UNEXPECTEDLY EXTENSIVE CONDUCTION BLOCKS IN OBSTETRIC EPIDURAL ANALGESIA

被引:25
作者
MORGAN, B
机构
[1] Queen Charlotte's and Chelsea Hospital, London, W6 0XG, Goldhawk Road
关键词
Anaesthesia; obstetric; Anaesthetic techniques; regional; epidural;
D O I
10.1111/j.1365-2044.1990.tb14284.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Life‐threatening extensions of conduction block during obstetric epidural analgesia can be classified according to the risk to the mother. High blocks that occur in the presence of the anaesthetist should present a readily treatable problem. Reports of total spinal anaesthesia that occur with no anaesthetist in attendance call for a reappraisal of present practice. Changes in current anaesthetic practice, which might increase safety with epidural analgesia, are top‐ups by midwives, but only when the anaesthetist is on the delivery suite: repeated assessment of the nature of the conduction block by an anaesthetist: and continuous infusions with anaesthetist‐only top‐ups. Copyright © 1990, Wiley Blackwell. All rights reserved
引用
收藏
页码:148 / 152
页数:5
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