Kuczkowski Krzysztof M
Department of Anesthesiology, Texas Tech University Health Sciences Center at El Paso, Paul L. FosterSchool of Medicine, 4800 Alberta Avenue, El Paso, Texas, USA.
J Matern Fetal Neonatal Med. 2009 Oct;22(10):819-22. doi: 10.1080/14767050902994689.
Obstetric anesthesia is science and art combined, and obstetric anesthesiologists must be concerned simultaneously with the lives of (at least two) intricately interwoven patients - the mother and her baby (ies). Obstetric anesthesia, by definition, is a subspecialty of anesthesia devoted to peripartum, perioperatvie, pain and anesthetic management of women during pregnancy and the puerperium. Perhaps no other subspecialty of anesthesiology provides more personal gratification than the practice of obstetric anesthesia. An obstetric anesthesiologist has become an essential member of the peripartum care team, who closely works with the obstetrician, perinatologist, midwife, neonatologist and labor and delivery nurse to ensure the highest quality care for the pregnant woman and her baby. Exchange on information and communication skills in ever changing environment of labor and delivery is essential for perfect outcome, which is always expected when providing safe passage for both the mother and her fetus from antepartum to postpartum period. Changes in maternal-fetal and neonatal medicine and obstetric anesthesia have continued to develop rapidly during the recent years. The purpose of this article is to explore a number of important issues in modern practice of obstetric anesthesia.
产科麻醉是科学与艺术的结合，产科麻醉医生必须同时关注（至少）两名紧密相连的患者的生命——母亲和她的胎儿。根据定义，产科麻醉是麻醉学的一个亚专业，致力于孕期和产褥期妇女的围产期、围手术期、疼痛及麻醉管理。或许麻醉学的其他亚专业都不如产科麻醉工作能带来更多的个人满足感。产科麻醉医生已成为围产期护理团队的重要成员，他们与产科医生、围产医学专家、助产士、新生儿科医生以及分娩护士密切合作，以确保为孕妇及其胎儿提供最高质量的护理。在不断变化的分娩环境中进行信息交流和沟通技巧对于实现完美结局至关重要，在为母亲和胎儿从产前到产后提供安全通道时，这始终是人们所期望的。近年来，母胎医学、新生儿医学以及产科麻醉都在持续快速发展。本文旨在探讨现代产科麻醉实践中的一些重要问题。
