University of Miami-Jackson Memorial Hospital Center for Patient Safety, University of Miami Miller School of Medicine, 1611 Northwest 12th Avenue, C-300, Miami, FL 33136, USA.
Division of Obstetric Anesthesia, Department of Anesthesiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.
Obstet Gynecol Clin North Am. 2019 Jun;46(2):329-337. doi: 10.1016/j.ogc.2019.01.015.
The subspecialty of obstetric anesthesiology has embraced patient safety research, which has led to a reduction in obstetric anesthesia-related morbidity and mortality. Although there are innumerable individual improvements, this article highlights the following innovations: safer and more effective labor analgesia, safer treatments for hypotension associated with neuraxial blockade, advances in spinal and epidural techniques for operative deliveries, lower incidence of postdural puncture headache through improved technology, safer parental agents for labor analgesia, improved safety of general anesthesia in obstetrics, improved education and the use of simulation including team training, and reductions in operating room-related infections.
产科麻醉学的亚专业已经接受了患者安全研究,这导致了产科麻醉相关发病率和死亡率的降低。尽管有无数的个别改进,但本文强调了以下创新:更安全、更有效的分娩镇痛;更安全的治疗与椎管内阻滞相关的低血压;用于手术分娩的脊髓和硬膜外技术的进步;通过改进技术降低硬膜穿刺后头痛的发生率;用于分娩镇痛的更安全的母体药物;提高产科全身麻醉的安全性;改进教育和使用模拟包括团队培训;以及减少手术室相关感染。