I. Physiology and pharmacology : -- Physiologic changes of pregnancy -- Uteroplacental circulation and respiratory gas exchange -- Placental transfer of drugs and perinatal pharmacology. II. Assessment of the fetus : -- Antenatal fetal assessment, therapy, and outcomes -- Intrapartum fetal monitoring: old and new concepts. III. Analgesia and anesthesia for labor and vaginal delivery : -- Alternative (non-pharmacologic) methods of labor analgesia -- Systemic and inhalational agents for labor analgesia -- Local anesthetics in obstetrics: evidence-based applications, controversies, toxicity, and current therapies -- Regional analgesia/anesthesia techniques in obstetrics -- Anesthesia for vaginal birth after cesarean delivery -- Effects of anesthesia on uterine activity, progress in labor and outcomes. IV. Anesthesia for cesarean delivery: management of postoperative and postpartum issues : -- Anesthesia for cesarean delivery -- Postoperative multimodal acute pain management: cesarean and vaginal delivery -- Chronic pain issues after cesarean delivery -- Anesthesia for nondelivery obstetric procedures. V. Neonatal well-being: old and new concepts : -- Neonatal resuscitation -- Management of neonatal neurologic injury: evidence-based outcomes. VI. Anesthetic considerations and management of obstetric complications : -- Abnormal fetal positions, breech presentations, shoulder dystocia, and multiple gestation -- Preterm labor and delivery -- Intrapartum fever, infection, and sepsis -- Obstetric hemorrhage, novel pharmacologic interventions, blood conservation techniques, and hemorrhage protocols. VII. Risks, strategies and management of anesthetic complications : -- Amniotic fluid embolism -- Venous thromboembolism in pregnancy and guidelines for neuraxial anesthesia following anticoagulant and antithrombotic drugs -- Difficult and failed intubation: strategies, prevention and management of airway-related catastrophes in obstetrical patients -- NPO controversies-pulmonary aspiration: risks and management -- Neurologic complications of regional anesthesia in obstetrics -- Postdural puncture headache. VIII. Anesthetic management of the parturient with coexisting disorders : -- Hypertensive disorders of pregnancy -- Anesthesia for pregnant patients with endocrine disorders -- Anesthetic management of the pregnant cardiac patient -- Asthma in pregnancy -- Neurologic and neuromuscular disorders -- The parturient with intracranial and spinal pathology -- New thoughts on bleeding and coagulation disorders -- Morbid obesity -- Human immunodeficiency virus: maternal and fetal considerations and management -- Renal and hepatic disorders in pregnancy -- Anesthesia for the pregnant patient with immunologic disorders -- Psychiatric disorders -- Parturient with pre-existing congenital anomalies. IX. Ethical, medical, and social challenges and issues : -- Informed consent and other ethical and legal issues in obstetric anesthesia -- Substance abuse and the drug-addicted mother -- Jehovah's witness: ethical and anesthetic-related issues -- Trauma during pregnancy: maternal resuscitation, rapid response team, and protocols. X. Maternal safety, morbidity, and mortality : -- Utilization of crisis resource management and simulation in maternal and neonatal safety -- Near misses and maternal mortality -- Global perspective on obstetric anesthesia. XI. Anesthetic considerations for reproductive, in-utero and non-obstetric procedures : -- In vitro fertilization and reproductive technologies -- In utero fetal surgery and ex utero intrapartum therapy (EXIT) -- Non-obstetric surgery during pregnancy.
Summary:
Now in a fully updated Fifth Edition, Shnider and Levinson's Anesthesia for Obstetrics, continues to provide the comprehensive coverage that has made it the leading reference in the field. The rising number of Cesarean births and the more advanced age of first-time mothers in the United States have brought with them an increased risk for complications, making the role of the obstetric anesthesiologist increasingly important. Inside you'll explore... Maternal and Fetal Physiology builds your understanding of placental transfer of drugs. Fetal Assessment covers the basics of antenatal assessment and intrapartum monitoring. Anesthesia and Analgesia addresses the anesthetic considerations of vaginal and Cesarean delivery. Neonatal Well-Being--including neonatal resuscitation and neonatal injury. Management of Obstetric Complications helps minimize the risks posed by abnormal positioning, intrapartum fever, and antepartum and postpartum hemorrhage. Management of Anesthetic Complications addresses the special problems related to obstetric anesthesia, including embolic events and intubation problems. Management of the Parturient with Coexisting Disorders prepares you for the special challenges faced when treating mothers with hypertensive, respiratory, endocrine, neurologic, or other disorders. Difficult and Failed Intubation: Strategies, Prevention, and Management of Airway-Related Catastrophes addresses the airway related maternal mortality, predictors of difficult airway and strategies to manage the unanticipated difficult airway as well as the critical airway with increasing hyoxemia. NEW to the Fifth Edition... New editorial teamew full-color format. New sections on Assessment of the Fetus; Anesthesia for Cesarean Delivery; Neonatal Well-Being: Old and New Concepts; Ethical, Medical, and Social Challenges and Issues; Maternal Safety, Difficult and Failed Intubation, Morbidity, and Mortality; and Anesthetic Considerations for Reproductive, In-Utero, and Non-Obstetric Procedures"--Provided by publisher. "Anesthesia for obstetrics is one of the highest volume areas in anesthesiology. As the number of caesarean section has increased, and the age of mothers in the US and Europe has increased, and with it the potential for complications during birth, the role of anesthesiologists in the delivery room has become increasingly important. Sections covered inlcude: Physiology and Pharmacology; Assessment of the Fetus; Analgesia and Anesthesia for Labor and Vaginal Delivery; Anesthesia for Cesarean Delivery: Management of Postoperative and Postpartum Issues; Anesthetic Considerations and Management of Obstetric Complications; Risks, Strategies and Management of Anesthetic Complications; Anesthetic Management of the Parturient with Co-existing Disorders; Maternal Safety, Morbidity, and Mortality; and Anesthetic Considerations for Reproductive, Inutero, & Non-obstetric Procedures"--Provided by publisher.
This resource is supported by the Institute of Museum and Library Services under the provisions of the Library Services and Technology Act as administered by State Library of Iowa.