2007-2016 The 10th National High-risk Obstetric Anesthesia and Labor Analgesia Forum
Series of Academic Activities of Obstetric Anesthesiology Group of the Chinese Medical Association Anesthesiology Branch
In order to promote academic exchanges in obstetric anesthesia, promote new concepts, new theories and new technologies in obstetric anesthesiology, and further improve the level of clinical application of obstetric anesthesia, as one of the series of academic activities of the Obstetric Anesthesiology Group of the Chinese Medical Association Anesthesiology Branch, the Capital Medical University The Affiliated Beijing Obstetrics and Gynecology Hospital, the Department of Anesthesiology, Capital Medical University, and the Childbirth Analgesia Professional Committee of the World Pain Physician Association China Branch jointly organized a national continuing education project [Project Number: 2016-04-11-043 (National)] The 10th National High-risk Obstetric Anesthesia and Labor Analgesia Forum will be held in Beijing from August 5th to 10th, 2016.
This forum will continue to adhere to the purpose of the previous class, focusing on solving practical problems encountered in the clinical and scientific research of interdisciplinary and obstetrics and gynecology anesthesia and labor analgesia, and will adopt a combination of teaching and demonstration methods to introduce obstetrics and gynecology anesthesia and delivery The latest development of analgesia. From August 6th to 7th, 2016, we will teach Chinese and foreign lecturers in the department of anesthesia and obstetrics, and from August 8th to 10th, we will give a clinical demonstration of anesthesia and labor analgesia in the department of obstetrics and gynecology, covering various intraspinal and intravenous delivery towns. Pain methods, low-dose spinal anesthesia and general anesthesia in obstetrics, various airway management methods, ultrasound-guided vascular and spinal puncture, hemodynamic monitoring LIDCO and FLOTRAC, etc., outpatient painless technology, etc. Please ask the National Anesthesiology Department , Obstetrics and Gynecology, and delivery room colleagues came to the meeting. Priority can be given to doctors for further training after the meeting. This forum will count 10 credits for national-level Class I continuing education.
Xu Mingjun (Forum Chairman), Director of the Department of Anesthesiology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University. Deputy Chairman of the Anesthesiology Branch of the Beijing Medical Association, Vice Chairman of the Anesthesiology Specialist Branch of the Beijing Medical Association, Member of the Department of Anesthesiology Department Committee of Capital Medical University, Member of the Expert Committee of Anesthesiology, Beijing Medical Association, Beijing Society of Integrative Medicine Member of the Standing Committee of Pain Professional Committee, Member of the Standing Committee of the Chinese Branch of the World Pain Doctors Association, Chairman of the Labor Analgesia Professional Committee of the World Pain Doctors Association Chinese Branch, Member of the Tenth Youth Committee of the Chinese Medical Association Anesthesiology Society, Obstetric Anesthesiology Group of the Chinese Medical Association Anesthesiology Branch Deputy team leader, member of the Pain Physician Professional Committee of the Chinese Medical Doctor Association.
Check in all day on August 5, 2016, Beijing Ritan Hotel. Lectures will be held from August 6th to August 7th, and various obstetrics and gynecology operations anesthesia and labor analgesia will be demonstrated from August 8th to August 10th.
Registration method and conference affairs consultation:
Mailing address: Department of Anesthesiology, Beijing Obstetrics and Gynecology Hospital, No. 251 Yaojiayuan Road, Chaoyang District, Beijing (Zip Code: 100026)
Contact: Wang Yinan Wang Sujie
Tel: 010-52273799 18801076382
Welcome to register in advance. Before August 4, 2016, pay 1,000 yuan/person for training fee, and 1200 yuan/person for training fee on site (additional 300 yuan/person for observers after the meeting), including representative card, essay compilation, category I Credit certificate. Self-care of board and lodging, unified arrangements. As the conference is in peak tourist season and hotel rooms are tight, please register in advance!
Remittance address: Account name: Beijing Obstetrics and Gynecology Hospital Affiliated to Capital Medical University (receiving unit remittance only), bank: Bank of Beijing Beach Branch, account number: 2001201116308-97 (remitters must indicate the training fee for participating in the 2016 Anesthesia Forum).
Meeting room on the fourth floor of Beijing Ritan Hotel (No. 1 Ritan Road, Chaoyang District, Beijing)
Double room 275 yuan/bed/day, double bed room 550 yuan/bed/day.
