Gandhi Komal Anil, Jain Kajal
Department of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Indian J Anaesth. 2018 Sep;62(9):667-674. doi: 10.4103/ija.IJA_459_18.
An increasing number of caesarean sections are being performed for both elective as well as emergency cases. Category 4 caesarean section refers to a planned elective surgery after 39 weeks of gestation at a time suitable to the mother and the maternity team. For a safe conduct of anaesthesia, the updated obstetric anaesthesia guidelines recommend administration of neuraxial anaesthesia, whenever feasible. The management should include adequate postoperative pain relief, early ambulation, and thromboprophylaxis to ensure early recovery. This review will discuss the anaesthetic management including regional anaesthesia, general anaesthesia, and postoperative analgesia for elective, low-risk (Category 4) caesarean section.
无论是选择性剖宫产还是急诊剖宫产，其手术数量都在不断增加。4类剖宫产是指在妊娠39周后，根据母亲和产科团队的合适时间进行的计划性择期手术。为了安全实施麻醉，最新的产科麻醉指南建议，只要可行，应采用椎管内麻醉。管理措施应包括充分的术后疼痛缓解、早期活动和血栓预防，以确保早期康复。本综述将讨论选择性、低风险（4类）剖宫产的麻醉管理，包括区域麻醉、全身麻醉和术后镇痛。
