reduce maternal morbidity and mortality, which has been shown over recent years. A retrospective audit was carried out at a tertiary referral centre investigating the mode of anaesthesia and fetal outcome after emergency caesarean section. The proportion carried out under regional anaesthesia was less than recommended. Despite a longer time taken to induce anaesthesia there was no increase in adverse fetal outcome, supporting the use of regional anaesthesia wherever possible to keep maternal complications to a minimum.
英国皇家麻醉师学院设定了标准，即85%的急诊剖宫产应在区域麻醉下进行。近年来的研究表明，减少全身麻醉下剖宫产的频率可能有助于降低孕产妇发病率和死亡率。一家三级转诊中心进行了一项回顾性审计，调查急诊剖宫产后的麻醉方式和胎儿结局。区域麻醉下进行的比例低于推荐值。尽管诱导麻醉所需时间较长，但不良胎儿结局并未增加，这支持尽可能使用区域麻醉以将母体并发症降至最低。
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