ZAK Zürich pp 411-415 | Cite as
Geburtshilfe
Conference paper
Zusammenfassung
Komplikationen, wie sie bei jeder nichtschwangeren Person vorkommen und wie sie in den einzelnen Beiträgen zu diesem Hauptthema detailliert besprochen werden, können auch bei Graviden auftreten. Wenn auch bei der Gebärenden kurzfristige Komplikationen, wie z. B. Blutdruckabfall, kaum zu bleibenden Folgen führen, muß man jedoch mit einer möglichen Schädigung des Fetus rechnen. Daher ist hier Prophylaxe wichtiger als bei anderen Patienten. Es sollen aber nur Komplikationen und Nebenwirkungen zur Sprache kommen, die spezifisch für die Geburtshilfe sind. Dies sind in erster Linie direkte (toxische Wirkung der Lokalanästhetika) und indirekte (Veränderungen in Uterusperfusion und -motilität) Einflüsse auf den Fetus. Es gibt aber auch Komplikationen, die für die betroffene Patientin aufgrund der physiologischen und pharmakokinetischen Veränderungen durch die Schwangerschaft schwerwiegendere Folgen haben als bei Nichtgravidae.
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Literatur
- 1.Albright G (1979) Cardiac arrest following regional anesthesia with etidocaine or bupivacaine. Anesthesiology 51:285PubMedCrossRefGoogle Scholar
- 2.Bibby JG, Mitchel MD, Anderson A, Turnbull AC (1978) Factors affecting Prostaglandine response to vaginal examination during human pregnancy. In: Thalhammer O, Pollak A (eds) Proc. 6. Eur. Congr. Perin. Med. in Vienna 1978. Novographic, WienGoogle Scholar
- 3.Bieniarz J, Crottogini JJ, Curuchet E, Romero-Salinas G, Yoshida T, Poseiro JJ, Caldeyro-Barcia R (1968) Aortocaval compression by the uterus in late human pregnancy. II An arteriographic study. Am J Obstet Gynecol 100:203Google Scholar
- 4.Boehm FH, Woodruff LF, Growdon JH (1975) The effect of lumbar epidural anesthesia on fetal heart rate baseline variability. Anesth Analg 54:779PubMedCrossRefGoogle Scholar
- 5.Bromage PR (1978) Epidural analgesia. Saunders, Philadelphia London TorontoGoogle Scholar
- 6.Cibils LA (1976) Response of human uterine arteries to local anesthetics. Am J Obstet Gynecol 126:202PubMedGoogle Scholar
- 7.Courtney KR, Kendig JJ, Cohen EN (1978) Frequency-dependent conduction block: The role of nerve impulse pattern in local anesthetic potency. Anesthesiology 48:111PubMedCrossRefGoogle Scholar
- 8.Covino BG (1983) Potential neurotoxicity of local anaesthetic agents. Can Anaesth Soc J 30:111PubMedCrossRefGoogle Scholar
- 9.Derom R, Thiery M, Roily G (1976) Influence of lumbar epidural block on the fetal-placental unit. In: 8. World-Congres Obstet. Gynecol. Excerpta Medica, Amsterdam, p 107Google Scholar
- 10.Eng M, Beres PU, Parer JT, Bonica JJ, Ueland K (1973) Spinal anesthesia and ephedrine in pregnant monkeys. Am J Obstet Gynecol 115:1095PubMedGoogle Scholar
- 11.FDA (Food and Drug Administration) — Report (1981): Third meeting of the anesthesia and life support drugs advisory commiteeGoogle Scholar
- 12.Gibbs CP, Noel SC (1977) Response of arterial segments from gravid human uterus to multiple concentrations of lignocaine. Br J Anaesth 49:409PubMedCrossRefGoogle Scholar
- 13.Greiss FC, Still JC, Anderson SG (1976) Effects of local anesthetic agents on the uterine vasculatures and myometrium. Am J Obstet Gynecol 124:889PubMedGoogle Scholar
