产科神经轴阻塞后的全脊髓麻醉:一个叙述性回顾
M A Radwan1, L O'Carroll1, C L McCaul2
1The Rotunda Hospital, Dublin, Ireland.
总脊髓麻醉 (TSA) 仍然是产科麻醉中的关键紧急情况. 迅速识别和治疗对于良好的结果至关重要,需要在所有神经轴技术环境中做好准备.
科学领域:
- 麻醉学 麻醉学
- 产科麻醉 产科麻醉 产科麻醉
- 临界护理医学 临界护理医学
背景情况:
- 全脊髓麻醉 (TSA) 是产科麻醉中神经轴技术的严重并发症.
- 它可以导致显著的孕产妇发病率和死亡率,如果不及时识别和治疗.
- 传染病学,风险因素和TSA的结果需要进一步澄清.
研究的目的:
- 对产科麻醉中全脊髓麻醉 (TSA) 的文献进行审查.
- 为了澄清TSA的流行病学和病理生理学.
- 确定TSA的风险因素和有效的治疗策略.
主要方法:
- 使用PubMed,科学网和谷歌学者进行了全面的文献搜索.
- 数据提取包括块类型,手术难度,局部麻醉剂量,吸血结果,孕产妇和胎儿的结果以及临床表现.
- 从最初的605个确定的报告中,详细分析了65起病例.
主要成果:
- 完全脊髓麻醉 (TSA) 可以发生在各种神经轴技术后,在外周麻醉后脊髓麻醉是一个值得关注的问题.
- 呼吸困难是普遍的,但呼吸暂停是可变的;低血压发生在大约一半的病例中.
- 延迟识别和干预,特别是在资源不足的环境中,与糟糕的结果有关,包括死亡和神经损伤.
结论:
- 总脊髓麻醉 (TSA) 仍然是产科麻醉中一个重要的临床问题.
- 及时识别和快速有效的治疗对于实现良好的孕产妇和胎儿结果至关重要.
- 在使用神经轴技术的所有临床环境中,预测和准备是必不可少的.
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