McQUAID Emily, Leffert Lisa R, Bateman Brian T
Department of Anesthesiology, Critical Care, and Pain Medicine, Massachusetts General Hospital.
Department of Anesthesiology, Perioperative and Pain Medicine.
Clin Obstet Gynecol. 2018 Jun;61(2):372-386. doi: 10.1097/GRF.0000000000000350.
Anesthesiologists are responsible for the safe and effective provision of analgesia for labor and anesthesia for cesarean delivery and other obstetric procedures. In addition, obstetric anesthesiologists often have a unique role as the intensivists of the obstetric suite. The anesthesiologist is frequently the clinician with the greatest experience in the acute bedside management of a hemodynamically unstable patient and expertise in life-saving interventions. This review will discuss (1) risks associated with neuraxial and general anesthesia for labor and delivery, and (2) clinical scenarios in which the obstetric anesthesiologist is commonly called upon to function as a "peridelivery intensivist."
麻醉医生负责为分娩提供安全有效的镇痛以及为剖宫产和其他产科手术实施麻醉。此外，产科麻醉医生通常作为产科手术室的重症监护医生发挥独特作用。麻醉医生常常是在血流动力学不稳定患者的急性床边管理方面经验最丰富且具备挽救生命干预措施专业知识的临床医生。本综述将讨论：（1）分娩时椎管内麻醉和全身麻醉相关风险，以及（2）产科麻醉医生通常被要求充当“围产期重症监护医生”的临床情况。
