지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.10
- 수록면
- 313 - 321 (9page)
- DOI
- 10.17085/apm.21090
이용수
초록· 키워드
오류제보하기
The prevalence of obese parturients is increasing worldwide. This review describes safe analgesic techniques for labor and anesthetic management during cesarean sections in obese parturients. The epidural analgesic technique is the best way to provide good pain relief during the labor phase and can be easily converted to a surgical anesthetic condition. However, the insertion of the epidural catheter in obese parturients is technically more difficult compared to that in non-obese parturients. The distance from the skin to the epidural space increases in proportion to the body mass index (BMI): 4.4 cm in mothers of normal weight and 7.5 cm in mothers with BMI 50 and above. Neuraxial blocks are the ideal anesthetic methods and gold standard techniques for cesarean section in pregnant women with obesity. Single-shot spinal anesthesia is the most common type of anesthesia used for cesarean sections. The advantage of single-shot spinal anesthesia is a dense-sufficient block of rapid onset. A combined spinal-epidural (CSE) anesthetic technique is also recommended as an attractive alternative method. In obese parturients, the operation time can be longer than expected, and therefore, the CSE technique provides the advantage of rapid onset and intense block for prolonged operation with postoperative pain control. The risk of postoperative complications is very high in obese parturients. Therefore, detailed communication of the parturient's medical condition and the details of surgery and anesthesia between the anesthesiologist and obstetrician is important prior to cesarean section in obese pregnant women.
목차
등록된 정보가 없습니다.
참고문헌 (50)
참고문헌 신청
KOSIS / The trend in the prevalence of obesity (BMI)
2000 / Obesity: preventing and managing the global epidemic :i~xii
Jee SH / 2006 / Body-mass index and mortality in Korean men and women / N Engl J Med 355:779~787
Institute of Medicine (US) Committee on Nutritional Status during Pregnancy and Lactation / 1990 / Nutrition during pregnancy: part I weight gain: part II nutrient supplements / National Academies Press (US) :5~10
WHO Expert Consultation / 2004 / Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies / Lancet 363:157~163
2000 / Obesity: preventing and managing the global epidemic :i~xii
Jee SH / 2006 / Body-mass index and mortality in Korean men and women / N Engl J Med 355:779~787
Institute of Medicine (US) Committee on Nutritional Status during Pregnancy and Lactation / 1990 / Nutrition during pregnancy: part I weight gain: part II nutrient supplements / National Academies Press (US) :5~10
WHO Expert Consultation / 2004 / Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies / Lancet 363:157~163
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Evaluation of changes in anesthetic methods for cesarean delivery: an analysis for 5 years using the big data of the Korean Health Insurance Review and Assessment Service
Anesthesia and Pain Medicine
2020 .01
-
Combined spinal-epidural anesthesia for urgent cesarean section in a parturient with a single ventricle -a case report-
Korean Journal of Anesthesiology
2016 .01
-
The Skin-to-epidural distance of parturients by ultrasonography: sitting position versus left lateral position
Anesthesia and Pain Medicine
2017 .01
-
Anesthetic management of a parturient with Behcet’s disease and suspected arrhythmogenic right ventricular dysplasia
Korean Journal of Anesthesiology
2020 .01
-
The impact of obesity on the outcomes of laparoscopic colectomy : An observational study
KOREAN JOURNAL OF CLINICAL ONCOLOGY
2016 .12
-
Comparison of the effect of dexmedetomidine and midazolam under spinal anesthesia for cesarean delivery: a randomized controlled trial, single center study in South Korea
Anesthesia and Pain Medicine
2023 .04
-
Anesthetic management during cesarean delivery in a pregnant woman with ruptured cerebral arteriovenous malformation -A case report-
Anesthesia and Pain Medicine
2017 .01
-
Use of local anesthetics for dental treatment during pregnancy; safety for parturient
Journal of dental anesthesia and pain medicine
2017 .01
-
Spinal versus general anesthesia for Cesarean section in patients with sickle cell anemia
Korean Journal of Anesthesiology
2015 .01
-
노인 수술환자의 부위마취관리
대한의사협회지
2017 .01
-
The Blood Pressure Response during Graded Exercise Test in Obese Adults
대한의생명과학회지
2017 .09
-
Comparison between obese and non-obese nonalcoholic fatty liver disease
Clinical and Molecular Hepatology
2023 .02
-
Short-term Mortality and Postoperative Complications of Abdominal Aortic Aneurysm Repair in Obese versus Non-obese Patients
Journal of Obesity & Metabolic Syndrome
2021 .12
-
골수이형성증후군이 있는 임산부에서 발생한 수혈관련 급성폐손상- 증례 보고 -
Anesthesia and Pain Medicine
2019 .01
-
Gender Difference in Health-Related Behaviors associated with Metabolic Status-Obesity Phenotypes among Korean Adults
성인간호학회지
2022 .04
-
Successful use of extracorporeal membrane oxygenation during cesarean section in parturients with symptomatic severe pulmonary stenosis: a case report
Medical Biological Science and Engineering
2019 .01
-
Thoracic interfascial nerve block for breast surgery in a pregnant woman -a case report-
Korean Journal of Anesthesiology
2017 .01
-
Real-time ultrasound-guided spinal anesthesia for cesarean section in patient with severe kyphoscoliosis and Duchenne’s muscular dystrophy - A case report -
Anesthesia and Pain Medicine
2018 .01
-
Sarcopenic Obesity in Elderly Korean Women: A Nationwide Cross-sectional Study
대한골대사학회지
2018 .01
-
Modern techniques to optimize neuraxial labor analgesia
Anesthesia and Pain Medicine
2018 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0