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 分娩時の麻酔―帝王切開術の麻酔

区域麻酔の標準的実施法

著者： 伊藤真理子¹ 川真田樹人¹

所属機関： ¹信州大学医学部麻酔蘇生学教室

ページ範囲：P.48 - P.53

●帝王切開術の麻酔方法としての区域麻酔は，全身麻酔による母児の重篤な合併症を回避し，術中術後の適切な鎮痛に重要な役割を果たす．

●妊娠高血圧腎症やHELLP症候群など，血小板減少や血小板機能障害を伴う病態では，抗凝固療法併用による硬膜外血腫のリスクに注意する．

●区域麻酔による重大な合併症の早期発見のためには，術後の呼吸状態や神経症状の観察，評価が重要である．

参考文献

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