剖宫产麻醉的选择：国家麻醉临床结局登记分析
Choice of Anesthesia for Cesarean Delivery: An Analysis of the National Anesthesia Clinical Outcomes Registry.
作者信息
Juang Jeremy, Gabriel Rodney A, Dutton Richard P, Palanisamy Arvind, Urman Richard D
机构信息
From the *Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, Massachusetts; †Harvard Medical School, Boston, Massachusetts; ‡Department of Anesthesiology, University of California, San Diego; and §US Anesthesia Partners, Dallas, Texas.
出版信息
Anesth Analg. 2017 Jun;124(6):1914-1917. doi: 10.1213/ANE.0000000000001677.
Neuraxial anesthesia use in cesarean deliveries (CDs) has been rising since the 1980s, whereas general anesthesia (GA) use has been declining. In this brief report we analyzed recent obstetric anesthesia practice patterns using National Anesthesiology Clinical Outcomes Registry data. Approximately 218,285 CD cases were identified between 2010 and 2015. GA was used in 5.8% of all CDs and 14.6% of emergent CDs. Higher rates of GA use were observed in CDs performed in university hospitals, after hours and on weekends, and on patients who were American Society of Anesthesiologists class III or higher and 18 years of age or younger.
自20世纪80年代以来，剖宫产分娩中神经轴索麻醉的使用一直在增加，而全身麻醉的使用则在减少。在这份简短的报告中，我们使用国家麻醉学临床结果登记数据，分析了近期产科麻醉的实践模式。2010年至2015年期间，共识别出约218,285例剖宫产病例。全身麻醉在所有剖宫产中占5.8%，在急诊剖宫产中占14.6%。在大学医院进行的剖宫产、非工作时间和周末进行的剖宫产以及美国麻醉医师协会分级为III级或更高且年龄在18岁及以下的患者中，全身麻醉的使用率更高。
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