Obstetric Anesthesia Handbook (eBook)
VIII, 409 Seiten
Springer New York (Verlag)
978-0-387-31529-4 (ISBN)
This handbook appeals to a wide audience, as it was written with the practicing anesthesiologists in mind, as well as nurse anesthetists, obstetricians, housestaff, and residents. The Obstetric Anesthesia Handbook supplies expert advice on every facet of anesthesia for childbirth and related obstetric procedures. The text is authoritative, succinct, and highly practical. It is accompanied by over 100 illustrations and tables making the text a convenient reference to the busy practitioner. The handbook is also a natural companion to the recently published, Anesthetic and Obstetric Management of High-Risk Pregnancy, by the same author
forthcoming
As the field of obstetric anesthesia continues to change rapidly, both in technique and in specific pharmaceutical agents used, it is essential for all practitioners caring for the pregnant patient to be familiar with current anesthetic protocols and general concepts in obstetric anesthesia. The Handbook appeals to a wide audience, as it was written with the practicing anesthesiologists in mind, as well as nurse anesthetists, obstetricians, housestaff, and residents. The Obstetric Anesthesia Handbook supplies expert advice on every facet of anesthesia for childbirth and related obstetric procedures. The text is authoritative, succinct, and highly practical. It is accompanied by over 100 illustrations and tables making the text a convenient reference to the busy practitioner. The Handbook is also a natural companion to the recently published, Anesthetic and Obstetric Management of High-Risk Pregnancy, also by Dr. Datta.
forthcoming
Preface 5
Contents 6
1 Maternal Physiological Changes During Pregnancy, Labor, and the Postpartum Period 8
Changes in Blood Volume 9
Changes in the Cardiovascular System 10
Changes in the Respiratory System 11
Changes in the Renal System 13
Changes in the Gastrointestinal System 13
Changes in the Central and Peripheral Nervous Systems 16
Changes in the Musculoskeletal System 18
Changes in the Dermatological System 18
Changes in Mammary Tissue 18
Changes in the Ocular System 18
References 19
2 Local Anesthetic Pharmacology 21
Physicochemical Properties 23
Nonphysicochemical Properties 25
Other Factors Affecting Local Anesthetic Activity 26
Central Nervous System (CNS) and Cardiovascular System ( CVS) Toxicity of Local Anesthetics 28
References 31
3 Perinatal Pharmacology 34
Mother 36
Addition of Epinephrine 37
Maternal Metabolism and Elimination of the Drug 37
Maternal Protein Binding 38
Maternal pH and Drug pKa 38
Placental Transfer of Drugs 38
Fetus 40
Fetal Liver 41
Progressive Dilution of Umbilical Vein in Blood Concentration 41
Extensive Right-to-Left Shunt of the Fetal Circulation 43
References 43
4 Drug Interactions and Obstetric Anesthesia 45
Drugs Used for Maternal and Fetal Indications 46
Drugs Used for Maternal Indications 46
Drugs Used for Fetal Indications 61
References 62
5 Uteroplacental Blood Flow 66
Measurement of Uteroplacental Blood Flow 67
Factors That Can Alter Uteroplacental Blood Flow 69
References 75
6 Physiology of Labor and Delivery 79
Pain of Parturition 79
Relief of Labor Pain ( Not Related to Medication) 81
References 84
7 Relief of Labor Pain by Systemic Medication 86
Narcotics 87
Sedatives and/or Tranquilizers 90
Dissociative Medications 91
Amnestic Agents 92
Neuroleptanalgesia 92
Agonist and Antagonist Agents 92
Remifentanil 93
Inhalation Analgesia 93
References 94
8 Spinal Opiates in Obstetrics 96
Use of Spinal Opiates 98
Treatment of Side Effects 102
Monitoring 102
Newer Drugs 103
References 104
9 Effect of Maternally Administered Anesthetics and Analgesics on Neonates and Neurobehavioral Testing 107
Regional Anesthesia 108
Spinal and General Anesthesia 114
Paracervical Block 114
Pudendal Block 116
Intrathecal Narcotics 117
Systemic Medication 117
Narcotic Antagonists 119
General Anesthesia 119
References 120
10 Fetal Monitoring 124
Fetal Heart Rate Monitoring 125
Biophysical Profile 134
Assessment of Fetal Maturity 135
References 135
11 Relief of Labor Pain by Regional Analgesia/ Anesthesia 137
Epidural Analgesia 140
Possible Problems 150
Local Anesthetic Alone vs. Local Anesthetic and Narcotic Infusion 152
Contraindications 153
Monitoring Following the Administration of Epidural Analgesia 153
Effects of Epidural Anesthesia 154
Complications of Epidural Analgesia and Anesthesia 158
Treatment of Headache Following Accidental Dural Puncture 168
Spinal Anesthesia 171
Caudal Anesthesia 173
Paracervical Block 173
Lumbar Sympathetic Block 173
Pudendal Block 173
References 174
12 Anesthesia for Cesarean Delivery 179
Regional Anesthesia 180
Combined Spinal Epidural ( CSE) Technique 198
General Anesthesia 199
Postoperative Pain Relief 210
Conclusion 211
References 211
13 High- Risk Pregnancy 218
Classification 220
Techniques of Anesthesia ( Keys to Successful Management) 221
Specific Problems 223
Composition and Usefulness of Blood Components 301
Summary 301
References 302
14 Neonatal Resuscitation 309
Physiology 310
Maternal Well-Being 316
Evaluation of the Neonate 317
Treatment of Specific Conditions 323
Equipment and Medications Necessary for Neonatal Resuscitation 324
Other Specific Causes of Neonatal Respiratory Problems 324
Conclusion 330
References 331
15 Postpartum Tubal Ligation 332
Gastric Emptying in the Postpartum Period 333
Anesthetic Technique 335
References 338
16 Anesthesia for Surgery During Pregnancy 340
Maternal Safety 341
Fetal Well-Being 341
Continuation of the Pregnancy 347
References 350
17 In Vitro Fertilization 354
Preparation of the Embryo 354
Anesthetic Requirement 355
Specific Anesthetic Techniques for Ultrasound- Guided Transvaginal Oocyte Retrieval 357
Major Complications of In Vitro Fertilization 359
References 359
18 Maternal Mortality and Morbidity 360
American Society of Anesthesiologists Guidelines for Regional Anesthesia in Obstetrics 363
Practice Guidelines for Obstetrical Anesthesia 366
American Society of Anesthesiologists Optimal Goals for Anesthesia Care in Obstetrics 383
References 386
Index 388
| Erscheint lt. Verlag | 11.5.2006 |
|---|---|
| Zusatzinfo | VIII, 409 p. 76 illus. |
| Verlagsort | New York |
| Sprache | englisch |
| Themenwelt | Medizin / Pharmazie ► Gesundheitsfachberufe |
| Medizin / Pharmazie ► Medizinische Fachgebiete ► Anästhesie | |
| Medizin / Pharmazie ► Pflege | |
| Schlagworte | anesthesia • Birth • Child • Datta • epidural anesthesia • Handbook • high risk pregnancy • In vitro fertilization • local anesthetic • Monitoring • obstetric • Obstetrics • Opiate • Pain • placenta • Pregnancy • pregnant patient • spinal anesthesia |
| ISBN-10 | 0-387-31529-2 / 0387315292 |
| ISBN-13 | 978-0-387-31529-4 / 9780387315294 |
| Haben Sie eine Frage zum Produkt? |
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