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超越手术刀:剖析胎盘植入谱系择期剖宫产中的麻醉难题

Beyond the Scalpel: Unravelling the Anaesthetic Maze in Elective C-Section for Placenta Accreta Spectrum.

作者信息

Shah Suraj, Mandour Yasser

机构信息

Department of Anaesthesia, University College London Hospital NHS Foundation Trust, London, UK.

出版信息

Br J Hosp Med (Lond). 2024 Dec 30;85(12):1-4. doi: 10.12968/hmed.2023.0243. Epub 2024 Dec 16.

Abstract

Placenta accreta spectrum (PAS) disorders pose significant challenges in the anaesthetic management of elective caesarean section. This article explores the anaesthetic considerations for patients with PAS focusing on the optimal techniques to ensure maternal safety and surgical success. The analysis examines the advantages and disadvantages of general anaesthesia, neuraxial anaesthesia, and combined techniques to inform considerations of anaesthetic management in this high-risk population.

摘要

胎盘植入谱系障碍(PAS)在择期剖宫产的麻醉管理中带来了重大挑战。本文探讨了PAS患者的麻醉注意事项,重点关注确保产妇安全和手术成功的最佳技术。该分析研究了全身麻醉、椎管内麻醉和联合技术的优缺点,以为这一高危人群的麻醉管理提供参考。

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