剖宫产术中应用小剂量脊麻预防脊麻诱导性低血压。
Low-dose spinal anesthesia for cesarean section to prevent spinal-induced hypotension.
机构信息
Department of Anesthesiology, UZLeuven.
Department of Cardiovascular Sciences, KU Leuven, Belgium.
出版信息
Curr Opin Anaesthesiol. 2019 Jun;32(3):268-270. doi: 10.1097/ACO.0000000000000712.
PURPOSE OF REVIEW
Low-dose combined spinal epidural (CSE) anesthesia is a common technique to anesthetize women for cesarean section. It is used to reduce the incidence of hypotension while providing excellent anesthetic conditions.
RECENT FINDINGS
Low spinal doses produce effective anesthesia but of limited duration. Therefore, an epidural catheter (and thus CSE) is required to guarantee pain-free surgery. Recent work confirmed that lower spinal doses can reduce significantly hypotension.
SUMMARY
Low-dose CSE is a valuable strategy to anesthetize pregnant women for cesarean section but requires attention and training.
目的综述
低剂量蛛网膜下腔-硬膜外联合麻醉（CSE）是一种为剖宫产孕妇麻醉的常用技术。它用于降低低血压的发生率，同时提供良好的麻醉条件。
最新发现
低剂量脊髓麻醉可产生有效的麻醉效果，但持续时间有限。因此，需要使用硬膜外导管（从而进行 CSE）来保证手术无痛。最近的研究证实，较低的脊髓剂量可以显著减少低血压。
总结
低剂量 CSE 是为剖宫产孕妇麻醉的一种有价值的策略，但需要注意和培训。
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