Obstetric anaesthesia for instrumental vaginal delivery

被引：2
作者：
Diemunsch, P. [1 ]
Mercier, F. -J. [2 ]
Noll, E. [1 ]
机构：
[1] Hop Hautepierre, Serv Anesthesie Reanimat Chirurg, F-67098 Strasbourg, France
[2] Hop Antoine Beclere, Dept Anesthesie Reanimat, F-92141 Clamart, France
来源：
JOURNAL DE GYNECOLOGIE OBSTETRIQUE ET BIOLOGIE DE LA REPRODUCTION | 2008年 / 37卷 / 08期
关键词：
Obstetric; Anaesthesia; Instrumental Vaginal; Delivery; Forceps; Ventouse; SFAR Guidelines;
D O I：
10.1016/S0368-2315(08)74764-1
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
The aim of the anaesthesia for instrumental delivery is to provide optimal operation conditions for the obstetrician, appropriate maternal comfort, altogether with safety for the mother and her foetus. The type and location for this intervention are chosen individually for each case according to the indication, the risk of caesarean section and the local specificities. The general. safety recommendations for obstetric anaesthesia apply in every case. Since an epidural. analgesia is often already working, this type of anaesthesia is the most frequently used for the extractions. A spinal anaesthesia. is a Logical choice where an epidural in sot yet working. The pudendal block is a second line choice and the genera[ anaesthesia remains as the last alternative in acute emergencies, in cases of failed regional anaesthesia or when the mother refuses any other anaesthesia, despite proper information or proves unable to cooperate. (C) 2008 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码：S269 / S275
页数：7
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