The authors describe their experience with the management of the perioperative period, general anesthesia and the postoperative period in English bulldogs undergoing elective cesarean section and its effect on the neo...The authors describe their experience with the management of the perioperative period, general anesthesia and the postoperative period in English bulldogs undergoing elective cesarean section and its effect on the neonates. The anesthetist for animals undergoing cesarean operation must be aware of any special needs, not only of the patient undergoing surgery, but also of the neonates. Anesthetic drugs administered to the pregnant patient will readily cross the placenta and affect them, with the exception of local anesthetics. Pregnant female patients are at increased anesthetic risk due to pregnancy-associated physiological alterations, such as altered pulmonary function. The anesthetist is often called to perform anesthesia on brachycephalic dogs for an elective cesarean section. Due to their conformation, these animals may have one or more anatomical abnormalities of the upper airways, which compromise the ability to ventilate adequately. The induction and recovery phases of anesthesia can be extremely dangerous in these patients, but the maintenance phase is generally fairly straightforward because the airways are controlled during maintenance In addition, vagal tone is frequently high and this can contribute towards significant bradycardia and further airway narrowing. All these reasons make general anesthesia in brachycepbalic dogs undergoing cesarean section rather complicated.展开更多
2019年12月,英国皇家妇产科医师学会(RCOG)发布《孕期和产褥期孕产妇衰竭指南(2019)》(Maternal Collapse in Pregnancy and the Puerperium:Green-Top Guideline No.56),总结孕期和产褥期孕产妇衰竭(MCPP)的相关循证医学证据,详细探讨...2019年12月,英国皇家妇产科医师学会(RCOG)发布《孕期和产褥期孕产妇衰竭指南(2019)》(Maternal Collapse in Pregnancy and the Puerperium:Green-Top Guideline No.56),总结孕期和产褥期孕产妇衰竭(MCPP)的相关循证医学证据,详细探讨如何早期识别发生MCPP高风险与导致MCPP的病因、影响MCPP孕产妇复苏的孕期生理与解剖生理变化,以及如何进行MCPP最佳初始和持续管理,并对其围死亡期剖宫产术(PMCS)进行深入描述。该指南还特别强调MCPP救护的多学科团队人员组成与职责。笔者拟结合我国产科临床实践,对该指南涉及的MCPP风险如何早期识别及其病因、影响复苏的孕期生理与解剖生理变化、最佳初步处理措施、PMCS、持续管理、对于母儿的影响、多学科救护团队人员组成等产科临床关注的相关问题要点,进行解读、讨论。展开更多
文摘The authors describe their experience with the management of the perioperative period, general anesthesia and the postoperative period in English bulldogs undergoing elective cesarean section and its effect on the neonates. The anesthetist for animals undergoing cesarean operation must be aware of any special needs, not only of the patient undergoing surgery, but also of the neonates. Anesthetic drugs administered to the pregnant patient will readily cross the placenta and affect them, with the exception of local anesthetics. Pregnant female patients are at increased anesthetic risk due to pregnancy-associated physiological alterations, such as altered pulmonary function. The anesthetist is often called to perform anesthesia on brachycephalic dogs for an elective cesarean section. Due to their conformation, these animals may have one or more anatomical abnormalities of the upper airways, which compromise the ability to ventilate adequately. The induction and recovery phases of anesthesia can be extremely dangerous in these patients, but the maintenance phase is generally fairly straightforward because the airways are controlled during maintenance In addition, vagal tone is frequently high and this can contribute towards significant bradycardia and further airway narrowing. All these reasons make general anesthesia in brachycepbalic dogs undergoing cesarean section rather complicated.
文摘2019年12月,英国皇家妇产科医师学会(RCOG)发布《孕期和产褥期孕产妇衰竭指南(2019)》(Maternal Collapse in Pregnancy and the Puerperium:Green-Top Guideline No.56),总结孕期和产褥期孕产妇衰竭(MCPP)的相关循证医学证据,详细探讨如何早期识别发生MCPP高风险与导致MCPP的病因、影响MCPP孕产妇复苏的孕期生理与解剖生理变化,以及如何进行MCPP最佳初始和持续管理,并对其围死亡期剖宫产术(PMCS)进行深入描述。该指南还特别强调MCPP救护的多学科团队人员组成与职责。笔者拟结合我国产科临床实践,对该指南涉及的MCPP风险如何早期识别及其病因、影响复苏的孕期生理与解剖生理变化、最佳初步处理措施、PMCS、持续管理、对于母儿的影响、多学科救护团队人员组成等产科临床关注的相关问题要点,进行解读、讨论。
