Monanian Genevieve, Greenspan Seth, Khan Yusufzai Nadir, Daoud Bahaa, Jin Zhaosheng, Factor Morgane
Department of Anesthesiology, Stony Brook University Hospital, Stony Brook, NY 11794, USA.
Renaissance School of Medicine, Stony Brook University, Stony Brook, NY 11794, USA.
Medicina (Kaunas). 2025 Apr 10;61(4):698. doi: 10.3390/medicina61040698.
Anesthetic management of the pregnant patient undergoing non-obstetric surgery requires careful consideration of both maternal and fetal well-being. Key factors include appropriate drug selection to minimize fetal exposure, maintenance of uteroplacental perfusion, and management of physiological changes associated with pregnancy, such as altered respiratory function and increased blood volume. Regional anesthesia is often preferred to reduce the risks of general anesthesia, although considerations such as positioning, airway management, and monitoring are crucial. Multidisciplinary collaboration is essential to optimize outcomes, ensuring that both maternal health and fetal safety are prioritized throughout the perioperative period.
接受非产科手术的孕妇的麻醉管理需要仔细考虑母体和胎儿的健康状况。关键因素包括选择合适的药物以尽量减少胎儿接触药物、维持子宫胎盘灌注以及处理与妊娠相关的生理变化，如呼吸功能改变和血容量增加。尽管体位、气道管理和监测等因素至关重要，但区域麻醉通常更受青睐，以降低全身麻醉的风险。多学科协作对于优化手术效果至关重要，确保在围手术期始终将母体健康和胎儿安全放在首位。
