Advertisement

Anästhesie in der Geburtshilfe

  • Wiebke Gogarten
  • Raimund Busley
Living reference work entry
Part of the Springer Reference Medizin book series (SRM)

Zusammenfassung

Schwangerschaft und Geburt erfordern vom mütterlichen Organismus eine besondere Adaptation an die sich verändernden Bedürfnisse. Mechanische, hormonelle und metabolische Veränderungen greifen hierbei ineinander. Alle anästhesiologischen Maßnahmen wirken nicht nur auf den mütterlichen Organismus, sondern beeinflussen auch den Zustand des Fetus bzw. Neugeborenen. Für eine optimale anästhesiologische Versorgung schwangerer Patientinnen ist die Kenntnis dieser Prozesse Voraussetzung.

Literatur

  1. 1.
    Eichinger S, Weltermann A, Philipp K et al (1999) Prospective evaluation of hematostatic system activation and thrombin potential in healthy pregnant women with and without Factor V Leiden. Thromb Haemost 82:1232–1236CrossRefPubMedGoogle Scholar
  2. 2.
    Rodgers MA, Avruch LI, Howley HE, Olivier A, Walker MC (2006) Pelvic magnetic resonance venography reveals high rate of pelvic vein thrombosis after Cesarean section. Am J Obstet Gynecol 194:436–437CrossRefGoogle Scholar
  3. 3.
    Moen V, Dahlgren N, Irestedt L (2004) Severe neurological complications after central neuraxial blockades in Sweden 1990–1999. Anesthesiology 101:950–959CrossRefPubMedGoogle Scholar
  4. 4.
    Higuchi H, Takagi S, Onuki E, Fujita N, Ozaki M (2011) Distribution of epidural saline upon injection and the epidural volume effect in pregnant women. Anesthesiology 114:1155–1161CrossRefPubMedGoogle Scholar
  5. 5.
    Higuchi H, Takagi S, Zhang K, Furui I, Ozaki M (2015) Effect of lateral tilt angle on the volume oft he abdominal aorta and inferior vena cava in pregnant and nonpregnant women.determined by magnetic resonance imaging. Anesthesiology 122:286–293CrossRefPubMedGoogle Scholar
  6. 6.
    Schäfer C, Spielmann H (2011) Arzneiverordnung in Schwangerschaft und Stillzeit, 8. Aufl. Urban Fischer, MünchenGoogle Scholar
  7. 7.
    Knight M, Kenyan S, Brocklehurst P, Neilson J, Shakespeare J, Kurinczuk JJ (2014) Saving lives, improving mothers care. www.npeu.ox.ac.uk. Zugegriffen am 15.07.2016
  8. 8.
    Bilgen S, Köner Ö, Türe H, Menda F, Ficicioglu C, Aykac B (2013) Effect of three different doses of ketamine prior to general anaesthesia on postoperative pain following Caesarean delivery: a prospective randomized study. Minvera Anestesiol 78:442–449Google Scholar
  9. 9.
    Frolich MA, Burchfield D, Euliano TY, Caton D (2006) A single dose of fentanyl and midazolam prior to Cesarean section have no adverse neonatal effects. Can J Anaesth 53:79–85CrossRefPubMedGoogle Scholar
  10. 10.
    Abraham RJ, Sau A, Maxwell D (2010) A review of the EXIT (ex utero intrapartum treatment) procedure. J Obstet Gynaecol 30:1–5CrossRefPubMedGoogle Scholar
  11. 11.
    Demiraran Y, Albayrak M, Seker IS, Kaynak G, Iskender A, Sezen GY, Odemir I (2011) Effect of anesthesiological strategies on neonatal bilirubin levels during cesarean section: a prospective and randomized trial. Arch Gynecol Obstet 284:1059–1065CrossRefPubMedGoogle Scholar
  12. 12.
    Marucci M, Cinnella G, Perchiazzi G, Brienza N, Fiore T (2007) Patient-requested neuraxial analgesia for labor: impact on rates of cesarean and instrumental vaginal delivery. Anesthesiology 106:1035–1045CrossRefPubMedGoogle Scholar
  13. 13.
    Smith CA, Collins CT, Cyna AM, Crowther CA (2006) Complementary and alternative therapies for pain management in labour (review). Cochrane Database Syst Rev (4):CD003521Google Scholar
  14. 14.
    Clinkscales CP, Greenfield ML, Vanarase M, Polley LS (2007) An observational study of the relationship between lumbar epidural space depth and body mass index in Michigan parturients. Int J Obstet Anesth 16:323–327CrossRefPubMedGoogle Scholar
