PDF(Pubmed)
Abstract：
UNASSIGNED: Approximately 1-2% of pregnant women undergo non-obstetric surgery under anaesthesia during their pregnancy. This review specifically targets anaesthesia management for pregnant women undergoing non-obstetric surgery in resource-limited settings.
UNASSIGNED: Following the delineation of primary questions, scope, and inclusion criteria, a comprehensive search strategy utilizing advanced techniques was implemented across electronic sources, databases, and websites to identify relevant articles. A rigorous screening process was applied during the literature evaluation. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 statement guided the conduct of this review, ensuring adherence to standardized reporting practices.
UNASSIGNED: A total of 240 articles were initially identified from databases and websites. After screening titles and abstracts, 85 papers were excluded, and an additional 43 were removed due to duplication. Subsequently, 68 items were subjected to eligibility screening. Finally, 30 papers that specifically addressed anaesthetic considerations for pregnant women undergoing non-obstetric operations were reviewed.
UNASSIGNED: Thorough preoperative evaluation is essential for all patients, with particular attention to modifications in anaesthetic management to accommodate physiological changes during pregnancy. Urgent and emergent surgeries should proceed promptly during pregnancy to optimize outcomes for both the mother and foetus. Maintaining uteroplacental perfusion generally involves avoiding maternal hypoxaemia, hypotension, hyper- and hypocapnia, temperature extremes, and stress. When deemed safe, regional anaesthesia may offer favourable outcomes for both the mother and foetus.
UNASSIGNED: Following the delineation of primary questions, scope, and inclusion criteria, a comprehensive search strategy utilizing advanced techniques was implemented across electronic sources, databases, and websites to identify relevant articles. A rigorous screening process was applied during the literature evaluation. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 statement guided the conduct of this review, ensuring adherence to standardized reporting practices.
UNASSIGNED: A total of 240 articles were initially identified from databases and websites. After screening titles and abstracts, 85 papers were excluded, and an additional 43 were removed due to duplication. Subsequently, 68 items were subjected to eligibility screening. Finally, 30 papers that specifically addressed anaesthetic considerations for pregnant women undergoing non-obstetric operations were reviewed.
UNASSIGNED: Thorough preoperative evaluation is essential for all patients, with particular attention to modifications in anaesthetic management to accommodate physiological changes during pregnancy. Urgent and emergent surgeries should proceed promptly during pregnancy to optimize outcomes for both the mother and foetus. Maintaining uteroplacental perfusion generally involves avoiding maternal hypoxaemia, hypotension, hyper- and hypocapnia, temperature extremes, and stress. When deemed safe, regional anaesthesia may offer favourable outcomes for both the mother and foetus.
摘要：
■大约1-2%的孕妇在怀孕期间在麻醉下接受非产科手术。这篇综述专门针对在资源有限的环境中接受非产科手术的孕妇的麻醉管理。
■在划分主要问题之后，范围,和纳入标准，跨电子来源实施了利用先进技术的全面搜索策略，数据库,和网站来识别相关文章。在文献评估过程中采用了严格的筛选过程。2020年系统审查和荟萃分析（PRISMA）的首选报告项目声明指导了本次审查的进行，确保遵守标准化的报告实践。
■最初从数据库和网站确定了总共240篇文章。筛选标题和摘要后，85篇论文被排除在外，另有43人因重复被删除。随后，对68个项目进行资格筛选。最后,回顾了30篇专门针对非产科手术孕妇的麻醉考虑因素的论文。
■全面的术前评估对所有患者都至关重要，特别注意修改麻醉管理以适应怀孕期间的生理变化。紧急和紧急手术应在怀孕期间迅速进行，以优化母亲和胎儿的结局。维持子宫胎盘灌注通常涉及避免母体低氧血症，低血压,高碳酸血症和低碳酸血症，极端温度,和压力。当被认为安全时，区域麻醉可能对母亲和胎儿都有良好的结局.
■在划分主要问题之后，范围,和纳入标准，跨电子来源实施了利用先进技术的全面搜索策略，数据库,和网站来识别相关文章。在文献评估过程中采用了严格的筛选过程。2020年系统审查和荟萃分析（PRISMA）的首选报告项目声明指导了本次审查的进行，确保遵守标准化的报告实践。
■最初从数据库和网站确定了总共240篇文章。筛选标题和摘要后，85篇论文被排除在外，另有43人因重复被删除。随后，对68个项目进行资格筛选。最后,回顾了30篇专门针对非产科手术孕妇的麻醉考虑因素的论文。
■全面的术前评估对所有患者都至关重要，特别注意修改麻醉管理以适应怀孕期间的生理变化。紧急和紧急手术应在怀孕期间迅速进行，以优化母亲和胎儿的结局。维持子宫胎盘灌注通常涉及避免母体低氧血症，低血压,高碳酸血症和低碳酸血症，极端温度,和压力。当被认为安全时，区域麻醉可能对母亲和胎儿都有良好的结局.
