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[产科镇痛与麻醉操作：德国麻醉与重症医学学会和德国麻醉医师专业协会与德国妇产科学会合作的第二次修订建议]

[Execution of analgesia and anesthesia procedures in obstetrics : Second revised recommendations of the German Society for Anesthesiology and Intensive Care Medicine and the Professional Association of German Anesthetists in cooperation with the German Society for Gynecology and Obstetrics].

作者信息

Wallenborn J

机构信息

Klinik und Poliklinik für Anästhesiologie und Intensivtherapie, Universitätsklinikum Leipzig, Deutschland.

出版信息

Anaesthesist. 2010 Mar;59(3):250-4. doi: 10.1007/s00101-009-1673-2.

DOI:10.1007/s00101-009-1673-2
PMID:20155244
Abstract

While guidelines represent systematically developed aids for decision-making on appropriate courses of action, recommendations should focus the attention of the medical profession on noteworthy circumstances which are in need of amendment. The new recommendations on the "Execution of analgesia and anesthesia procedures in obstetrics" of the German Society for Anesthesiology and Intensive Care Medicine (Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin, DGAI) and the Professional Association of German Anesthetists (Berufsverband Deutscher Anästhesisten, BDA) in cooperation with the German Society for Gynecology and Obstetrics (Deutsche Gesellschaft für Gynäkologie und Geburtshilfe, DGGG) comprehensively fulfill these requirements. The new recommendations include not only revisions in the form of updating but also supplementations in the form of the new chapters "Initial care of newborns", "Postpartum hemorrhaging" and "Morbid obesity". In the following article relevant alterations to newly formulated or completely amended sections with consequences for the clinical practice will be discussed.

摘要

虽然指南是系统制定的辅助工具，用于就适当的行动方案做出决策，但建议应使医学界关注需要修正的值得注意的情况。德国麻醉与重症医学学会（Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin, DGAI）和德国麻醉师专业协会（Berufsverband Deutscher Anästhesisten, BDA）与德国妇产科学会（Deutsche Gesellschaft für Gynäkologie und Geburtshilfe, DGGG）合作制定的关于“产科镇痛和麻醉程序的实施”的新建议全面满足了这些要求。新建议不仅包括以更新形式进行的修订，还包括以新章节“新生儿的初始护理”、“产后出血”和“病态肥胖”形式进行的补充。在以下文章中，将讨论新制定或完全修订部分的相关变更及其对临床实践的影响。

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Techniques for preventing hypotension during spinal anaesthesia for caesarean section.剖宫产脊髓麻醉期间预防低血压的技术。
Cochrane Database Syst Rev. 2006 Oct 18(4):CD002251. doi: 10.1002/14651858.CD002251.pub2.
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The National Institute of Clinical Excellence (NICE) guidelines for caesarean sections: implications for the anaesthetist.
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Front Pharmacol. 2017 Feb 21;8:68. doi: 10.3389/fphar.2017.00068. eCollection 2017.
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