Chestnut's Obstetric Anesthesia: Principles and Practice E-Book

David H. Chestnut, Cynthia A Wong, Lawrence C Tsen, Warwick D Ngan Kee, Yaakov Beilin, Jill Mhyre

Description

From basic science to various anesthesia techniques to complications, the meticulously updated, fifth edition of Chestnut’s Obstetric Anesthesia: Principles and Practice, covers all you need to know about obstetric anesthesia. An editorial team of leading authorities presents the latest on anesthesia techniques for labor and delivery and medical disorders that occur during pregnancy. New chapters and rewritten versions of key chapters cover topics such as psychiatric disorders in the pregnant patient, neurologic disorders, and critical care of obstetric patients.  It is an invaluable, comprehensive reference textbook for specialists in obstetric anesthesiology and obstetricians, as well as anesthesiology and obstetric residents. This book also serves as a clear, user-friendly guide for both anesthesiologists and obstetricians who are in clinical practice.

• Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability.
• Get all the accuracy, expertise, and dependability you could ask for from the most important names in the fields of obstetric anesthesia and maternal-fetal medicine.
• Master the current best practices you need to know for treating the fetus and the mother as separate patients—each with distinct needs.
• Search and retain difficult concepts easily with the help of key point summaries in each chapter.

• Stay current on the latest advancements and developments with sweeping updates and new chapters on topics such as patient safety and team approach, transthoracic echocardiography and noninvasive measurement of cardiac output in obstetric patients, psychiatric disorders during pregnancy, neurologic injuries, and more.
• Prevent and plan for potential complications associated with the advancing age of pregnant women. An extensive, state-of-the art discussion of "critical care of obstetric patients" equips you to address any special considerations for this increasing segment.
• Know exactly how to proceed. An abundance of tables and boxes illustrate the step-by-step management of a full range of clinical scenarios.
• Choose the best drugs available while adhering to the most recent guidelines for obstetric anesthesia.

Informations

• Publié par: Saunders
• Date de parution: 28 février 2014
• Nombre de lectures: 1
• EAN13: 9780323113748
• Langue: English
• Poids de l'ouvrage: 5 Mo