  15. 15.
    Kirim S, Asicioglu O, Yenigul N, Aydogan B, Bahat N, Bayrak M (2015) Effect of intravenous hyoscine-N-butylbromide on active phase of labor progress: a randomized double blind placebo controlled trial. J Matern Fetal Neonatal Med 28:1038–1042CrossRefPubMedGoogle Scholar
  16. 16.
    Douma MR, Verwey RA, Kam-Endtz CE, van der Linden PD, Stienstra R (2010) Obstetric analgesia: a comparison of patient-controlled meperidine, remifentanil, and fentanyl in labour. Br J Anaesth 104:209–215CrossRefPubMedGoogle Scholar
  17. 17.
    Balki M, Kasodekar S, Dhumne S, Bernstein P, Carvalho JC (2007) Remifentanil patient-controlled analgesia for labour: optimizing drug delivery regimens. Can J Anaesth 54:626–633CrossRefPubMedGoogle Scholar
  18. 18.
    Likis FE, Andews JC, Collins MR, Lewis RM, Seroogy JJ, Starr SA, Walden RR, McPheeters ML (2014) Nitrous oxide for the management of labor pain: a systematic review. Anesth Analg 118:153–167CrossRefPubMedGoogle Scholar
  19. 19.
    Wenk M, van Aken H, Bremerich D, Becke K, Kessler P, Louwen F, Stepan H (2014) Gemeinsame Stellungnahme der DGAI und DGGG. Einsatz von Lachgas in der Geburtshilfe. Anästh Intensivmed 55:679–682Google Scholar
  20. 20.
    Oh AY, Hwang JW, Song IA, Kim MH, Ryu JH, Park HP, Jeon YT, Do SH (2014) Influence of timing of administration of cristalloid on maternal hypotension during spinal anesthesia for cesarean delivery: preload versus coload. BMC Anesthsiol 14:36CrossRefGoogle Scholar
  21. 21.
    George RB, McKeen D, Chaplin AC, McLeod L (2010) Up-down determination of the ED (90) of oxytocin infusions for the prevention of postpartum uterine atony in parturients undergoing Cesarean delivery. Can J Anaesth 57:578–582CrossRefPubMedGoogle Scholar
  22. 22.
    Gogarten W, Van de Velde M, Soetens F et al (2004) A multicentre trial comparing different concentrations of ropivacaine plus sufentanil with bupivacaine plus sufentanil for patient-controlled epidural analgesia in labour. Eur J Anaesthesiol 21:38–45CrossRefPubMedGoogle Scholar
  23. 23.
    ASA (2016) Practice guidelines for obstetric anesthesia: an updated report by the American Society of Anesthesiologists Task Force on Obstetric Anesthesia and the Society for Obstetric Anesthesia and Perinatology. Anesthesiology 124:270–300CrossRefGoogle Scholar
  24. 24.
    George RB, Allen TK, Habib AS (2013) Intermittant epidural bolus compared with continuous epidural infusions for labor analgesia: a systematic reviewand meta-analysis. Anesth Analg 116:133–144CrossRefPubMedGoogle Scholar
  25. 25.
    Boselli E, Debon R, Cimino Y et al (2004) Background infusion is not beneficial during labor patient-controlled analgesia with 0,1 % ropivacaine plus 0,5 μg/ml sufentanil. Anesthesiology 100:968–972CrossRefPubMedGoogle Scholar
  26. 26.
    Gogarten W, Van Aken H, Kessler P et al (2009) Durchführung von Analgesie- und Anästhesieverfahren in der Geburtshilfe. 2. Überarbeitete Empfehlungen der Deutschen Gesellschaft für Anästhesiologie und Intensivmedizin und des Berufsverbands Deutscher Anästhesisten in Zusammenarbeit mit der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe. Anaesth Intensivmed 50:S490–S495Google Scholar
  27. 27.
    Junttila EK, Karjalainen PK, Ohtonen PP, Raudaskoski TH, Ranta PO (2009) A comparison of paracervical block with single-shot spinal for labour analgesia in multiparous women: a randomised controlled trial. Int J Obstet Anesth 18:15–21CrossRefPubMedGoogle Scholar
  28. 28.
    Roofthooft E, Van de Velde M (2008) Low-dose spinal anaesthesia for Caesarean section to prevent spinal-induced hypotension. Curr Opin Anaesthesiol 21:259–262CrossRefPubMedGoogle Scholar
  29. 29.
