[剖宫产术最佳麻醉方案的选择]

[Selection of the optimal anesthesia regimen for cesarean section].

作者信息

Schubert A-K, Wiesmann T, Neumann T, Annecke T

机构信息

Klinik für Anästhesie und Intensivtherapie, Philipps-Universität, Marburg, Deutschland.

Klinik für Anästhesiologie und Operative Intensivmedizin, Medizinische Fakultät und Uniklinik Köln, Universität zu Köln, Kerpener Str. 62, 50937, Köln, Deutschland.

出版信息

Anaesthesist. 2020 Mar;69(3):211-222. doi: 10.1007/s00101-020-00741-6.

DOI:10.1007/s00101-020-00741-6

PMID:32076739

Abstract

Approximately one third of all children in Germany are delivered by cesarean section. Depending on the individual patient's condition and the situation, the anesthesiologist has to choose between a general or a regional anesthesia regimen. The decisive factor for the selection is the obstetric urgency (decision-delivery time) after ascertainment of the indications. Furthermore, the need for postoperative analgesia varies depending on the chosen anesthesia regimen.

摘要

在德国，约三分之一的儿童通过剖宫产出生。根据患者个体情况和具体情形，麻醉医生必须在全身麻醉和区域麻醉方案之间做出选择。选择的决定性因素是确定适应症后的产科紧急程度（决定分娩时间）。此外，术后镇痛的需求因所选麻醉方案而异。