Guasch Emilia, Brogly Nicolas, Mercier Frederic J, Ioscovich Alexander, Weiniger Carolyn F, Lucas Nuala, Chassard Dominique, Kranke Peter, Whitaker David, Geldner Goetz, Sabelnikovs Olegs, de Robertis Edoardo
From the Servicio de Anestesia y Reanimación, Hospital Universitario La Paz, Madrid, Spain (EG, NB), Département d'Anesthésie, Hôpital Antoine Béclère (Hôpitaux Universitaires Paris-Sud, AP-HP), Paris, France (FJM), Faculty of Medicine, Hebrew University (AI), Department of Obstetrics and Ambulatory Anesthesia, Shaare Zedek Medical Center, Jerusalem, Israel (AI), Division of Anesthesia, Critical Care and Pain, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel (CFW), Labour Ward, London North West Healthcare NHS Trust, London, UK (NL), Department of Anesthesia and Intensive Care, Hospices Civils de Lyon/University of Lyon 1, Lyon, France (DC), Obstetrics & Gynaecology, Department of Anaesthesia, Critical Care and Pain Medicine, University Hospital of Wuerzburg, Wuerzburg, Germany (PK), Department of Anaesthesiology, Manchester Royal Infirmary, Manchester, UK (DW), Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Klinikum Ludwigsburg, Ludwigsburg, Germany (GG), Department of Clinical Skills and Medical Technology Academic Staff (OS), Department of Anaesthesiology and Intensive Care (OS), Department of Anaesthesiology and Intensive Care Medicine, Riga Stradiņš University, Riga, Latvia; Department of Anaesthesiology and Intensive Care, P.Stradins Clinical University Hospital, Riga, Latvia (OS), Division of Anaesthesiology, Analgesia, and Intensive Care, Department of Surgical and Biomedical Sciences (EdR) and Training Program in Anaesthesiology, Intensive Care and Pain, University of Perugia, Perugia, Italy (EdR).
Eur J Anaesthesiol. 2020 Dec;37(12):1115-1125. doi: 10.1097/EJA.0000000000001362.
: An important variability of anaesthetic standards of care was discovered in the obstetric departments of many European Union countries. After discussing this issue in various meetings of the European Society of Anaesthesiology (ESA) board and its obstetric subcommittee, European Board of Anaesthesiology of the European Union of Medical Specialists (EBA-UEMS) executive members, ESA obstetric subcommittee members and European experts in obstetric anaesthesiology have participated in the elaboration of this document. This experts' opinion is focused mainly on obstetric patients and safety concerns in terms of minimum standards of practice. An initial bibliographical search was performed in medical databases and general literature, searching for obstetric anaesthesiology standards to select the most important safety issues. After the initial presentation of the project during EBA-UEMS and ESA obstetric subcommittee meetings, participants were asked to review the document; several rounds of revisions were performed by the experts, to reach a common opinion concerning the topics considered central to patient safety in the obstetric setting. After three rounds of revision, a consensus was reached and is presented in this document, which includes the list of topics considered relevant by the involved areas, and the respective recommendations. These recommendations covered some EBA-UEMS strategic key areas, in addition to several clinical aspects of common obstetric practice.
在许多欧盟国家的产科部门发现了麻醉护理标准存在重要差异。在欧洲麻醉学会（ESA）理事会及其产科小组委员会的多次会议上讨论了这个问题之后，欧盟医学专家联盟欧洲麻醉委员会（EBA-UEMS）的执行成员、ESA产科小组委员会成员以及欧洲产科麻醉专家参与了本文件的制定。本专家意见主要关注产科患者以及最低实践标准方面的安全问题。首先在医学数据库和普通文献中进行了文献检索，查找产科麻醉标准以挑选出最重要的安全问题。在EBA-UEMS和ESA产科小组委员会会议上首次介绍该项目后，要求参会者审阅文件；专家们进行了数轮修订，以就产科环境中对患者安全至关重要的主题达成共识。经过三轮修订后达成了共识，并在本文件中呈现，其中包括相关领域认为相关的主题列表以及各自的建议。这些建议除了涵盖普通产科实践的几个临床方面外，还涉及一些EBA-UEMS战略关键领域。
