From the Department of Anesthesiology, Perioperative, and Pain Medicine and Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Anesth Analg. 2019 Jan;128(1):123-127. doi: 10.1213/ANE.0000000000003760.
The Gerard W. Ostheimer lecture is given each year at the Society for Obstetric Anesthesia and Perinatology annual meeting and is intended to summarize important new scientific literature relevant to practicing obstetric anesthesiologists. This review highlights some of the most consequential papers covered in this lecture. It discusses landmark clinical trials that are likely to change the practice of obstetrics and obstetric anesthesia. It summarizes several articles that focus on how to optimize the provision of neuraxial anesthesia and postoperative pain control. Finally, it reviews studies aimed at identifying systems-based interventions that can improve obstetrical outcomes. A proposed "to-do" list focused on quality improvement initiatives that can be implemented on labor and delivery units is provided.
杰勒德·W·奥斯特海默讲座每年在产科麻醉与围产医学学会年会上举行，旨在总结与产科麻醉医生实践相关的重要新科学文献。本综述重点介绍了本次讲座中涵盖的一些最重要的论文。文中讨论了可能改变产科和产科麻醉实践的标志性临床试验。本文还总结了一些关注如何优化椎管内麻醉和术后疼痛控制的文章。最后，它回顾了旨在确定可以改善产科结局的基于系统的干预措施的研究。本文还提供了一份侧重于可在产房实施的质量改进计划的“待办事项”清单。
