What sequela can caesarean section anesthesia leave?

Jun 16, 2022

Most obstetrical operations are emergencies. Therefore, anesthesiologists should have a detailed understanding of maternal conditions in a short period of time and make a comprehensive assessment of maternal and fetal conditions. The selection of anesthesia methods should be based on maternal and fetal conditions, equipment conditions and the anesthesiologist's technical mastery. Local infiltration anesthesia, spinal anesthesia and epidural block, epidural block, and general anesthesia are described below.

First, local infiltration anesthesia, especially suitable for full stomach puerpera, has the characteristics of simple operation, less medication, relatively few side effects, but not completely painless, muscle relaxation is not enough, affecting the operation, the most serious complications for local anesthetic overdose can cause maternal and fetal poisoning, especially hypertension puerpera prone to occur.

Two, spinal anesthesia and epidural block, general anesthesia for cesarean delivery, less with spinal anesthesia drugs, the incubation period is short, such advantages as power-saving and exact continuous epidural postoperative analgesia can do, lumbar hemp needle is very small, epidural puncture damage reduction, thus greatly reduce the incidence of headache after spinal anesthesia, is the satisfaction for obstetric anesthesia.

Third, epidural block is also a more commonly used anesthesia for cesarean section, with precise analgesic effect and no inhibition of fetal respiratory circulation. The main complications were hypotension, tachycardia, collapse and syncope. The incidence of epidural hemorrhage was about 6.4%.

Four, general anesthesia, can eliminate maternal tension and fear, anesthesia induction quickly, low incidence of hypotension, maintain good ventilation, suitable for high mental tension, or with mental disorders, lumbar disease or infection (unable to puncture) maternal, the biggest disadvantage is easy to vomit or reflux to aspiration, and even death. In addition, complex operation management, general anesthesia for anesthesia doctor has the technical level and equipment condition of general anesthesia, anesthesia too deep can cause of neonatal respiratory inhibition, difficult to ensure the safety of the mother's son, also teaches epidural block anesthesia after complications, therefore, only in the epidural anesthesia used in obstetric or local invasion have contraindication is before use.

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