    Simmons SW, Thagizadeh N, Dennis AT, Hughes D, Cyna AM (2012) Combined spinal-epidural versus epidural analgesia in labour. Cochrane Database Syst Rev CD003401Google Scholar
  30. 30.
    Ko JS, Kim CS, Cho HS, Choi DH (2007) A randomized trial of crystalloid versus colloid solution for prevention of hypotension during spinal or low-dose combined spinal-epidural anesthesia for elective cesarean delivery. Int J Obstet Anesth 16:8–12CrossRefPubMedGoogle Scholar
  31. 31.
    Assuncao Braga AF de, da Silva Braga FS, Braga Poterio GM et al (2003) Sufentanil added to hyperbaric bupivacaine for subarachnoid block in Caesarean section. Eur J Anaesthesiol 20:631–635Google Scholar
  32. 32.
    Magro-Malosso ER, Saccone G, Di Tommaso M, Mele M, Berghella V (2016) Neuraxial analgesia to increase the success rate of external cephalic version: a systematic review and meta-analysis of randomized controlled trials. Am J Obstet Gynecol 215:561–571CrossRefPubMedGoogle Scholar
  33. 33.
    Chatmongkolchart S, Prathep S (2016) Supplemental oxygen for caesarean section during regional anaesthesia. Cochrane Database Sys Rev C006161Google Scholar
  34. 34.
    Kinsella SM, Winton AL, Mushambi MC, Ramaswamy K et al (2015) FAiled tracheal intubation during obstetric general anaesthesia: a literature review. Int J Obstet Anesth 24:356–374CrossRefPubMedGoogle Scholar
  35. 35.
    Levitan RM, Kinkle WC, Levin WJ, Everett WW (2006) Laryngeal view during laryngoscopy: a randomized trial comparing cricoid pressure, backward-upward-rightward pressure, and bimanual laryngoscopy. Ann Emerg Med 47:548–555CrossRefPubMedGoogle Scholar
  36. 36.
    Turgeon AF, Nicole PC, Trépanier CA, Marcoux S, Lessard MR (2005) Cricoid pressure does not increase the rate of failed intubation by direct laryngoscopy in adults. Anesthesiology 102:315–319CrossRefPubMedGoogle Scholar
  37. 37.
    Yoo KY, Jeong CW, Park BY, Kim SJ, Jeong ST, Shin MH, Lee J (2009) Effects of remifentanil on cardiovascular and bispectral index responses to endotracheal intubation in severe pre-eclamptic patients undergoing Caesarean delivery under general anaesthesia. Br J Anaesth 102:812–819CrossRefPubMedGoogle Scholar
  38. 38.
    Mishikry BM, George RB, Habib AS (2012) Transversus abdominis plane block for analgesia after Cesarean delivery: a systematic review and metaanalysis. Can J Anaesth 59:766–788CrossRefGoogle Scholar
  39. 39.
    Dyer RA, Farina Z, Joubert IA et al (2004) Crystalloid preload versus rapid crystalloid administration after induction of spinal anaesthesia (coload) for elective Caesarean section. Anaesth Intensive Care 32:351–357PubMedGoogle Scholar
  40. 40.
    Dyer RA, Reed AR, van Dyk D, Arcache MJ, Hodges O, Lombard CJ, Greenwood J, James MF (2009) Hemodynamic effects of ephedrine, phenylephrine, and the coadministration of phenylephrine with oxytocin during spinal anesthesia for elective cesarean delivery. Anesthesiology 111:753–765CrossRefPubMedGoogle Scholar
  41. 41.
    Veeser M, Hofmann T, Roth R, Klöhr S, Rossaint R, Heesen M (2012) Vasopressors for the management of hypotension after spinal anesthesia for elective caesarean section. Systematic review and meta-analysis. Acta Anaesthesiol Scand 56:810–816CrossRefPubMedGoogle Scholar
  42. 42.
    Clemens KE, Quednau I, Heller AR, Klaschik E (2010) Impact of cafedrine/theodrenaline (Akrinor) on therapy of maternal hypotension during spinal anesthesia for Cesarean delivery; a retrospective study. Minerva Gincecol 62:515–524Google Scholar
  43. 43.
    Haram K, Svendsen E, Abildgaard U (2009) The HELLP syndrome: clinical issues and management. A review. BMC Pregnancy Childbirth 9:8CrossRefPubMedPubMedCentralGoogle Scholar
  44. 44.
    Apfel CC, Saxena A, Cakmakkaya OS et al (2010) Prevention of postdural puncture headache after accidental dural puncture: a quantitative systematic review. Br J Anaesth 105:255–263CrossRefPubMedGoogle Scholar
