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The optimal way of anesthesia for obstetric anesthesia---spinal anesthesia

2022.01.01 / Saturday
The optimal way of anesthesia for obstetric anesthesia---spinal anesthesia

Compared with other anesthesia, in addition to the need for analgesia, another important point of anesthesia is to ensure the safety of mother and baby to the greatest extent (reduce surgical trauma and reduce complications).

At present, obstetric anesthesia mainly includes the following contents:

Anesthesia for cesarean section, labor analgesia, anesthesia for fetal surgery and postoperative analgesia.

Cesarean Section Anesthesia

For cesarean section anesthesia, as long as there are indications for spinal anesthesia, spinal anesthesia should be preferred. Some data show that general anesthesia will significantly increase the incidence of complications after anesthesia. The conclusion is that general anesthesia cannot be the preferred method of anesthesia for cesarean section.

In addition, in another data survey report, the author compared general anesthesia, epidural anesthesia, spinal anesthesia, and combined lumbar and dural anesthesia for cesarean anesthesia techniques and found that the fetuses delivered under spinal anesthesia and epidural anesthesia The Apgar score was higher, and the pH of the umbilical vein was higher in the fetus delivered by epidural anesthesia.

Epidural anesthesia is one of the main techniques of spinal anesthesia. If the physician who performs anesthesia has passed the epidural anesthesia technique (that is, the anesthesia effect is ideal and the operation is skilled), epidural anesthesia can be preferred as anesthesia for cesarean section. method.

Labor Pain Relief

Epidural anesthesia is more effective in reducing pain during labor than other forms of labor analgesia, and can maximize maternal comfort, according to a systematic review analysis published by the World Health Organization in 2019. Satisfaction with pain relief.