Labor analgesia for the parturient with neurological disease: What does an obstetrician need to know?

被引：15
作者：
Kuczkowski K.M. [1 ,2 ]
机构：
[1] Departments of Anesthesiology and Reproductive Medicine, University of California, San Diego, CA
[2] Department of Anesthesiology, UCSD Medical Center, San Diego, CA 92103-8770
来源：
Archives of Gynecology and Obstetrics | 2006年 / 274卷 / 1期
关键词：
Epilepsy; Labor analgesia; Multiple sclerosis; Myasthenia gravis; Neurological disease; Obstetric anesthesia; Paraplegia; Pregnancy; Subarachnoid hemorrhage;
D O I：
10.1007/s00404-006-0125-3
中图分类号：
学科分类号：
摘要：
Several neurological disorders including multiple sclerosis, myasthenia gravis, epilepsy, spinal cord injury, and subarachnoid hemorrhage are encountered with increasing frequency in pregnant women worldwide. Although there is absence of uniform anesthetic guidelines for pregnant patients with most of these (and other) neurological disorders, and the decision whether or not to administer regional anesthesia is based on an individual risk-to-benefit ratio on a case-by-case basis, few of these disorders contraindicate the use of neuraxial anesthesia. This article attempts to review the specific concerns for administration of labor analgesia posed by multiple sclerosis, myasthenia gravis, epilepsy, paraplegia and subarachnoid hemorrhage. © Springer-Verlag 2006.
引用
收藏
页码：41 / 46
页数：5
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