ghd piastre Emergency cesarean section anesthesia

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Emergency cesarean section anesthesia clinical analysis of selected

56.74-10.315.6 ± 2.125.6 ± 52l5 Note: EA group p <O. O5; 'p <O. Ol2.2 analysis of intraoperative complications in Table 2. Table 2 Comparison of intraoperative complications (patients) Note: The EA group 'p <0.05;' p <0.01 from the table shows that surgery is the patient pain and take the first difficulties, such as uterine atony after surgery , CSEA group was significantly less than the EA group (P <0.01). 2.3 Apgar score newborn infants 1rain EA mild asphyxia group the number of cases (15 cases) than CESA group (5 cases) and more; but the two groups of newborn 1min and 5minApgar scores a statistically significant difference. 3 Discussion 3.1 The majority of maternal emergency cesarean section had been in labor, there is more sign of fetal hypoxia and uterine rupture; other fetal distress, fetal distress than non-cesarean section cesarean section, neonatal asphyxia was significantly higher 4J. Quick end to labor. Reduce surgical complications, reduce infant suffocation. Anesthetic effect, rapid onset and maternal and child safety. Therefore, the choice of emergency cesarean section anesthesia is very important. 3.2 Although the cesarean section to address the difficult birth, maternal and neonatal rescue provides an effective means; but cesarean section is an open surgery, after all, is bound to bring some maternal complications: ① labor over extended cephalopelvic disproportion and so prone to cause uterine muscle tissue brittle, causing incision tearing, uterine atony, postpartum hemorrhage; ② In the emergency cesarean section, the operation time is very important, if anesthesia is poor, ask the onset of a long, muscular Song poor, could easily lead to maternal pain during the operation, the large fetal head when the difficult, thereby increasing asphyxia. 3.3 Anesthesia options: epidural anesthesia because of its incomplete block and segmental, so ask the induction of anesthesia longer anesthetic effect is not satisfied with the performance of the surgical field is poor muscle relaxation, pain and surgical traction uterine pain, and maternal causes are not satisfied with the surgeon; due to anesthesia for a long time, longer time of birth, neonatal asphyxia and more postoperative complications, affecting the timing of neonatal surgeon rescue. China reported a failure rate of epidural 9.55% _1], CHOI et al reported that epidural anesthesia with cesarean section 25% ~ 38% of maternal discomfort or pain, satisfaction rate of 44% muscle relaxation. Combined spinal epidural anesthesia induction of anesthesia to reduce Q, analgesic and muscle relaxation completely, less visceral traction reaction, to avoid the application of sedative analgesics adverse effects on the fetus, and surgery to reduce post-neonatal asphyxia complications and improve the success rate of fetal rescue cesarean section, to reduce postoperative complications play a significant role. The observations showed that the average onset time of anesthesia, anesthesia to the fetus time, operation time CESA group than in the EA group was significantly shorter (P <0.05). In terms of anesthesia, CESA group of referred pain and the inhibition of intraoperative pain reduction officer, the surgical field is better than EA group of muscle relaxants, CESA group (5 cases), neonatal asphyxia was significantly lower than the EA group (15 cases), CESA group of his early difficulties arise during surgery, such as maternal pain and uterine atony was significantly lower than the EA group. In the neonatal Apgar score, intraoperative and postoperative side effects, no significant difference between the two groups show that CESA and the EA on maternal and fetus are safe. To sum up, choose a different anesthesia to shorten operating time and reduce the rate of neonatal asphyxia and reduce complications after surgery plays a significant role. Proof of CE-sA is the more desirable emergency cesarean section anesthesia.
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