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观点文章:局部麻醉下的妇科手术?

Opinion paper: gynecological surgery in local anesthesia?

机构信息

Department of Obstetrics and Gynecology, University Hospital Tübingen, Calwerstrasse 7, 72076, Tübingen, Germany.

出版信息

Arch Gynecol Obstet. 2022 Oct;306(4):1063-1068. doi: 10.1007/s00404-022-06572-7. Epub 2022 Apr 29.

Abstract

PURPUSE

The paracervical block (PCB) is a local anesthesia procedure that can be used to perform gynecological surgeries without the need for further anesthesia. With the PCB, surgeries can be moved from the central operating room to outpatient operating rooms, where they can be performed without the presence of an anesthesia team.

METHODS

In this paper, the indications, implementation and limitations of the procedure are discussed.

CONCLUSION

Especially in times of scarce staff and OR resources during the Corona pandemic, OR capacity can be expanded in this way.

摘要

目的

经宫颈旁阻滞(PCB)是一种局部麻醉程序,可用于进行妇科手术,而无需进一步麻醉。通过 PCB,可以将手术从中央手术室转移到门诊手术室,在没有麻醉团队的情况下进行手术。

方法

本文讨论了该程序的适应证、实施和局限性。

结论

特别是在新冠疫情期间人员和手术室资源短缺的情况下,这种方式可以扩大手术室的容量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca23/9470720/5d570853c498/404_2022_6572_Fig1_HTML.jpg

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