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产科麻醉与危重症护理的最新进展。

Recent advances in obstetric anaesthesia and critical care.

作者信息

Kurdi Madhuri S, Rajagopal Vennila, Sangineni Kalyani Sdl, Thalaiappan Murugan, Grewal Anju, Gupta Sunanda

机构信息

Department of Anaesthesiology, Karnataka Institute of Medical Sciences (KIMS), Hubli, Karnataka, India.

Department of Anaesthesiology, Apollo Womens Hospital, Chennai, Tamil Nadu, India.

出版信息

Indian J Anaesth. 2023 Jan;67(1):19-26. doi: 10.4103/ija.ija_1032_22. Epub 2023 Jan 21.

Abstract

Newer modalities in labour analgesia and anaesthesia for caesarean section including regional anaesthesia techniques and airway management are emerging constantly. Techniques such as point of care ultrasound, especially of the lungs and stomach and point of care tests of coagulation based on viscoelastometry are about to revolutionise perioperative obstetric care. This has improved the quality of care thereby ensuring good perioperative outcomes in the parturient with comorbidities. Critical care for obstetrics is an emerging field that requires a multidisciplinary approach with obstetricians, maternal-foetal medicine experts, intensivists, neonatologists, and anaesthesiologists working together with enhanced preparedness and uniform protocols. Newer techniques and concepts of understanding have thus been established in the traditional speciality of obstetric anaesthesia over the last decade. These have improved maternal safety and neonatal outcomes. This article touches upon some recent advances that have made a significant impact in the field of obstetric anaesthesia and critical care.

摘要

包括区域麻醉技术和气道管理在内的剖宫产分娩镇痛和麻醉的新方法不断涌现。即时超声检查技术,尤其是肺部和胃部的超声检查,以及基于粘弹性测定法的凝血即时检测,即将彻底改变围手术期产科护理。这提高了护理质量,从而确保了患有合并症的产妇围手术期有良好的结局。产科重症监护是一个新兴领域,需要产科医生、母胎医学专家、重症监护医生、新生儿科医生和麻醉医生多学科协作,共同提高准备水平并采用统一方案。因此,在过去十年中,传统的产科麻醉专业建立了新的技术和理解概念。这些改进了产妇安全性和新生儿结局。本文探讨了一些在产科麻醉和重症监护领域产生重大影响的最新进展。

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