Yeoh Sean Brian, Leong Sng Ban, Heng Alex Sia Tiong
Department of Women's Anaesthesia, KK Women's and Children's Hospital, Singapore.
Indian J Anaesth. 2010 Sep;54(5):409-14. doi: 10.4103/0019-5049.71037.
The number of caesarean sections has increased over the last two decades, especially in the developed countries. Hence, it has increasingly become a greater challenge to provide care for the parturient, but this has given obstetric anaesthetists a greater opportunity to contribute to obstetric services. While caesarean deliveries were historically performed using general anaesthesia, there is a recent significant move towards regional anaesthesia. Unique problems that patients with obesity and pre-eclampsia present will be discussed in the present article. New medications and devices now used in obstetric anaesthesia will change the practice and perspectives of our clinical practice.
在过去二十年中，剖宫产的数量有所增加，尤其是在发达国家。因此，为产妇提供护理的挑战越来越大，但这也为产科麻醉医生提供了更多为产科服务做出贡献的机会。虽然剖宫产在历史上是使用全身麻醉进行的，但最近有一个明显的趋势是转向区域麻醉。本文将讨论肥胖和先兆子痫患者所面临的独特问题。目前产科麻醉中使用的新药物和设备将改变我们临床实践的方式和观点。
