Skip to main content

Geburtshilfliche Notfälle

  • Chapter
Die geburtshilfliche Anästhesie

Zusammenfassung

Bei vielen geburtshilflichen Notfällen ist eine reibungslose interdisziplinäre Zusammenarbeit wichtig. Somit ist es auch notwendig, dass Anästhesisten die geburtshilflichen Grundsätze dieser Notfälle kennen und wissen, was für die Geburtshelfer im Vordergrund steht. Bei einigen Notfällen ist es wichtig, nicht überstürzt zur Not-Sectio zu schreiten, sondern die Mutter zunächst zu stabilisieren. In vielen dieser Situationen muss jedoch zur Entbindung des Kindes rasch eine adäquate Anästhesie etabliert werden. Bei sorgfältiger Planung und entsprechender Struktur kann dies durchaus eine Regionalanästhesie sein. Das Kapitel umfasst geburtshilfliche Notfälle wie eklamptischer Anfall, Nabelschnurvorfall, Schulterdystokie, Plazentalösung oder Uterusruptur. Es werden aber ebenso allgemeinere Notfallsituationen wie Sepsis oder thromboembolische Ereignisse behandelt.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

  • Abenhaim HA, Azoulay L, Kramer MS, Leduc L (2008) Incidence and risk factors of amniotic fluid embolisms: a population-based study on 3 million births in the United States. Am J Obstet Gynecol 199:49.e1–8

    Google Scholar 

  • American College of Obstetricians and Gynecologists Simulations Consortium – Eclampsia Learning Objectives. http://www.acog.org/-/media/Departments/Simulations-Consortium/Learning-Objectives/Eclampsia.pdf. Zugriff: 11.10.2015

  • American College of Obstetricians and Gynecologists (2015) Committee Opinion, Number 623, Emergent Therapy for Acute-Onset, Severe Hypertension During Pregnancy and the Postpartum Period 1–5

    Google Scholar 

  • American College of Obstetricians and Gynecologists, Task Force on Hypertension in Pregnancy (2013) Hypertension in pregnancy. Report of the American College of Obstetricians and Gynecologists Task Force on Hypertension in Pregnancy. Obstet Gynecol 122:1122–1131

    Google Scholar 

  • Aşicioğlu O, Güngördük K, Yildirim G, Aslan H, Günay T (2014) Maternal and perinatal outcomes of eclampsia with and without HELLP syndrome in a teaching hospital in western Turkey. J Obstet Gynaecol 34:326–331

    Google Scholar 

  • Axemo P, Fu X, Lindberg B, Ulmsten U, Wessén A (1998) Intravenous nitroglycerin for rapid uterine relaxation. Acta Obstet Gynecol Scand 77:50–53

    Google Scholar 

  • Bates SM, Greer IA, Middeldorp S, Veenstra DL, Prabulos A-M, Vandvik PO, American College of Chest Physicians (2012) VTE, thrombophilia, antithrombotic therapy, and pregnancy: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest 141:e691S–736S

    Google Scholar 

  • Bourjeily G, Paidas M, Khalil H, Rosene-Montella K, Rodger M (2010) Pulmonary embolism in pregnancy. Lancet 375:500–512

    Google Scholar 

  • Buddeberg BS, Aveling W (2015) Puerperal sepsis in the 21st century: progress, new challenges and the situation worldwide. Postgrad Med J 91:572–578

    Google Scholar 

  • Chestnut DH, Wong CA, Tsen LC, Ngan Kee WD, Beilin Y, Mhyre J (2014) Chestnut’s Obstetric Anesthesia: Principles and Practice. Elsevier Health Sciences, Amsterdam

    Google Scholar 

  • Clark SL, Hankins GD, Dudley DA, Dildy GA, Porter TF (1995) Amniotic fluid embolism: analysis of the national registry. Am J Obstet Gynecol 172:1158–67

    Google Scholar 

  • Dellinger RP, Levy MM, Rhodes A, Annane D, Gerlach H, Opal SM, Sevransky JE, Sprung CL, Douglas IS, Jaeschke R, Osborn TM, Nunnally ME, Townsend SR, Reinhart K, Kleinpell RM, Angus DC, Deutschman CS, Machado FR, Rubenfeld GD, Webb SA, Beale RJ, Vincent J-L, Moreno R, Surviving Sepsis Campaign Guidelines Committee including the Pediatric Subgroup (2013) Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012. Crit Care Med 41:580–637

