Rao Durga Prasada, Rao Venkateswara A
Department of Anaesthesiology, Siddhartha Medical College, Government General Hospital, Government of Andhra Pradesh, Vijayawada, India.
Indian J Anaesth. 2010 Nov;54(6):508-21. doi: 10.4103/0019-5049.72639.
The purpose of this article is to review the fundamental aspects of obesity, pregnancy and a combination of both. The scientific aim is to understand the physiological changes, pathological clinical presentations and application of technical skills and pharmacological knowledge on this unique clinical condition. The goal of this presentation is to define the difficult airway, highlight the main reasons for difficult or failed intubation and propose a practical approach to management Throughout the review, an important component is the necessity for team work between the anaesthesiologist and the obstetrician. Certain protocols are recommended to meet the anaesthetic challenges and finally concluding with "what is new?" in obstetric anaesthesia.
本文旨在综述肥胖、妊娠以及两者并存的基本情况。科学目标是了解这一独特临床状况下的生理变化、病理临床表现以及技术技能和药理学知识的应用。本报告的目的是界定困难气道，强调插管困难或失败的主要原因，并提出一种实用的处理方法。在整个综述过程中，一个重要组成部分是麻醉医生和产科医生团队合作的必要性。推荐了某些方案以应对麻醉挑战，最后以产科麻醉领域的“新进展”作为总结。