- 14.McDonald JS, Bjokman LL, Reed EC (1974) Epidural alagesia for obstetrics. A maternal, fetal and neonatal study. Am J Obstet Gynecol 120:1055PubMedGoogle Scholar
- 15.Moore DC (1981) Major complications from regional anesthesia in obstetrics. 7. World-Congres Abaesthesiology. Excerpta Medica Int Congr Ser 538:785Google Scholar
- 16.Morishima HO, Daniel SS, Finster M, Poppers PJ, James LS (1966) Transmission of mepivacaine hydrochloride across the human placenta. Anesthesiology 27:147PubMedCrossRefGoogle Scholar
- 17.Morishima HO, Gutsche BG, Stark RI, Milliez JM, James LS, Barkus JC, Covino BG (1979) Relationship of fetal bradycardia to maternal administration of lidocaine in sheep. Am J Obstet Gynecol 134:289PubMedGoogle Scholar
- 18.Morishima HO, Pederson H, Finster M et al (1981) Toxicity of lidocaine in adult, newborn and fetal sheep. Anesthesiology 55:57PubMedCrossRefGoogle Scholar
- 19.Neumark J (1980) Die kontinuierliche lumbale Epiduralanaesthesie. Springer, Berlin Heidelberg New YorkCrossRefGoogle Scholar
- 20.Neumark J (1981) Die Epiduralanaesthesie in der Geburtshilfe. Anaesthesiol Reanimat 6:335Google Scholar
- 21.Neumark J, Clark RB (1977) Halothane for intrauterine resuscitation of the fetus. Anesthesiol Rev 4/9:13Google Scholar
- 22.Neumark J, Gruber W, Spiss CH, Feichtinger W (1981) Der Einfluß der Verabreichung von Sauerstoff und Natriumbikarbonat an Gebärende auf die Blutgase und pH-Werte von Mutter und Fetus. Z Geburtshilfe Perinatol 185:216PubMedGoogle Scholar
- 23.Philip BK (1983) Complications of regional anesthesia for obstetrics. Regional Anesthesia 8:17Google Scholar
- 24.Ralston DH, Shnider SM, DeLorimier AA (1974) Effects of equipotent ephedrin, metaraminol, mephenteramine and methoxamine on uterine blood flow in the pregnant ewe. Anesthesiology 40:354PubMedCrossRefGoogle Scholar
- 25.Rosenblatt DB, Belsey EM, Lieberman BA et al (1981) The influence of maternal analgesia on neonatal behaviour. II. Epidural bupivacaine. Br J Obstet Gynecol 88:407CrossRefGoogle Scholar
- 26.Scanlon JW, Brown WU, Weiss JB, Alper MH (1974) Neurobehavioral response of newborn infants after maternal epidural anesthesia. Anesthesiology 40:121PubMedCrossRefGoogle Scholar
- 27.Scanion JW, Ostheimer GW, Lurie AO, Brown WU, Weiss SB, Alper MH (1976) Neurobehavioral response and drug concentrations in newborns after maternal epidural anesthesia with bupivacaine. Anesthesiology 45:400CrossRefGoogle Scholar
- 28.Schellenberg JC (1977) Uterine activity during lumbar epidural analgesia with bupivacaine. Am J Obstet Gynecol 127:26PubMedGoogle Scholar
- 29.Schiffrin BS (1972) Fetal heart rate patterns following epidural anesthesia and oxytocin infusion during labor. J Obstet Gynaecol Br Common 79:332CrossRefGoogle Scholar
- 30.SOAP (1980) Neurologic sequelae: Survey. SOAP-Newsletter 11/4:2Google Scholar
- 31.Vasicka A, Kretchmer H (1961) Effects of conduction and inhalation anesthesia on uterine contractions. Experimental study of the influence of anesthesia on intraamniotic pressure. Am J Obstet Gynecol 82:600PubMedGoogle Scholar
- 32.Wiener PC, Hogg MI, Rosen M (1979) Neonatal respiration, feeding and neurobehavioral state. Anaesthesia 34:99CrossRefGoogle Scholar
- 33.Wollman SB, Marx G (1968) Acute hydration for prevention of hypotension of spinal anesthesia in parturients. Anesthesiology 29:374PubMedCrossRefGoogle Scholar
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