    Google Scholar 

  • Dennis AT (2012) Management of pre-eclampsia: issues for anaesthetists. Anaesthesia 67:1009–1020

    Google Scholar 

  • Dennis AT, Chambers E, Serang K (2015) Blood pressure assessment and first-line pharmacological agents in women with eclampsia. Int J Obstet Anesth 24:247–251

    Google Scholar 

  • DGAI (2009) Durchführung von Analgesie- und Anästhesieverfahren in der Geburtshilfe. Anaesthesiol Intensivmed S490–S495

    Google Scholar 

  • Duley L, Duley L, Gülmezoglu AM, Henderson-Smart DJ, Chou D (2010) Magnesium sulphate and other anticonvulsants for women with pre-eclampsia. Cochrane Database Syst Rev CD000025

    Google Scholar 

  • Einav SS, Kaufman NN, Sela HYH (2012) Maternal cardiac arrest and perimortem caesarean delivery: Evidence or expert-based? Resuscitation 83:1191–1200

    Google Scholar 

  • Fitzpatrick KE, Kurinczuk JJ, Alfirevic Z, Spark P, Brocklehurst P, Knight M (2012) Uterine rupture by intended mode of delivery in the UK: a national case-control study. PLoS Med 9:e1001184

    Google Scholar 

  • Gogarten W (2009) Preeclampsia and anaesthesia. Curr Opin Anaesthesiol 22:347–351

    Google Scholar 

  • Grady K, Howell C, Cox C (2007) Managing obstetric emergencies and trauma: the MOET Course Manual. Royal College of Obstetricians and Gynaecologists

    Google Scholar 

  • Guntupalli KK, Karnad DR, Bandi V, Hall N, Belfort M (2015) Critical Illness in Pregnancy: Part II: Common Medical Conditions Complicating Pregnancy and Puerperium. Chest 148:1333–1345

    Google Scholar 

  • Gynecologists TRCOOA (2012) Bacterial sepsis following Pregnancy. https://www.rcog.org.uk/globalassets/ documents/guidelines/gtg_64b.pdf. Zugriff: 2.7.2016

  • Henke VG, Bateman BT, Leffert LR (2013) Focused review: spinal anesthesia in severe preeclampsia. Anesth Analg 117:686–693

    Google Scholar 

  • Hsieh YY, Chang CC, Li PC, Tsai HD, Tsai CH (2000) Successful application of extracorporeal membrane oxygenation and intra-aortic balloon counterpulsation as lifesaving therapy for a patient with amniotic fluid embolism. Am J Obstet Gynecol 183:496–497

    Google Scholar 

  • James A, Committee on Practice Bulletins – Obstetrics (2011) Practice bulletin no. 123: thromboembolism in pregnancy. Obstet Gynecol 118:718–729

    Google Scholar 

  • Kaneko Y, Ogihara T, Tajima H, Mochimaru F (2001) Continuous hemodiafiltration for disseminated intravascular coagulation and shock due to amniotic fluid embolism: report of a dramatic response. Intern Med 40:945–947

    Google Scholar 

  • Katz D, Beilin Y (2015) Disorders of coagulation in pregnancy. Br J Anaesth 115:ii75–ii88

    Google Scholar 

  • Kinsella SM, Girgirah K, Scrutton MJL (2010) Rapid sequence spinal anaesthesia for category-1 urgency caesarean section: a case series. Anaesthesia 65:664–669

    Google Scholar 

  • Knight M, Kenyon S, Brocklehurst P, Neilson J, Shakespeare J, Kurinczuk JJ, kurinc (2014) Saving Lives, Improving Mothers’ Care. Oxford

    Google Scholar 

  • Knight M, Tuffnell D, Brocklehurst P, Spark P, Kurinczuk JJ, UK Obstetric Surveillance System (2010) Incidence and risk factors for amniotic-fluid embolism. Obstet Gynecol 115:910–917

    Google Scholar 

  • Kramer MS, Rouleau J, Baskett TF, Joseph KS, Maternal Health Study Group of the Canadian Perinatal Surveillance System (2006) Amniotic-fluid embolism and medical induction of labour: a retrospective, population-based cohort study. Lancet 368:1444–1448

    Google Scholar 

  • Kramer S, Schröder T, Schuster M, Stangl V, Correns I, Sanad W, Volk T (2011) Management bei kardialer Hochrisikoschwangerschaft. Sectio bei einer I. Gravida mit zyanotischem Vitium. Anaesthesist 60:57–62

