Datta Obstetric Anesthesia Handbook

4th Auflage 2006
ISBN: 978-0-387-31529-4
Verlag: Springer US
Format: PDF
Kopierschutz: 1 - PDF Watermark

E-Book, Englisch, 409 Seiten

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

Autoren/Hrsg.

Datta, Sanjay

Inhaltsverzeichnis

1;Preface ;5
2;Contents ;6
3;1 Maternal Physiological Changes During Pregnancy, Labor, and the Postpartum Period ;8
3.1;Changes in Blood Volume;9
3.2;Changes in the Cardiovascular System;10
3.3;Changes in the Respiratory System;11
3.4;Changes in the Renal System;13
3.5;Changes in the Gastrointestinal System;13
3.6;Changes in the Central and Peripheral Nervous Systems;16
3.7;Changes in the Musculoskeletal System;18
3.8;Changes in the Dermatological System;18
3.9;Changes in Mammary Tissue;18
3.10;Changes in the Ocular System;18
3.11;References;19
4;2 Local Anesthetic Pharmacology ;21
4.1;Physicochemical Properties;23
4.2;Nonphysicochemical Properties;25
4.3;Other Factors Affecting Local Anesthetic Activity;26
4.4;Central Nervous System (CNS) and Cardiovascular System ( CVS) Toxicity of Local Anesthetics;28
4.5;References;31
5;3 Perinatal Pharmacology ;34
5.1;Mother;36
5.2;Addition of Epinephrine;37
5.3;Maternal Metabolism and Elimination of the Drug;37
5.4;Maternal Protein Binding;38
5.5;Maternal pH and Drug pKa;38
5.6;Placental Transfer of Drugs;38
5.7;Fetus;40
5.8;Fetal Liver;41
5.9;Progressive Dilution of Umbilical Vein in Blood Concentration;41
5.10;Extensive Right-to-Left Shunt of the Fetal Circulation;43
5.11;References;43
6;4 Drug Interactions and Obstetric Anesthesia ;45
6.1;Drugs Used for Maternal and Fetal Indications;46
6.2;Drugs Used for Maternal Indications;46
6.3;Drugs Used for Fetal Indications;61
6.4;References;62
7;5 Uteroplacental Blood Flow ;66
7.1;Measurement of Uteroplacental Blood Flow;67
7.2;Factors That Can Alter Uteroplacental Blood Flow;69
7.3;References;75
8;6 Physiology of Labor and Delivery ;79
8.1;Pain of Parturition;79
8.2;Relief of Labor Pain ( Not Related to Medication);81
8.3;References;84
9;7 Relief of Labor Pain by Systemic Medication ;86
9.1;Narcotics;87
9.2;Sedatives and/or Tranquilizers;90
9.3;Dissociative Medications;91
9.4;Amnestic Agents;92
9.5;Neuroleptanalgesia;92
9.6;Agonist and Antagonist Agents;92
9.7;Remifentanil;93
9.8;Inhalation Analgesia;93
9.9;References;94
10;8 Spinal Opiates in Obstetrics ;96
10.1;Use of Spinal Opiates;98
10.2;Treatment of Side Effects;102
10.3;Monitoring;102
10.4;Newer Drugs;103
10.5;References;104
11;9 Effect of Maternally Administered Anesthetics and Analgesics on Neonates and Neurobehavioral Testing ;107
11.1;Regional Anesthesia;108
11.2;Spinal and General Anesthesia;114
11.3;Paracervical Block;114
11.4;Pudendal Block;116
11.5;Intrathecal Narcotics;117
11.6;Systemic Medication;117
11.7;Narcotic Antagonists;119
11.8;General Anesthesia;119
11.9;References;120
12;10 Fetal Monitoring ;124
12.1;Fetal Heart Rate Monitoring;125
12.2;Biophysical Profile;134
12.3;Assessment of Fetal Maturity;135
12.4;References;135
13;11 Relief of Labor Pain by Regional Analgesia/ Anesthesia ;137
13.1;Epidural Analgesia;140
13.2;Possible Problems;150
13.3;Local Anesthetic Alone vs. Local Anesthetic and Narcotic Infusion;152
13.4;Contraindications;153
13.5;Monitoring Following the Administration of Epidural Analgesia;153
13.6;Effects of Epidural Anesthesia;154
13.7;Complications of Epidural Analgesia and Anesthesia;158
13.8;Treatment of Headache Following Accidental Dural Puncture;168
13.9;Spinal Anesthesia;171
13.10;Caudal Anesthesia;173
13.11;Paracervical Block;173
13.12;Lumbar Sympathetic Block;173
13.13;Pudendal Block;173
13.14;References;174
14;12 Anesthesia for Cesarean Delivery ;179
14.1;Regional Anesthesia;180
14.2;Combined Spinal Epidural ( CSE) Technique;198
14.3;General Anesthesia;199
14.4;Postoperative Pain Relief;210
14.5;Conclusion;211
14.6;References;211
15;13 High- Risk Pregnancy ;218
15.1;Classification;220
15.2;Techniques of Anesthesia ( Keys to Successful Management);221
15.3;Specific Problems;223
15.4;Composition and Usefulness of Blood Components;301
15.5;Summary;301
15.6;References;302
16;14 Neonatal Resuscitation ;309
16.1;Physiology;310
16.2;Maternal Well-Being;316
16.3;Evaluation of the Neonate;317
16.4;Treatment of Specific Conditions;323
16.5;Equipment and Medications Necessary for Neonatal Resuscitation;324
16.6;Other Specific Causes of Neonatal Respiratory Problems;324
16.7;Conclusion;330
16.8;References;331
17;15 Postpartum Tubal Ligation ;332
17.1;Gastric Emptying in the Postpartum Period;333
17.2;Anesthetic Technique;335
17.3;References;338
18;16 Anesthesia for Surgery During Pregnancy ;340
18.1;Maternal Safety;341
18.2;Fetal Well-Being;341
18.3;Continuation of the Pregnancy;347
18.4;References;350
19;17 In Vitro Fertilization ;354
19.1;Preparation of the Embryo;354
19.2;Anesthetic Requirement;355
19.3;Specific Anesthetic Techniques for Ultrasound- Guided Transvaginal Oocyte Retrieval;357
19.4;Major Complications of In Vitro Fertilization;359
19.5;References;359
20;18 Maternal Mortality and Morbidity ;360
20.1;American Society of Anesthesiologists Guidelines for Regional Anesthesia in Obstetrics;363
20.2;Practice Guidelines for Obstetrical Anesthesia;366
20.3;American Society of Anesthesiologists Optimal Goals for Anesthesia Care in Obstetrics;383
20.4;References;386
21;Index ;388