多学科团队有助于采用神经轴技术进行胎盘植入谱系疾病的麻醉管理。
Placenta accreta spectrum anaesthetic management with neuraxial technique can be facilitated by multidisciplinary groups.
作者信息
Lopez-Erazo Leidy Johanna, Sánchez Beatriz, Blanco Luisa Femanda, Nieto-Calvache Albaro Jose
机构信息
Placenta Accreta Spectrum Clinic, Fundación Valle del Lili, Cali, Colombia.
Department of Anesthesiology, Fundación Valle del Lili, Cali, Colombia.
出版信息
Indian J Anaesth. 2021 Feb;65(2):153-156. doi: 10.4103/ija.IJA_1216_20. Epub 2021 Feb 10.
BACKGROUND
The concern about massive haemorrhage associated with placenta accreta spectrum (PAS) prompts the routine use of general anaesthesia (GA) at many centres. We aimed to describe the effects of establishing a fixed multidisciplinary team (PAS team) on anaesthetic practices and clinical results.
METHODS
In this before-and-after study, we included patients with prenatal PAS suspicion treated between December 2011 and December 2019. We evaluated the anaesthetic techniques used before (Group 1) and after (Group 2) a PAS team was established.
RESULTS
Eighty-one patients were included. Neuraxial anaesthesia (NA) was used in 23.3% of group 1 patients and 76.4% of group 2 patients. Likewise, the frequency of conversion to GA after initial management with NA decreased from 14.3% in group 1 to 7.7% in group 2.
CONCLUSIONS
The establishment of a PAS team is related to increased use of NA during the management of PAS patients.
背景
对胎盘植入谱系疾病（PAS）相关大出血的担忧促使许多中心常规使用全身麻醉（GA）。我们旨在描述建立固定的多学科团队（PAS团队）对麻醉实践和临床结果的影响。
方法
在这项前后对照研究中，我们纳入了2011年12月至2019年12月期间产前疑似PAS的患者。我们评估了PAS团队建立之前（第1组）和之后（第2组）所使用的麻醉技术。
结果
共纳入81例患者。第1组患者中23.3%使用了椎管内麻醉（NA），第2组患者中这一比例为76.4%。同样，在初始采用NA处理后转为GA的频率从第1组的14.3%降至第2组的7.7%。
结论
PAS团队的建立与PAS患者管理期间NA使用的增加有关。
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