    Google Scholar 

  • Kurinczuk JJ, Draper ES, Field DJ (2014) Experiences with maternal and perinatal death reviews in the UK MBRRACE-UK programme. Brit J Obstet Gynaec 121 Suppl 4:41–6

    Google Scholar 

  • Leffert LR (2015) What’s new in obstetric anesthesia? Focus on preeclampsia. Int J Obstet Anesth 24:264–271

    Google Scholar 

  • Leung AN, Bull TM, Jaeschke R; ATS/STR Committee on Pulmonary Embolism in Pregnancy (2012) American Thoracic Society documents: an official American Thoracic Society/Society of Thoracic Radiology Clinical Practice Guideline--Evaluation of Suspected Pulmonary Embolism in Pregnancy. Radiology. 2012;262:635–646

    Google Scholar 

  • Martin JN, Thigpen BD, Moore RC, Rose CH, Cushman J, May W (2005) Stroke and severe preeclampsia and eclampsia: a paradigm shift focusing on systolic blood pressure. Obstet Gynecol 105:246–254

    Google Scholar 

  • McClure JH, Cooper GM, Clutton-Brock TH, on behalf of the Centre for Maternal and Child Enquiries (2011) Saving Mothers’ Lives: reviewing maternal deaths to make motherhood safer: 2006–8: a review. Br J Anaesth 107:127–132

    Google Scholar 

  • McDonnell NJ, Chan BO, Frengley RW (2007) Rapid reversal of critical haemodynamic compromise with nitric oxide in a parturient with amniotic fluid embolism. Int J Obstet Anesth 16:269–273

    Google Scholar 

  • McDonnell NJ, Percival V, Paech MJ (2013) Amniotic fluid embolism: a leading cause of maternal death yet still a medical conundrum. Int J Obstet Anesth 22:329–336

    Google Scholar 

  • Melchiorre K, Sharma R, Thilaganathan B (2014) Cardiovascular implications in preeclampsia: an overview. Circulation 130:703–714

    Google Scholar 

  • Nagarsheth NP, Pinney S, Bassily-Marcus A, Anyanwu A, Friedman L, Beilin Y (2008) Successful placement of a right ventricular assist device for treatment of a presumed amniotic fluid embolism. Anesth Analg 107:962–964

    Google Scholar 

  • Nelson-Piercy C (2015) Handbook of Obstetric Medicine, 5th ed. CRC Press

    Google Scholar 

  • Palanisamy A (2014) What’s New in Obstetric Anesthesia? The 2013 Gerard W. Ostheimer Lecture. Anesth Analg 118:360–366

    Google Scholar 

  • Pant M, Fong R, Scavone B (2014) Prevention of Peri-Induction Hypertension in Preeclamptic Patients. Anesth Analg 119:1350–1356

    Google Scholar 

  • Royal College of Obstetricians and Gynaecologists (2012) Bacterial sepsis in pregnancy. Green–top Guideline No. 64a. https://www.rcog.org.uk/globalassets/documents/guidelines/gtg_64a.pdf. Abruf: 29.06.2017

  • Schneider H, Husslein PW, Schneider K-T (2010) Die Geburtshilfe. Springer, Berlin Heidelberg

    Google Scholar 

  • Singer M, Deutschman CS, Seymour CW, Shankar-Hari M, Annane D, Bauer M, et al. (2016) The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA 315:801–10

    Google Scholar 

  • Stanten RD, Iverson LIG, Daugharty TM, Lovett SM, Terry C, Blumenstock E (2003) Amniotic fluid embolism causing catastrophic pulmonary vasoconstriction: diagnosis by transesophageal echocardiogram and treatment by cardiopulmonary bypass. Obstet Gynecol 102:496–498

    Google Scholar 

  • Strauss A (2006) Geburtshilfe Basics. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Yentis S, Malhotra S (2012) Analgesia, Anaesthesia and Pregnancy. Cambridge University Press, Cambridge

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding authors

Correspondence to C. Vonlanthen , O. Lapaire or T. Girard .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer-Verlag GmbH Deutschland

About this chapter

Cite this chapter

Vonlanthen, C., Lapaire, O., Girard, T. (2017). Geburtshilfliche Notfälle. In: Kranke, P. (eds) Die geburtshilfliche Anästhesie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54375-7_20

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-54375-7_20

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-54374-0

  • Online ISBN: 978-3-662-54375-7

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics