The complex healthcare needs of pregnant patients, where care is tailored to not one but two patients, pose specific challenges to anesthesiologists. This book provides concise, case-based discussion on the clinical scenarios and challenges faced in the provision of anesthesia and pain relief for expectant mothers. In the style of problem-based learning, each case is presented as a short scenario, followed by discussion of the causes, risk factors, management and controversies involved. The textbook features a wide range of cases, from common clinical scenarios that are experienced in day-to-day practice to the rare but significant pathologies less familiar to most clinicians. With a global base of contributors, the book is relevant to practice across the world. The concise format supports both trainee anesthesiologists in their initial experiences of obstetrics and exam preparation, and experienced clinicians in need of a reliable, quick-reference text.
Includes a concise and case-based format to enable problem-based learning for trainees, and a quick-reference guide for experienced clinicians
Features a wide range of clinical cases, from common day-to-day scenarios to the rare but significant pathologies less commonly encountered
Includes contributions from clinicians across the world and will be of interest in multiple regions, while the editors have experience of both the UK and North American clinical environments
Table of Contents
Dedication
List of contributors
1. Eating and drinking in labor: risks versus benefits
2. Epidural analgesia maintenance
3. Breakthrough pain after labor epidural analgesia
4. Epidural analgesia and intrapartum fever
5. Tips and tricks for labor neuraxial block
6. Spinal ultrasound use for neuraxial anesthesia placement
7. Combined spinal-epidural anesthesia/analgesia
8. Non-pharmacologic analgesia for childbirth
9. Systemic pharmacological analgesia
10. Consent considerations in maternity: Part A: a US perspective
Part B: a UK perspective
11. Accidental dural puncture
12. Fetal heart rate monitoring for the obstetrical anesthesiologist
13. Multi-disciplinary team management
14. Obstetric early warning systems
15. Obesity in pregnancy
16. Complex adult congenital heart disease in pregnancy
17. Hematological disorders in pregnancy: preoperative bleeding problems
18. Respiratory disorders of pregnancy
19. Liver disorders in pregnancy
20. Neurologic disorders in pregnancy
21. Abnormal placentation
22. The role of transthoracic echocardiography in hypertensive disorders of pregnancy
23. Elective caesarean delivery
24. Emergency delivery for fetal distress
25. Uterotonic use
26. Postpartum sterilization / tubal ligation
27. Non-delivery procedures
28. Preterm labor
29. Accidental awareness during general anesthesia in obstetrics
30. Failed epidural top up for caesarean delivery
31. Maternal hypotension after neuraxial anaesthesia
32. Management of an anticipated and unanticipated difficult airway in the pregnant patient
33. Major obstetric haemorrhage and point of care testing
34. Cell salvage for caesarean delivery with high risk of haemorrhage
35. Emergency hysterectomy
36. Interventional radiology
37. Amniotic fluid embolism
38. Local anesthetic toxicity
39. Medicolegal issues
40. Chronic pain after pregnancy
41. Neurologic deficits following a primary elective caesarean delivery under spinal anaesthesia
42. Management of post-dural puncture headache
43. Non-obstetric surgery during pregnancy
44. Trauma in pregnancy
45. Ischaemic heart disease and myocardial infarction in pregnancy
46. Intracranial lesions in pregnancy
47. Sepsis in obstetrics
48. Management of thromboembolic phenomenon in pregnancy
49. Pandemic flu
Appendix: reference ranges in pregnancy
Index.