  45. 45.
    Iatrou CA, Dragoumanis CK, Vogiatzaki TD et al (2005) Prophylactic intravenous ondansetron and dolasetron in intrathecal morphine-induced pruritus: a randomized, double-blinded, placebo-controlled study. Anesth Analg 101:1516–1520CrossRefPubMedGoogle Scholar
  46. 46.
    Martin JN, Thigpen BD, Moore RC et al (2005) Stroke and severe preeclampsia and eclampsia: a paradigm shift focusing on systolic blood pressure. Obstet Gynecol 105:246–254CrossRefPubMedGoogle Scholar
  47. 47.
    Sibai BM, Stella C (2009) Diagnosis and management of atypical preeclampsia-eclampsia. Am J Obstet Gynecol 200:481.e1–481.e7CrossRefGoogle Scholar
  48. 48.
    Pasquier P, Gayat E, Rackelboom T, La Rosa J et al (2013) An observational study of the fresh frozen plasma: red blood cell ratio in postpartum hemorrhage. Anesth Analg 116:155–161CrossRefPubMedGoogle Scholar
  49. 49.
    Huissoud C, Carrabin N, Audibert F et al (2009) Bedside assessment of fibrinogen level in postpartum haemorrhage by thrombelastometry. BJOG 116:1097–1102CrossRefPubMedGoogle Scholar
  50. 50.
    Woudstra DM, Chandra S, Hofmeyr GJ, Dowswell T (2010) Corticosteroids for HELLP (hemolysis, elevated liver enzymes, low platelets) syndrome in pregnancy. Cochrane Database Syst Rev CD008148Google Scholar
  51. 51.
    awmf (2016) Peripartale Blutungen, Diagnostik und Therapie. http://www.awmf.org/uploads/tx_szleitlinien/015-063l_S2k_Peripartale_Blutungen_Diagnostik_Therapie_PPH_2016-04.pdf. Zugegriffen am 14.05.2018
  52. 52.
    Schlembach D, Mörtl MG, Girard T et al (2014) Management der postpartalen Blutung (PPH). Algorithmus der Interdisziplinären D-A-CH-Konsensusgruppe PPH (Deutschland-Österreich-Schweiz). Anaesthesist 63:234–242CrossRefPubMedGoogle Scholar
  53. 53.
    Elkayam U, Goland S, Pieper PG, Silverside CK (2016) High-risk cardiac disease in pregnancy. Part II. J Am Coll Cardiol 68:502–516CrossRefPubMedGoogle Scholar
  54. 54.
    Moertl D, Friedrich S, Kraschl J et al (2011) Haemodynamic effects of carbetocin and oxytocin given as intravenous bolus on women undergoing caesarean delivery: a randomised trial. BJOG 118:1349–1356CrossRefPubMedGoogle Scholar
  55. 55.
    Jonsson M, Hanson U, Lidell C, Norden-Lindeberg S (2010) ST depression at caesarean section and the relation to oxytocin dose. A randomised controlled trial. BJOG 117:76–83CrossRefPubMedGoogle Scholar
  56. 56.
    Sujata N, Tovin R, Kaur R, Aneja A, Khanna M, Hanjoora VM (2016) Randomized controlled trial of tranexamic acid among parturients at increased risk for postpartum hemorrhage undergoing cesarean section. Int J Gynecol Obstet 133:312–315CrossRefGoogle Scholar
  57. 57.
    Wikkelso AJ, Edwards HM, Afshari A et al (2015) Preemptive treatment with fibrinogen concentrate for postpartum hemorrhage: randomized controlled trial. Br J Anaesth 114:623–633CrossRefPubMedGoogle Scholar
  58. 58.
    Lavigne-Lissalde G, Ag A, Mercier F, Roger-Christoph S et al (2015) Recombinant hunan factor VIIa for reducing the need for invasive-line therapie in severe refractory postpartum hemorrhage: a multicenter, randomized, open controlled trial. J Thromb Haemost 13:520–529CrossRefPubMedGoogle Scholar
  59. 59.
    Knight M, Berg C, Brocklehurt P, Kramer M et al (2012) Amniotic fluid embolism incidence, risk factors and outcomes: a review and recommendations. BMC Pregnancy Childbirth 12:7CrossRefPubMedPubMedCentralGoogle Scholar
  60. 60.
    Elkayam U, Goland S, Pieper PG, Silverside CK (2016) High-risk cardiac disease in pregnancy. Part 1. J Am Coll Cardiol 68:396–410CrossRefPubMedGoogle Scholar
  61. 61.
    Khairy P, Ouyang DW, Fernandes SM et al (2006) Pregnancy outcomes in women with congenital heart disease. Circulation 113:517–524CrossRefPubMedGoogle Scholar