Extrait

Chestnut's Obstetric Anesthesia
PRINCIPLES AND PRACTICE
Fifth Edition
David H. Chestnut MD
Professor of Anesthesiology, Chief, Division of Obstetric Anesthesia, Vanderbilt University School of Medicine, Nashville, Tennessee
Formerly, Director of Medical Education, Gundersen Health System, Professor of Anesthesiology, Associate Dean for the Western Academic Campus, University of Wisconsin School of Medicine and Public Health, La Crosse, Wisconsin
Cynthia A. Wong MD
Professor and Vice Chair of Anesthesiology, Northwestern University Feinberg School of Medicine, Section Chief for Obstetric Anesthesiology, Northwestern Memorial Hospital, Chicago, Illinois
Lawrence C. Tsen MD
Associate Professor of Anaesthesia, Harvard Medical School, Vice Chair, Faculty Development and Education, Director of Anesthesia, Center for Reproductive Medicine, Department of Anesthesiology, Perioperative and Pain Medicine, Associate Director, Center for Professionalism and Peer Support, Brigham and Women s Hospital, Boston, Massachusetts
Warwick D. Ngan Kee BHB, MBChB, MD, FANZCA, FHKCA, FHKAM
Professor, Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Shatin, Hong Kong, China
Yaakov Beilin MD
Professor of Anesthesiology and Obstetrics Gynecology and Reproductive Sciences, Director of Obstetric Anesthesiology, Vice Chair for Quality, Department of Anesthesiology, Icahn School of Medicine at Mount Sinai, New York, New York
Jill M. Mhyre MD
Associate Professor of Anesthesiology, The University of Arkansas for Medical Sciences, Little Rock, Arkansas
Naveen Nathan MD
Assistant Professor of Anesthesiology, Northwestern University Feinberg School of Medicine, Northwestern Memorial Hospital, Chicago, Illinois
Saunders
Table of Contents
Cover image
Title page
Copyright
Dedication
Acknowledgment of Contributors to Previous Editions
Contributors
Preface
Part I Introduction
Chapter 1 The History of Obstetric Anesthesia
James Young Simpson
Medical Objections to the Use of Ether for Childbirth
Public Reaction to Etherization for Childbirth
Opioids and Obstetrics
The Effects of Anesthesia on the Newborn
The Effects of Anesthesia on Labor
Some Lessons
References
Part II Maternal and Fetal Physiology
Introduction
References
Chapter 2 Physiologic Changes of Pregnancy
Body Weight and Composition
Cardiovascular Changes
The Respiratory System
Hematology
The Immune System
The Gastrointestinal System
The Liver and Gallbladder
The Kidneys
Nonplacental Endocrinology
The Musculoskeletal System
The Nervous System
Anesthetic Implications
References
Chapter 3 Uteroplacental Blood Flow
Anatomy and Structure
Changes and Function during Pregnancy
Mechanisms of Vascular Changes and Regulation
Methods of Measurement of Uteroplacental Blood Flow
Neuraxial Anesthesia
General Anesthesia
Effects of Other Drugs
References
Chapter 4 The Placenta
Anatomy
Physiology
Drug Transfer
Placental Pathology
References
Chapter 5 Fetal Physiology
Fetal Environment
Fetal Cardiovascular System
Fetal Pulmonary System
Fetal Renal System
Fetal Hematologic System
Fetal Gastrointestinal System
Fetal Nervous System
References
Part III Fetal and Neonatal Assessment and Therapy
Introduction
References
Chapter 6 Antepartum Fetal Assessment and Therapy
Prenatal Care in Low-Risk Pregnancies
Prenatal Care in High-Risk Pregnancies
Special Techniques for Antepartum Fetal Surveillance
Special Circumstances Requiring Additional Fetal Surveillance
Fetal Therapy
References
Chapter 7 Anesthesia for Fetal Surgery and Other Intrauterine Procedures
Indications and Rationale for Fetal Surgery
Surgical Benefits and Risks
Anesthetic Management
The Future of Fetal Therapy
References
Chapter 8 Intrapartum Fetal Assessment and Therapy
Fetal Risk during Labor
Intrapartum Fetal Assessment
Intrapartum Fetal Therapy
References
Chapter 9 Neonatal Assessment and Resuscitation
Transition From Intrauterine to Extrauterine Life
Antenatal Assessment
Neonatal Assessment
Neonatal Resuscitation
Special Resuscitation Circumstances
Ethical Considerations
Neurobehavioral Testing
References
Chapter 10 Fetal and Neonatal Neurologic Injury
Fetal Brain Development
Cerebral Palsy
Pathophysiology of Fetal Asphyxia
Fetal and Neonatal Assessment
Anesthesia and Brain Injury
Neuroprotective Therapies
References
Part IV Foundations in Obstetric Anesthesia
Introduction
References
Chapter 11 Patient Safety and Team Training
Patient Safety and Medical Errors
Teams and Teamwork
References
Chapter 12 Spinal, Epidural, and Caudal Anesthesia
Anatomy
Physiology
Technique
Epidural Test Dose
Choice of Drug
Complications of Neuraxial Techniques
References
Chapter 13 Local Anesthetics and Opioids
Local Anesthetics
Opioids
Adjuvants
References
Part V Anesthesia Before and During Pregnancy
Introduction
References
Chapter 14 Pharmacology and Nonanesthetic Drugs During Pregnancy and Lactation
Changes in Drug Disposition and Effect
Drug Use during Pregnancy
Drug Use during Lactation
References
Chapter 15 In Vitro Fertilization and Other Assisted Reproductive Technology
Assisted Reproductive Technology Procedures
Success of Assisted Reproductive Technology
Obstetric Complications
Effects of Anesthesia on Reproduction
Anesthetic Management
Future Considerations
References
Chapter 16 Problems of Early Pregnancy
Physiologic Changes of Early Pregnancy
Ectopic Pregnancy
Abortion and Intrauterine Fetal Demise
Cervical Insufficiency or Incompetence
Gestational Trophoblastic Disease
Hyperemesis Gravidarum
Corpus Luteum Cysts
References
Chapter 17 Nonobstetric Surgery During Pregnancy
Maternal Safety: Altered Maternal Physiology
Fetal Considerations
Practical Considerations
References
Part VI Labor and Vaginal Delivery
Introduction
References
Chapter 18 Obstetric Management of Labor and Vaginal Delivery
The Process of Labor and Delivery
Labor Progress: Five Management Questions
Special Situations
References
Chapter 19 Trial of Labor and Vaginal Birth After Cesarean Delivery
Primary Cesarean Delivery: Choice of Uterine Incision
Maternal and Neonatal Outcomes
Eligibility and Selection Criteria
Professional Society Practice Guidelines
Obstetric Management
Anesthetic Management
References
Chapter 20 The Pain of Childbirth and Its Effect on the Mother and the Fetus
Measurement and Severity of LABOR Pain
Personal Significance and Meaning
Anatomic Basis
Neurophysiologic Basis
Effect on the Mother
Effect on the Fetus
Summary
References
Chapter 21 Childbirth Preparation and Nonpharmacologic Analgesia
Pain Perception
Childbirth Preparation
Nonpharmacologic Analgesic Techniques
Implications for Anesthesia Providers
References
Chapter 22 Systemic Analgesia
Parenteral Opioid Analgesia
Intermittent Bolus Parenteral Opioid Analgesia
Patient-Controlled Analgesia
Opioid Antagonists
Opioid Adjuncts and Sedatives
Inhalational Analgesia
References
Chapter 23 Epidural and Spinal Analgesia /Anesthesia for Labor and Vaginal Delivery
Preparation for Neuraxial Analgesia
Initiation of Epidural Analgesia
Initiation of Spinal Analgesia
Maintenance of Analgesia
Analgesia/Anesthesia for Vaginal Delivery
Side Effects of Neuraxial Analgesia
Complications of Neuraxial Analgesia
Effects of Neuraxial Analgesia on the Progress of Labor
Effects of Neuraxial Analgesia on the Fetus and Neonate
Conclusions and Recommendations
References
Chapter 24 Alternative Regional Analgesic Techniques for Labor and Vaginal Delivery
Paracervical Block
Lumbar Sympathetic Block
Pudendal Nerve Block
Perineal Infiltration
References
Chapter 25 Postpartum Tubal Sterilization
American Society of Anesthesiologists Guidelines
Surgical Considerations
Nonmedical Issues
Preoperative Evaluation
Risk for Aspiration
Anesthetic Management
Postoperative Analgesia
References
Part VII Cesarean Delivery
Introduction
References
Chapter 26 Anesthesia for Cesarean Delivery
History
Indications
Operative Technique
Morbidity and Mortality
Prevention of Cesarean Delivery
Preparation for Anesthesia
Anesthetic Technique
Recovery From Anesthesia
Anesthetic Complications
Obstetric Complications
References
Chapter 27 Postoperative and Chronic Pain
Mechanisms and Prevalence of Pain
Predictors of Pain
Systemic Opioid Analgesia
Multimodal Analgesia
Non-Neuraxial Regional Analgesic Techniques
Nonphar