怀孕期间非产科手术的可避免全身麻醉:一项回顾性队列试点研究 (2011-2020年)
J P Salaün1, A Baron2, T Simonet2
1Department of Anesthesiology and Critical Care Medicine, CHU Caen Normandie, Caen University Hospital, Avenue de la Côte de Nacre, 14000 Caen, France; Normandie Univ, UNICAEN, INSERM, GIP Cyceron, Institut Blood and Brain @Caen-Normandie (BB@C), UMR-S U1237, Physiopathology and Imaging of Neurological Disorders (PhIND), Caen, France.
International journal of obstetric anesthesia
|September 27, 2024
概括
在怀孕期间进行非产科手术的全身麻醉在约三分之一的病例中可能是可以避免的. 可以使用区域阻塞或镇静等替代性麻醉方法,降低潜在的风险.
科学领域:
- 麻醉学 麻醉学
- 产科 产科 产科 产科 产科
- 外科手术的安全性
背景情况:
- 大约2%的孕妇接受非产科手术,需要全身麻醉.
- 有关怀孕期间全身麻醉可能对胎儿和母亲造成的不良后果存在担忧.
研究的目的:
- 确定怀孕期间非产科手术的比例,其中全身麻醉可能可以避免.
- 探索可以使用的替代麻醉技术.
主要方法:
- 在2011年至2020年期间,对106次非产科手术进行的孕妇进行了回顾性分析.
- 一个由麻醉师和产科医生组成的专家小组审查了病例,以投票决定通用麻醉对抗区域麻醉或镇静等替代方案的必要性.
主要成果:
- 在审查的34% (36/106) 病例中,全身麻醉被认为是可以避免的.
- 内镜JJ尿管支架手术是最常见的手术,一般麻醉被认为是可以避免的 (90%).
- 专家小组的共识显示,78%的人同意对全身麻醉的要求,而71%的人同意其可避免性.
结论:
- 在怀孕期间进行非产科手术的全身麻醉病例中,很大一部分 (三分之一) 可能是可以避免的.
- 这表明了利用替代麻醉技术的机会,可能提高患者的安全性.
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