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妇产科实践中的麻醉药物

Anesthesia drugs in the obstetric and gynecologic practice.

作者信息

Toledano Roulhac D, Kodali Bhavani-Shankar, Camann William R

机构信息

Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School Boston, MA.

出版信息

Rev Obstet Gynecol. 2009 Spring;2(2):93-100.

PMID:19609403
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2709327/
Abstract

The obstetrician-gynecologist is often solely responsible for analgesia/sedation and regional blocks during office-based and outpatient procedures. The American Society of Anesthesiologists guidelines for the provision of analgesia/sedation for nonanesthesiologists provide helpful recommendations to maximize patient safety during office-based and outpatient procedures. This article provides a review of the fundamentals of sedation/analgesia, monitored anesthesia care, and local anesthetics.

摘要

在门诊和门诊手术过程中,妇产科医生通常独自负责镇痛/镇静及区域阻滞。美国麻醉医师协会关于为非麻醉医生提供镇痛/镇静的指南给出了有益建议,以在门诊和门诊手术过程中最大程度保障患者安全。本文对镇静/镇痛、监护下麻醉管理及局部麻醉药的基本原理进行综述。

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本文引用的文献

1
Lipid rescue: a step forward in patient safety? Likely so!脂质复苏:患者安全方面的一大进步?很可能如此!
Anesth Analg. 2008 May;106(5):1333-6. doi: 10.1213/01.ane.0000282824.92276.10.
2
Maximum recommended doses of local anesthetics: a multifactorial concept.局部麻醉药的最大推荐剂量:一个多因素概念。
Reg Anesth Pain Med. 2004 Nov-Dec;29(6):564-75; discussion 524. doi: 10.1016/j.rapm.2004.08.003.
3
Anaphylaxis during the perioperative period.围手术期过敏反应。
Anesth Analg. 2003 Nov;97(5):1381-1395. doi: 10.1213/01.ANE.0000082993.84883.7D.
4
ACOG Practice Bulletin. Clinical Management Guidelines for Obstetrician-Gynecologists Number 36, July 2002. Obstetric analgesia and anesthesia.美国妇产科医师学会实践公告。妇产科临床管理指南第36号,2002年7月。产科镇痛与麻醉。
Obstet Gynecol. 2002 Jul;100(1):177-91. doi: 10.1016/s0029-7844(02)02156-7.
5
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Anesthesiology. 2002 Apr;96(4):1004-17. doi: 10.1097/00000542-200204000-00031.
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Anesth Analg. 1999 Oct;89(4):965-8. doi: 10.1097/00000539-199910000-00027.
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Anesth Analg. 1999 Oct;89(4 Suppl):28. doi: 10.1097/00000539-199910001-00006.
8
The safety and effectiveness of remifentanil as an adjunct sedative for regional anesthesia.瑞芬太尼作为区域麻醉辅助镇静剂的安全性和有效性。
Anesth Analg. 1999 Jan;88(1):134-40. doi: 10.1097/00000539-199901000-00025.
9
Safety steps for epidural injection of local anesthetics: review of the literature and recommendations.
Anesth Analg. 1997 Dec;85(6):1346-56. doi: 10.1097/00000539-199712000-00030.
10
Comparison of propofol administration techniques for sedation during monitored anesthesia care.
Anesth Analg. 1995 Sep;81(3):486-91. doi: 10.1097/00000539-199509000-00010.