PDF(Pubmed)
Abstract：
Anesthesiologists frequently deal with spinal hypotension when administering spinal anesthesia (SA) for a Caesarean section (C-section). The physiological changes that occur during pregnancy necessitate modifications to anesthesia and analgesia procedures to provide safe and efficient care for the expectant patient. It is believed that giving the patient SA during a C-section will increase their degree of comfort and pain management both during and after the surgical process. It is less expensive, easier to give, and delivers a consistent anesthetic onset, early ambulation, and the start of breastfeeding. As C-section is a very common operation performed in every healthcare unit, dealing with postspinal hypotension is a daily situation faced by anesthetists with variable levels of experience. However, understanding and addressing hypotension induced by SA is crucial as it affects the mother and the fetus negatively. This review aims to contribute to enhancing patient care and safety in the context of C-sections by identifying hypotension timely and managing it effectively. It is advised to healthcare workers to leverage the insights from the review to improve patient outcomes in routine practice.
摘要：
麻醉医师在对剖腹产（剖腹产）进行脊髓麻醉（SA）时经常处理脊髓低血压。怀孕期间发生的生理变化需要对麻醉和镇痛程序进行修改，以为孕妇提供安全有效的护理。据信,在剖腹产期间给予患者SA将增加其在外科手术过程期间和之后的舒适度和疼痛管理。它更便宜，更容易给予，并提供持续的麻醉起效，早期行走，母乳喂养的开始。由于剖腹产是每个医疗保健部门中非常常见的手术，处理脊髓后低血压是麻醉师每天都要面对的情况，他们的经验不同。然而,理解和解决SA引起的低血压至关重要，因为它对母亲和胎儿产生负面影响。这篇综述旨在通过及时识别低血压并对其进行有效管理，为在剖腹产中提高患者护理和安全性做出贡献。建议医护人员利用审查中的见解，以改善常规实践中的患者预后。
