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在 COVID-19 大流行期间，产科医生应该了解的产科麻醉知识。

What obstetricians should know about obstetric anesthesia during the COVID-19 pandemic.

机构信息

Department of Anesthesiology, Division of Obstetric Anesthesia, Columbia University College of Physicians and Surgeons, New York, NY, United States.

Department of Anesthesiology, Division of Obstetric Anesthesia, Columbia University College of Physicians and Surgeons, New York, NY, United States.

出版信息

Semin Perinatol. 2020 Nov;44(7):151277. doi: 10.1016/j.semperi.2020.151277. Epub 2020 Aug 26.

DOI:10.1016/j.semperi.2020.151277
PMID:33127095
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7449136/
Abstract

The COVID-19 pandemic has prompted obstetric anesthesiologists to reconsider the ways in which basic anesthesia care is provided on the Labor and Delivery Unit. Suggested modifications include an added emphasis on avoiding general anesthesia, a strong encouragement to infected individuals to opt for early neuraxial analgesia, and the prevention of emergent cesarean delivery, whenever possible. Through team efforts, adopting these measures can have real effects on reducing the transmission of the viral illness and maintaining patient and caregiver safety in the labor room.

摘要

COVID-19 大流行促使产科麻醉师重新考虑在产房提供基本麻醉护理的方式。建议的修改包括更加重视避免全身麻醉，强烈鼓励感染个体选择早期的神经轴镇痛，并尽可能预防紧急剖宫产。通过团队努力，采取这些措施可以切实减少病毒病的传播，并在产房维持患者和医护人员的安全。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4826/7449136/ec317efd95a2/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4826/7449136/ec317efd95a2/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4826/7449136/ec317efd95a2/gr1_lrg.jpg

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Am J Obstet Gynecol MFM. 2020 Aug;2(3):100134. doi: 10.1016/j.ajogmf.2020.100134. Epub 2020 May 8.
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Neuraxial anaesthesia and peripheral nerve blocks during the COVID-19 pandemic: a literature review and practice recommendations.COVID-19 大流行期间的脊麻和外周神经阻滞：文献回顾和实践建议。
Anaesthesia. 2020 Oct;75(10):1350-1363. doi: 10.1111/anae.15105. Epub 2020 May 14.
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Spinal anesthesia for Cesarean delivery in women with COVID-19 infection: questions regarding the cause of hypotension.
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