Textbook of Obstetric Anesthesia

I.Forward. II.Physiology, Pharmacology & Anatomy 1.Pain Mechanisms in labor. 2.Physiological Changes in Pregnancy. 3.Fetal Physiology. 4.Uteroplacental Blood Flow. 5.Intrapartum Fetal Assessment. 6.Pharmacology of Local Anesthetics. 7.Cot-Local Anesthetics and Opioids. 8.Drug Interactions in the Parturient. 9.Functional Anatomy of Central Blockage in Obstetrics. Ill.Analgesia for Labor 10.Epidural Analgesia for Labor. 11.The Combined Spinal Epidural Technique. 12.Continuous Spinal Techniques. 13.Patient-Controlled Epidural Analgesia PCEA. 14.Nonpharmacologic Alternatives for Obstetric Analgesia. 15.Systemic Analgesia in Labor. 16.Inhalation Agents for Labor. IV.Operative Anesthesia 17.General Anesthesia for Cesarean Section. 18.Regional Anesthesia for Cesarean Section. 19.Anesthesia for the Presumed Fetal Jeopardy. 20.Anesthesia for Post Partum Surgery. 21.Anesthesia for Nonobstetrical Surgery in the Pregnant Patient. 22.Anesthesia for Fetal Surgery. 23.Anesthesia for Assisted Reproductive Techniques. 24.Postcesarean Analgesia: Patient Controlled Analgesia & Neuraxial Techniques. V.Obstetric and Anesthetic Complications 25.Preterm Labor. 26.Multiple Gestation and Fetal Maipresentation. 27.Anesthesia for Vaginal Birth After Cesarean Delivery (VBAC). 28.The Febrile Parturient. 29.Antepartum Hemorrhage. 30.Postpartum Hemorrhage. 31.Air and Amniotic Fluid Embolism. 32.The Difficult / Failed Intubation. 33.Pulmonary Aspiration. 34.Allergic Reactions. 35.Post Dural Puncture Headache. 36.Complications of Regional Anesthesia. VI.Systemic Disease in the Pregnant Patient 37.The Obese Parturient. 38.Hypertensive Disorders and Renal Disease. 39.Cardiovascular Disease. 40.Pulmonary Disease. 41.Diabetes. 42.Hematologic Disease. 43.Autoimmune Disease. 44.Hepatic Disease. 45.Musculoskeletal Disorders. 46.Anesthesia for Parturients with Neurologic Disease. 47.Intracranial and Neurologic Disease During Pregnancy: Anesthetic Management. 48.Substance Abuse. 49.AIDS and Obstetric Anesthesia. VII.Related Considerations 50.Nausea and Vomiting. 51.Nerve Blocks in the Parturient. 52.Neonatal Resuscitation. 53.Critical Management of the Pregnant Patient. 54.Maternal Mortality. 55.Ethical Issues and Consent in Obstetric Anesthesia. 56.Regional Anesthesia in the Third World. 57.Patient Satisfaction: Capturing Patients Perspective in the Evaluation of Obstetric Care. Appendices A.ASA Guidelines for Regional Anesthesia in Obstetrics B.SOAP Guidelines for Education in Obstetric Anesthesia C.Australian and New Zealand College of Anaesthetics Obstetric Anaesthesia Guidelines