Department of Anaesthesia, Queen Charlottes and Chelsea Hospital, London, UK.
Northumberland, UK.
Anaesthesia. 2022 May;77(5):588-597. doi: 10.1111/anae.15717. Epub 2022 Mar 24.
A woman who experiences pain during caesarean section under neuraxial anaesthesia is at risk of adverse psychological sequelae. Litigation arising from pain during caesarean section under neuraxial anaesthesia has replaced accidental awareness under general anaesthesia as the most common successful medicolegal claim against obstetric anaesthetists. Generic guidelines on caesarean section exist, but they do not provide specific recommendations for this area of anaesthetic practice. This guidance aims to offer pragmatic advice to support anaesthetists in caring for women during caesarean section. It emphasises the importance of non-technical skills, offers advice on best practice and aims to encourage standardisation. The guidance results from a collaborative effort by anaesthetists, psychologists and patients and has been developed to support clinicians and promote standardisation of practice in this area.
在脊麻下进行剖宫产时经历疼痛的女性有发生不良心理后果的风险。在脊麻下进行剖宫产时出现疼痛而引起的诉讼已取代全身麻醉下的意外知晓，成为针对产科麻醉师的最常见的成功医学法律诉求。虽然存在剖宫产的通用指南，但它们并未为该麻醉实践领域提供具体建议。本指南旨在为麻醉师在剖宫产期间照顾女性提供实用建议。它强调了非技术技能的重要性，提供了最佳实践建议，并旨在鼓励标准化。该指南源自麻醉师、心理学家和患者的合作努力，旨在为临床医生提供支持并促进该领域实践的标准化。
