分娩中的神经镇痛--启动和维持技术

IF 0.2 Q4 ANESTHESIOLOGY

Anaesthesia and Intensive Care Medicine Pub Date : 2025-04-01 DOI:10.1016/j.mpaic.2025.01.011

Umer E Javed, Kailash Bhatia

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引用次数: 0

摘要

轴向镇痛是处理分娩疼痛的黄金标准。用于促进产程神经轴镇痛的技术包括硬膜外导管、脊髓硬膜外联合、硬膜外穿刺和硬膜内导管。采用这些技术分娩镇痛在不同的产科单位有所不同。随着时间的推移，已经开发了许多方案，以提高产程神经轴镇痛的有效性，同时尽量减少产妇的副作用。在英国，患者控制硬膜外镇痛和程序化间歇给药技术是目前最常用的维持神经轴镇痛的方案。本文探讨了常用的技术和方案，用于启动和维持神经轴镇痛在分娩。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Neuraxial analgesia in labour – initiation and maintenance techniques

Neuraxial analgesia is the gold standard for managing pain during labour. Techniques employed to facilitate labour neuraxial analgesia include the use of an epidural catheter, the combined spinal epidural, the dural puncture epidural, and an intrathecal catheter. The adoption of these techniques for labour analgesia varies across different maternity units. Over time, numerous regimens have been developed for enhancing labour neuraxial analgesia effectiveness while minimizing maternal side effects. Patient-controlled epidural analgesia and programmed intermitted bolus techniques are now the most commonly utilized regimens for maintenance of neuraxial analgesia in the UK. This article explores the commonly used techniques and regimens utilized to initiate and maintain neuraxial analgesia in labour.

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来源期刊

Anaesthesia and Intensive Care Medicine ANESTHESIOLOGY-

CiteScore

0.50

自引率

0.00%

发文量

152

期刊介绍： Anaesthesia and Intensive Care Medicine, an invaluable source of up-to-date information, with the curriculum of both the Primary and Final FRCA examinations covered over a three-year cycle. Published monthly this ever-updating text book will be an invaluable source for both trainee and experienced anaesthetists. The enthusiastic editorial board, under the guidance of two eminent and experienced series editors, ensures Anaesthesia and Intensive Care Medicine covers all the key topics in a comprehensive and authoritative manner. Articles now include learning objectives and eash issue features MCQs, facilitating self-directed learning and enabling readers at all levels to test their knowledge. Each issue is divided between basic scientific and clinical sections. The basic science articles include anatomy, physiology, pharmacology, physics and clinical measurement, while the clinical sections cover anaesthetic agents and techniques, assessment and perioperative management. Further sections cover audit, trials, statistics, ethical and legal medicine, and the management of acute and chronic pain.