Ritan Hotel i
Sun Chuanjiang Department of Anesthesiology, Jinghu Hospital, Macau
Since the British obstetrician and gynecologist Simpson successfully used chloroform to relieve labor pain in 1847, people have been continuously researching and exploring labor pain relief for more than a century. Various drugs and methods have been reported frequently, but each Pros and cons. To date, there is no method that can make childbirth completely painless without affecting the safety of mother and baby. At present, it is recognized that the combined epidural and lumbar epidural analgesia has the best analgesic effect and has the least side effects. The former of the two is more common.
Epidural block analgesia is the longest application history of intraspinal block analgesia. Its advantages are that the maternal vital signs are stable, the analgesia time is flexible, and it can be adjusted in time with the length of labor. Anesthesia can be extended to cesarean section if necessary. But after all, obstetric epidural analgesia is different from epidural anesthesia during surgery. It not only has to achieve effective sensory nerve block and minimal motor nerve block, but also has the least impact on the birth process and mother and baby.
Previous studies of epidural labor analgesia focused on the methods of administration—comparing the advantages and disadvantages of continuous epidural infusion and intermittent injection, the effects of different concentrations of local anesthetics on labor or production methods, and epidural It is possible to use other drugs (opioids, clonidine, neostigmine, etc.) in the cavity. These studies have significantly improved the safety of the parturient (preventing a large amount of local anesthetics from entering the blood vessels or subarachnoid space by mistake); the use of low-concentration local anesthetics has reduced the numbness of the lower limbs of the parturient and can even walk freely, which improves comfort and reduces Movement block, as far as possible to reduce the interference to the labor process (1).
The disadvantages of epidural labor analgesia are slower effect, large dosage, and a certain percentage of analgesia failure rate. It is reported in the literature that the failure rate of obstetric epidural analgesia is 3.5-13.5%, or even higher 24-32%, compared with the failure rate of surgical epidural anesthesia of 2-4% (2).
A sign of effective analgesia: the visual analog analgesia score when the uterus contracts 30 minutes after the first dose is less than 10mm (3);
The definition of analgesia failure in the first stage of labor: two consecutive additions of the same dose of local anesthetic within 30 minutes; such as 0.125% bupivacaine 12-18ml or 0.2% ropivacaine 10ml.
The definition of analgesia failure in the second stage of labor: VAS> 30 mm when holding the breath downward.
Ghislaine Le (3) et al. studied the risk factors for failure of epidural analgesia in 456 primiparas. Analgesia method 0.125% simple bupivacaine 10-14ml/h continuous infusion. After multivariate analysis, it was found that the following factors are related to epidural insufficiency: epidural analgesia time exceeds 6h, the analgesia time of the entire labor process is less than 1h, radicular pain occurs when a hard external catheter is placed, and the analgesic effect of the first dose Poor, when the fetal position is abnormal (posterior occipital position or breech position). The authors found that the failure rate of hard external analgesia in the first stage of labor was 5% and that in the second stage of labor was 20%.
Pain during childbirth is affected by many factors, and factors related to maternity include age <18 years old or age> 35 years old, and primiparous women.
1. Factors related to fetus: macrosomia, abnormal fetal position.
Studies have shown that when the fetal position is abnormal, the pain of the parturient is more severe, the labor process is longer and the situation of insufficient analgesia is prone to occur. When the labor process is longer, the mother’s physical exhaustion has a worse tolerance for pain, leading to uncoordinated contractions of the uterus. Susan Ponkey (4) studied the effect of continuous posterior occipital position on the delivery method, labor process and newborns. The percentage of persistent posterior occipital position among 3315 primiparous women was 7.2%, and the incidence of transverse occipital position was 2.7%. The natural delivery rate of primiparous women in posterior occipital position is only 26%-29%, and that of post-occipital women is 55-57%. The rate of epidural analgesia for parturients in the continuous posterior occipital position was 86.1% and 73.1% in the anterior occipital position. The effect of continuous posterior occipital position on the process of labor and the way of delivery: the first and second stages of labor are prolonged; oxytocin is needed to strengthen contractions during the labor process; t
Recently, the Pharmaceutical Industry Chamber of Commerce of the All-China Federation of Industry and Commerce established a medical device professional committee and released the "2012 Medical Device Industry Analysis Report". The "Report" shows that the dependence on imports of some domestic high-end medical equipment markets has slowly declined last year, and the competitiveness of domestic medical device companies in the field of high-end products is strengthening. According to the "Report", in the first half of 2012, China’s medical device industry achieved a total sales revenue of 68.7 billion yuan, a year-on-year increase of 20.27%. In the future, due to policy support, demographic structure and consumption upgrades and other factors, it is predicted that China’s medical devices will be in the future 5- 10 years will continue to maintain rapid growth, the industry as a whole will still maintain a growth rate of more than 20%. Among them, the association expects that the industrial structure will further tilt towards high-end medical device products. According to the "Report" statistics, although the number of medical device companies across the country has reached more than 14,000, the competition pattern of the medical device industry is relatively scattered, and the industry concentration is low. More than 80% of them are small and medium enterprises, and the enterprises are generally small in scale. , There are problems such as insufficient R&D investment and weak technical capabilities. “Although there are a large number of companies, such companies have fierce competition and low profitability, so they can only produce low-end products or provide spare parts for foreign companies.” The person in charge of the association said that the current medical device market, low-end Products accounted for 65%-70%, far higher than the global level of 45%.
