...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Current opinion in anaesthesiology >Alternatives to neuraxial analgesia for labor.
【24h】

Alternatives to neuraxial analgesia for labor.

机译：人工神经镇痛的替代方法。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

PURPOSE OF REVIEW: Although millions of parturients profit from neuraxial analgesia for labor, there are far more of those who do not have this choice for one reason or another. They need alternative ways to relieve labor pain. RECENT FINDINGS: Paracervical block gives less efficient analgesia compared with single-shot spinal in a sample of multiparae at active labor but is associated with better umbilical artery pH. Use of a neurostimulator may increase success in pudendal block. It is possible to reduce nitrous oxide occupational exposure by a developed scavenging system. Intravenous remifentanil gives less efficient pain relief than epidural analgesia. The maternal satisfaction, however, may be comparable. SUMMARY: Paracervical block with modern technique is a viable option for selected cases. It is rapid and does not affect the course of labor, but its efficacy is only modest. Pudendal block can be used in the second stage of labor or for episiotomy tear repair and pain. Intravenous remifentanil is currently becoming an established method, although its safety is still an issue. Nitrous oxide is a useful method to be used alone or together with the other methods.
机译：审查目的：尽管数以百万计的产妇从神经痛镇痛中获益，但仍有很多人出于某种原因而没有这种选择。他们需要减轻劳动痛苦的替代方法。最近的发现：在积极活动的多变量样本中，子宫颈阻滞比单次注射的脊柱镇痛效果差，但与脐动脉pH值更高有关。使用神经刺激器可能会增加阴部阻滞的成功率。通过开发的清除系统可以减少一氧化二氮的职业暴露。静脉注射瑞芬太尼比硬膜外镇痛效果不佳。然而，产妇的满意度可能是可比的。简介：对于某些情况，采用现代技术的宫颈旁阻滞是可行的选择。它是快速的并且不影响分娩过程，但是其功效仅是中等的。阴部阻滞可用于分娩的第二阶段，或用于会阴切开术的泪液修复和疼痛。静脉使用瑞芬太尼目前已成为一种既定方法，尽管其安全性仍是一个问题。一氧化二氮是一种有用的方法，可以单独使用或与其他方法一起使用。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号