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介入放射科的产妇:产科麻醉的新领域。

The parturient in the interventional radiology suite: New frontier in obstetric anaesthesia.

作者信息

Dhansura Tasneem, Shaikh Nabila

机构信息

Department of Anaesthesiology, Saifee Hospital, Mumbai, Maharashtra, India.

出版信息

Indian J Anaesth. 2017 Apr;61(4):289-294. doi: 10.4103/ija.IJA_438_16.

Abstract

The anaesthesiologist's presence during interventional radiology (IR) is increasing due to increasingly ill patients and intricate procedures. The management of a parturient in IR suite is complex in terms of logistics of an unfamiliar procedure in an unfamiliar area. The literature available is largely written by radiologists with little attention paid to anaesthetic details and considerations. In the Indian scenario, in the absence of hybrid operating rooms (ORs), logistics involve transport of a parturient back and forth between the IR suite and the OR. As members of a multidisciplinary team, anaesthesiologists should utilise their expertise in fluid management, transfusion therapy and critical care to prevent and treat catastrophic events that may accompany severe peri-partum bleeding. Ensuring familiarity with the variety of IR procedures and the peri-procedure requirements can help the anaesthesiologist provide optimum care in the IR suite.

摘要

由于患者病情日益严重以及手术操作日益复杂,介入放射学(IR)过程中麻醉医生的参与越来越多。在IR手术室中管理产妇很复杂,因为这涉及在一个不熟悉的区域进行不熟悉的手术的后勤工作。现有的文献大多是放射科医生撰写的,很少关注麻醉细节和注意事项。在印度的情况下,由于没有混合手术室(OR),后勤工作包括将产妇在IR手术室和OR之间来回运送。作为多学科团队的成员,麻醉医生应利用他们在液体管理、输血治疗和重症监护方面的专业知识,预防和治疗可能伴随严重围产期出血的灾难性事件。确保熟悉各种IR手术及其围手术期要求,有助于麻醉医生在IR手术室提供最佳护理。

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本文引用的文献

3
Challenges in interventional radiology: the pregnant patient.介入放射学中的挑战:孕妇患者
Semin Intervent Radiol. 2013 Dec;30(4):394-402. doi: 10.1055/s-0033-1359734.
7
Postpartum hemorrhage.产后出血
Prim Care. 2012 Mar;39(1):167-87. doi: 10.1016/j.pop.2011.11.009.

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