on cesarean section anesthesia（在剖腹产麻醉）.docVIP

On cesarean section Anesthesia [Keywords:] anesthesiology; obstetrics; Experience / Summary The author from August 2003 to August 2010 began with epidural block anesthesia for cesarean section anesthesia, experience is as follows. 1 method 1.1 use a little needle in the needle puncture technique. Anesthetic into the subarachnoid space, should generally be in a short time to adjust and control the scope of anesthesia to surgical needs. 1.2 Factors affecting adjustment plane. 1.2.1 puncture site. 1.2.2 Position of the patient and the proportion of local anesthetics: 30 degrees tilt position using the left or right hip maternity booster, tilted 20-30 degrees to the left. 1.2.3 injection speed: the faster the range more widely. 1.2.4 needle bevel orientation. 1.2.5 anesthetic properties, dose, concentration, volume: 0.5 -0.8 commonly used 75% bupivacaine 7-9 mg total of 2 ml 10% glucose injection. 2 Anesthesia Spinal anesthesia can cause a series of physiological disruption, the degree is closely related to the level plane. 2.1 low blood pressure: increased uterine pressure of the inferior vena cava, decreased venous return, prone to supine hypotension syndrome. Plexus blood flow increased spinal, epidural and subarachnoid space due to expansion and volume decreased venous plexus Therefore the amount of local anesthetic into the less you can get a wider range of block [1], so hypotension occurred in many maternal spinal anesthesia, and more serious, more than most to reduce the basis of the value of 20%. is the primary treatment measures add volume, and secondary use of ephedrine 5-10 mg, serious need to push the left side of the uterus, the lifting of the inferior vena cava pressure to bear fruit. 2.2 bradycardia: heart reflex spinal anesthesia and intravenous high spinal anesthesia caused by cardiac sympathetic paralysis bradycardia, atropine can be used. 2.3 Respiratory depression: high spinal anesthesia caused by