Department of Cardiovascular Sciences, KULeuven, Department of Anaesthesiology, UZ Leuven, Herestraat 49, 3000, Leuven, Belgium.
Department of Cardiovascular Sciences, KULeuven, Department of Anaesthesiology, UZ Leuven, Herestraat 49, 3000, Leuven, Belgium.
Best Pract Res Clin Anaesthesiol. 2023 Jun;37(2):101-108. doi: 10.1016/j.bpa.2023.03.006. Epub 2023 Apr 3.
This article provides a comprehensive review of the technique, drugs of choice, and potential side effects and complications associated with the drugs used and the single-shot spinal anaesthesia (SSS) technique for caesarean delivery. Although neuraxial analgesia and anaesthesia are generally considered safe, all interventions come with potential adverse effects. As such, the practice of obstetric anaesthesia has evolved to minimize such risks. This review highlights the safety and efficacy of SSS for caesarean delivery while also discussing potential complications such as hypotension, postdural puncture headache, and nerve injury. In addition, drug selection and dosages are examined as well, emphasizing the importance of individualized treatment plans and close monitoring for optimal outcomes.
这篇文章全面回顾了剖宫产术中单次蛛网膜下腔麻醉(SSS)技术相关的技术、首选药物,以及与所用药物相关的潜在副作用和并发症。虽然椎管内镇痛和麻醉通常被认为是安全的,但所有干预措施都可能带来不良影响。因此,产科麻醉的实践已经发展到将这些风险降到最低。本文强调了 SSS 在剖宫产中的安全性和有效性,同时还讨论了潜在的并发症,如低血压、硬脊膜穿破后头痛和神经损伤。此外,还检查了药物选择和剂量,强调了制定个体化治疗计划和密切监测以实现最佳结果的重要性。