麻醉学当前的观点:出生后的创伤后应激障碍
Lindsay Shea Tremper1, Kaitlyn Elizabeth Neumann2
1University of Michigan Medical School.
Current opinion in anaesthesiology
|March 12, 2025
概括
与分娩相关的创伤后应激障碍 (CB-PTSD) 影响4-7%的母亲. 麻醉师可以通过使用创伤知情护理和尽量减少分娩期间的并发症来预防CB-PTSD.
科学领域:
- 产科和妇科 产科和妇科
- 麻醉学 麻醉学
- 精神病学是一个精神病学.
背景情况:
- 创伤性分娩可能会导致与分娩相关的创伤后应激障碍 (CB-PTSD),影响母亲和新生儿的健康.
- CB-PTSD影响4-7%的产后患者,并与显著的发病率和死亡率有关.
- 在美国,高的孕产妇发病率和死亡率需要对CB-PTSD风险因素和预防策略进行分析.
研究的目的:
- 分析与分娩相关的创伤后应激障碍 (CB-PTSD) 的风险因素.
- 审查预防CB-PTSD的临床管理建议.
- 突出麻醉师在缓解CB-PTSD及其后果方面的作用.
主要方法:
- 关于CB-PTSD最近研究的文献综述.
- 分析导致CB-PTSD发展的因素.
- 检查可用的选工具和管理策略.
主要成果:
- 以前存在的心理健康状况,分娩感知和产科/麻醉并发症是CB-PTSD的关键风险因素.
- 有有效的CB-PTSD查工具可用.
- 麻醉师在预防和检测CB-PTSD方面发挥着至关重要的作用.
结论:
- 麻醉科医生可以通过创伤知情护理,有效的止痛/麻醉,并最大限度地减少并发症来减少CB-PTSD的患病率.
- 识别那些认为生育经历是创伤性的患者至关重要.
- 缓解CB-PTSD可以降低相关的孕产妇发病率和死亡率.
更多相关视频
06:39Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants
Published on: June 13, 2021
3.0K
07:36Modeling Encephalopathy of Prematurity Using Prenatal Hypoxia-ischemia with Intra-amniotic Lipopolysaccharide in Rats
Published on: November 20, 2015
11.3K
相关概念视频
Post-traumatic Stress Disorder
26
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
26
Local Anesthetics: Clinical Application as Epidural Anesthesia
404
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...
404
General Anesthesia: Overview
183
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
183
Stages of General Anesthesia
337
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
337
