在产科患者的神经疾病
Konstantin Inozemtsev1, Evelyn Yeh, Ned F Nasr
1Advocate Illinois Masonic Medical Center, Department of Anesthesiology, Chicago, Illinois, USA.
Current opinion in anaesthesiology
|July 16, 2024
概括
对于患有神经系统疾病的孕妇患者的麻醉管理正在发展. 最近的发现表明,对于多发性硬化症和脑血管病理等疾病,安全的麻醉选择和有效的治疗方法.
科学领域:
- 神经学 神经学
- 麻醉学 麻醉学
- 产科 产科 产科 产科 产科
背景情况:
- 神经系统疾病和并发症在怀孕期间很常见.
- 现有的指导方针和数据用于管理这些条件是有限的.
研究的目的:
- 审查最近在怀孕患者的神经麻醉方面的进展.
- 提供关于怀孕期间神经病理管理的概述.
- 为了告知麻醉方法和填补指南的空白.
主要方法:
- 关于神经麻醉的最新发展的文献综述.
- 对怀孕期间管理神经疾病的数据进行分析.
- 综合发现以指导麻醉实践.
主要成果:
- 神经轴和全身麻醉对于多发性硬化症和肌痛性硬化症是安全的,只要仔细监测.
- 大脑血管病理可以通过血栓溶解和内血管治疗来管理.
- 仪器性阴道分娩可以帮助管理内压力;瘤和形需要多学科护理.
结论:
- 基于人口的大型研究对于了解最佳麻醉方法至关重要.
- 越来越多的证据支持为患有神经疾病的孕妇提供特定的麻醉策略.
相关概念视频
Local Anesthetics: Clinical Application as Epidural Anesthesia
428
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
428
Neurulation
41.8K
Neurulation is the embryological process which forms the precursors of the central nervous system and occurs after gastrulation has established the three primary cell layers of the embryo: ectoderm, mesoderm, and endoderm. In humans, the majority of this system is formed via primary neurulation, in which the central portion of the ectoderm—originally appearing as a flat sheet of cells—folds upwards and inwards, sealing off to form a hollow neural tube. As development proceeds, the...
41.8K
Nursing Diagnosis
2.7K
Following assessment, a nursing diagnosis is the next step in the nursing process. It begins after the nurse has collected and recorded the patient data. The purpose of diagnosing is to identify how the client responds to actual or potential health processes, identify factors that bestow or that cause health problems, the etiologies, and identify resources or strengths the individual, group, or community can draw on to prevent or resolve problems.
The nursing diagnosis focuses on evidence-based...
The nursing diagnosis focuses on evidence-based...
2.7K
Teratogenicity
2.4K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
2.4K
Disorders of the Nervous Tissue
1.1K
Nervous tissue is a vital component of the human body's communication system, enabling us to perceive and respond to stimuli. However, like all other tissues, it is vulnerable to disorders and diseases that can significantly impact our neurological functioning.
Homeostatic Imbalances:
Alzheimer's disease manifests as a gradual decline in memory and cognitive abilities, attributed to the buildup of amyloid plaques and neurofibrillary tangles in the brain.
Parkinson's disease arises from the...
Homeostatic Imbalances:
Alzheimer's disease manifests as a gradual decline in memory and cognitive abilities, attributed to the buildup of amyloid plaques and neurofibrillary tangles in the brain.
Parkinson's disease arises from the...
1.1K


