ANESTHESIA FOR EMERGENCY CESAREAN-SECTION

被引:43
作者
MORGAN, BM [1 ]
MAGNI, V [1 ]
GOROSZENUIK, T [1 ]
机构
[1] LEWISHAM HOSP,LONDON SE13 6LH,ENGLAND
来源
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY | 1990年 / 97卷 / 05期
关键词
D O I
10.1111/j.1471-0528.1990.tb01829.x
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Summary. The Report on Confidential Enquiries into Maternal Deaths in England and Wales 1982–84 (Department of Health 1989) recommends early involvement of the anaesthetist in women having emergency caesarean sections and the use of epidural anaesthesia in preference to general anaesthesia. In an observational prospective study the need for emergency abdominal delivery could be anticipated in 87% of 360 consecutive emergency caesarean sections. Early establishment of epidural analgesia allowed extension, to an appropriate level for the surgery, in 70%. The duty anaesthetist accompanying the obstetric team on three wardrounds a day could be forewarned of anticipated problems in most women who are eventually delivered abdominally. Copyright © 1990, Wiley Blackwell. All rights reserved
引用
收藏
页码:420 / 424
页数:5
相关论文
共 15 条
[1]  
Buck N, 1987, REPORT CONFIDENTIAL
[2]   PREVENTABLE ANESTHESIA MISHAPS - STUDY OF HUMAN-FACTORS [J].
COOPER, JB ;
MCPEEK, B ;
LONG, CD ;
NEWBOWER, RS .
ANESTHESIOLOGY, 1978, 49 (06) :399-406
[3]  
CORALL I, 1982, ANAESTHESIA, V37, P711
[4]   A SURVEY OF ANESTHETIC MISADVENTURES [J].
CRAIG, J ;
WILSON, ME .
ANAESTHESIA, 1981, 36 (10) :933-936
[5]   ANESTHESIA FOR CESAREAN-SECTION - THE POTENTIAL FOR REGIONAL BLOCK [J].
DAVIS, AG .
ANAESTHESIA, 1982, 37 (07) :748-753
[6]   FETAL NEONATAL STATUS FOLLOWING CESAREAN-SECTION FOR FETAL DISTRESS [J].
MARX, GF ;
LUYKX, WM ;
COHEN, S .
BRITISH JOURNAL OF ANAESTHESIA, 1984, 56 (09) :1009-1013
[7]   EFFECT OF EPIDURAL VERSUS GENERAL-ANESTHESIA ON CALF BLOOD-FLOW [J].
MODIG, J ;
MALMBERG, P ;
KARLSTROM, G .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 1980, 24 (04) :305-309
[8]  
MORGAN B, 1987, BIRTHPLACE REPORT CO, P167
[9]  
MORGAN BM, 1984, LANCET, V1, P328
[10]   EFFECT OF SPINAL VERSUS EPIDURAL-ANESTHESIA WITH 0.5-PERCENT BUPIVACAINE ON LOWER-LIMB BLOOD-FLOW [J].
PERHONIEMI, V ;
LINKO, K .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 1987, 31 (02) :117-121