臨床婦人科産科77巻1号

2023年01月発行

合併増大号　今月の臨床 最善で最新の産科麻酔診療をめざして

妊娠中期・末期の麻酔

妊娠中の腹腔鏡手術

著者： 紀之本茜¹

所属機関： ¹奈良県立医科大学麻酔科学教室

ページ範囲：P.25 - P.29

文献概要

●妊娠中であっても母体に必要な手術は必要な時期に行うべきであり，適応があれば腹腔鏡手術も可能である．

●妊娠中の腹腔鏡手術では特に母体の血圧，PaO₂，PaCO₂（ETCO₂），気腹圧の管理を適切に行う必要がある．

●術後鎮痛はNSAIDsを避け，区域麻酔やアセトアミノフェン，フェンタニルIV-PCAなどmultimodal analgesiaを考慮する．

参考文献

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