  62. 62.
    Arendt KW, Fernandes SM, Khairy P et al (2011) A case series of the anesthetic management of parturients with surgically repaired tetralogy of Fallot. Anesth Analg 113:307–317CrossRefPubMedGoogle Scholar
  63. 63.
    Langesaeter E, Dragsund M, Rosseland LA (2010) Regional anaesthesia for a Cesaream section in women with cardiac disease: a prospective study. Acta Anaesthesiol Scand 54:46–54CrossRefPubMedGoogle Scholar
  64. 64.
    Vricella LK, Louis JM, Mercer BM, Bolden N (2011) Impact of morbid obesity on epidural anesthesia complications in labor. Am J Obstet Gynecol 205:370.e1–370.e6CrossRefGoogle Scholar
  65. 65.
    Von Ungern-Sternberg BS, Regli A, Bucher E, Reber A, Schneider MC (2004) Impact of spinal anaesthesia and obesity on maternal respiratory function during elective Caesarean section. Anaesthesia 59:743–749CrossRefGoogle Scholar
  66. 66.
    Cohen-Kerem R, Railton C, Oren D, Lishner M, Koren G (2005) Pregnancy outcome following non-obstetric surgical intervention. Am J Surg 190:467–473CrossRefPubMedGoogle Scholar
  67. 67.
    Amin SB, Sinkin RA, Glantz JC (2007) Meta-analysis of the effect of antenatal indomethacin on neonatal outcomes. Am J Obstet Gynecol 197:486.e1–486.10CrossRefGoogle Scholar
  68. 68.
    Van de Velde M, Van Schoubroeck D, Lewi LE et al (2005) Remifentanil for fetal immobilization and maternal sedation during fetoscopic surgery: a randomized, double-blind comparison with diazepam. Anesth Analg 101:51–258Google Scholar
  69. 69.
    Algert CS, Bowen JR, Giles WB et al (2009) Regional block versus general anaesthesia for caesarean section and neonatal outcomes: a population-based study. BMC Med 7:20CrossRefPubMedPubMedCentralGoogle Scholar
  70. 70.
    Wyllie J, Bruinenberg J, Roehr C et al (2015) Die Versorgung und Reanimation des Neugeborenen. Notfall Rettungsmed 18:964–983.  https://doi.org/10.1007/s10049-015-0090-0CrossRefGoogle Scholar
  71. 71.
    Cho SH, Lee H, Ernst E (2010) Acupuncture for pain relief in labour: a systematic review and meta-analysis. Br J Obstet Gynaecol 117:907–920CrossRefGoogle Scholar
  72. 72.
    Gogarten W, Strümper D, Van Aken H, Brodner G, Marcus MAE (2004) Einfluss von Cafedrin/Theodrenalin, Ephedrin und Etilefrin auf den uterinen Blutfluss des schwangeren Schafes. Anästh Intensivmed 45:550–557Google Scholar
  73. 73.
    Kawabata I, Nakai A, Takeshita T (2006) Prediction of HELLP syndrome with assessment of maternal dual hepatic blood supply by using Doppler ultrasound. Arch Gynecol Obstet 274:303–309CrossRefPubMedGoogle Scholar
  74. 74.
    Knight M, Kurinczuk JJ, Spark P, Brocklehurst P (2010) Extreme obesity in pregnancy in the United Kingdom. Obstet Gynecol 115:989–997CrossRefPubMedGoogle Scholar
  75. 75.
    Siu SC, Sermer M, Colman JM et al (2001) Prospective multicenter study of pregnancy outcomes in women with heart disease. Circulation 104:515–521CrossRefGoogle Scholar
  76. 76.
    Valensise H, Vasapollo B, Novelli GP et al (2008) Matenal and fetal hemodynamic effects induced by nitric oxide donors and plasma volume expansion in pregnancies with gestational hypertension complicated by intrauterine growth restriction with absent end-diastolic flow in the umbilical artery. Ultrasound Obstet Gynecol 31:55–64CrossRefPubMedGoogle Scholar

Copyright information

© © Springer-Verlag GmbH Deutschland 2017

Authors and Affiliations

  1. 1.Klinikum Bielefeld, Klinik für Anästhesiologie, operative Intensivmedizin, Notfallmedizin und SchmerztherapieBielefeldDeutschland
  2. 2.Krankenhaus Vilsbiburg, Klinik für Anästhesie und IntensivmedizinVilsbiburgDeutschland

Section editors and affiliations

  • Bernhard Zwißler
    • 1
  1. 1.Krankenhaus Vilsbiburg, Klinik für Anästhesie und IntensivmedizinVilsbiburgDeutschland

Personalised recommendations