妇产科麻醉进展4知识讲稿.pptVIP

妇产科麻醉进展;提纲;产科部分; 产科麻醉定义：指在分娩和助产、剖宫产、残留胎盘清除、及产后输卵管结扎术中麻醉和镇痛药发挥的作用。;产科部分;指南中7大热点问题：;一）围麻醉期评估 Perianesthetic Evaluation;1.病史与体格检查 History and Physical Examination;3.血型及筛查 Blood Type and Screen;4.麻醉前记录胎心率 Perianesthetic Recordingof Fetal Heart Rate;二）预防误吸Aspiration Prevention;1.透明液体 Clear Liquids;2.固体物质 Solids;3.抗酸药、H2受体拮抗剂、灭吐灵 Antacids, H2Receptor Antagonists,and Metoclopramide;三）分娩及阴道助产的麻醉管理Anesthetic Care for Labor and Vaginal Delivery;1.神经阻滞的时间与分娩结果Timing of Neuraxial Analgesia and Outcome of Labor;2.神经阻滞与剖宫产后阴道分娩尝试Neuraxial Analgesia and Trial of Labor After Prior Cesarean Delive