Zusammenfassung
Die von ASA (American Society of Anesthesiologists) und SOAP (Society for Obstetric
Anesthesia and Perinatology) für das Jahr 2016 aktualisierten Leitlinien sind eine
Handlungsempfehlung in erster Linie für Anästhesisten, die auf das anästhesiologische
Management Gebärender, nicht operative und operative Entbindung sowie auf die postpartale
Versorgung und Analgesie fokussiert.
Abstract
The known guidelines before a planned operation on aspiration, fasting and preoperative
risk evaluation also apply in obstetrics. Extended measures are only justified under
concrete anamnestic or specific symptoms. Neuraxial anesthesia techniques should be
offered to the mother as early as possible, as waiting for a certain opening of the
cervix is not justified. Catheter procedures offer numerous advantages and are useful
for possible emergency situations. Low-dose local anesthetic concentrations in combination
with an opioid are still recommended. The benefit of pencil-point spinal needles in
minimizing the risk of post-puncture headache has been demonstrated. Predictable emergencies
are airway emergencies, hemorrhagic emergencies and cardiopulmonary resuscitation
with emergency cesarean if appropriate (> 20 SSW).
Schlüsselwörter Geburtshilfe - Schwangerschaft - Geburt - Anästhesie - Analgesie
Key words Obstetrics - anesthesia - analgesia - pregnancy - birth