The fifth national high-risk obstetric anesthesia and childbirth analgesia study class 2011-6-10 is to promote academic exchanges in obstetric anesthesia, promote new concepts, new theories and new technologies in obstetric anesthesia, and further improve the level of clinical application of obstetric anesthesia as a Chinese medicine One of the series of academic activities of the Obstetric Anesthesiology Group of the Society of Anesthesiology Branch, sponsored by the Beijing Obstetrics and Gynecology Hospital of Capital Medical University, and the National Continuing Education Project of Dalian Obstetrics and Gynecology Hospital, co-organized by the National Continuing Education Project Number: 2011-04-11-001 (National)] The 5th National High-Risk Obstetric Anesthesia and Labor Analgesia Class was held on August 12-16, 2011 in the beautiful coastal city of Dalian.
This class will continue to adhere to the tenet of previous classes, focusing on solving practical problems encountered in interdisciplinary and obstetrical anesthesia and childbirth analgesia clinical and scientific research, and will adopt a combination of teaching and demonstration methods to introduce obstetrics and gynecology. The latest development of anesthesia and labor analgesia. Lectures for Chinese and foreign speakers from August 13th to 14th. From August 15th to 16th, 2011, the clinical demonstration of obstetrics and gynecology anesthesia and childbirth analgesia will be held. Please come to the meeting from the national anesthesiologists and obstetrics and gynecology departments.
This class will record 10 credits for National Class I continuing education.
1. Study class time: All day registration on August 12, 2011, Grand Mercure Teda Dalian. Lectures will be held from August 13th to August 14th, and various obstetrics and gynecology surgical anesthesia and labor analgesia will be demonstrated from August 15th to 16th.
2. Registration method and conference affairs consultation
Mailing address: Department of Anesthesiology, Dalian Obstetrics and Gynecology Hospital, No. 1 Dunhuang Road, Shahekou District, Dalian City, Liaoning Province, 116033
Contact: Yan Hong
Phone and SMS registration: 15541119186
E-mail registration: YHong808@126.com
Dingxiangyuan Online Registration
3. Class fees: Welcome to register in advance. Before August 10, 2011, pay 800 yuan/person for training fee and 1,000 yuan/person for on-site training (after the meeting, an additional 200 yuan/person will be charged), including representative card, Thesis compilation, class Ⅰ credit certificate, self-care of board and lodging, unified arrangement. As the conference is in the peak tourist season in Dalian, the hotel rooms are particularly tight, please register in advance as far as possible!! Otherwise, the room price is high and cannot be guaranteed.
Remittance Address: Account Name: Dalian TEDA Investment Co., Ltd. Grand Mercure Teda Hotel
4、 学术咨询：首都医科大学附属北京妇产医院麻醉科 王一男
授 课 内 容
妇产专科医院成立ICU的若干问题 苏 跃
Local Anesthetics in Obstetrics
The clinical study of continuous spinal anesthesia with sufentanil for labor analgesia(舒芬太尼连续蛛网膜下腔阻滞用于分娩镇痛的临床研究) 张 宁
The New Techniques Of Patient Controlled Epidural Analgesia for Labour
(病人自控分娩镇痛的新技术介绍) SNG BAN LEONG
Labor Analgesia: Don"t Make a Friend a Foe
(分娩镇痛，不要变利为害) WEITO TAO
Obstetrics and Anesthesia: Working Together to Benefit Women
(产科和麻醉共同进步，为了产妇利益 ) CAUGHEY
The Problems and strategies about labor analgesia in China
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