S
M Yentis, MD, FRCA, Consultant Obstetric Anaesthetist, Chelsea and Westminster
Hospital; Honorary Senior Lecturer, Imperial College School of Medicine,
London, UK
D
Brighouse, BM, MA, FRCA, Consultant Obstetric Anaesthetist, Southampton
General Hospital, Southampton, UK
A
May, FRCA, Consultant Obstetric Anaesthetist, Leicester Royal Infirmary;
Honorary Senior Lecturer, University of Leicester, Leicester, UK
D
Bogod, FRCA, Consultant Obstetric Anaesthetist, City Hospital, Nottingham,
UK
C
Elton, FRCA, Consultant Obstetric Anaesthetist, Leicester Royal Infirmary,
Leicester, UK
Anaesthesia,
Analgesia and Pregnancy: A Practical Guide is a new concise book which
covers the essentials of modern obstetric anaesthesia and analgesia. It
provides an easy to follow guide to the majority of procedures undertaken
in obstetric anaesthesia and places emphasis on the quality of care and
the interdisciplinary management of these patients. Each key topic in obstetric
anaesthesia is covered in a standard format - Definition, Special Considerations,
Management Options, Quality Issues, Key Points, Key References - allowing
quick and easy information retrieval for anaesthetists both in training
and in practice.
Features
Contents
SECTION 1 PRE-CONCEPTION & CONCEPTION Preconception anaesthesia Assisted conception Ovary hyperstimulation SECTION 2 PREGNANCY 1 Procedures in Early Pregnancy Cervical suture Ectopic pregnancy Termination of pregnancy ERPC 2 Normal Pregnancy and Delivery Vertebral and spinal anatomy Spinal epidural anaesthesia Spinal extradural opioids Intrapartum fetal monitoring External cephalic version Feeding in labour Combined spinal and epidural anaesthesia and analgesia Continuous spinal anaesthesia Cortical vein thrombosis Caudal block Physiology of pregnancy Aortocaval complications Pharmacology in pregnancy (kinetics) Placental transfer of drugs Administration of drugs by midwives Antenatal fetal monitoring Normal labour Gastric function and feeding in labour Fluids in labour Monitoring in labour (including partogram) Pain of labour Non-pharmacological analgesia Systemic analgesics Inhaled analgesics Local anaesthetics Epidural analgesia for labour Inadequate epidural analgesia Spinal anaesthesia for Caesarean section Loss of resistance technique Epidural test doses Caudal analgesia 3 Problems Not Confined to Obstetrics Psychiatric disease Sickle cell disease Spinal cord injury Spinal cord disease Guillaine-Barre syndrome Benign intracranial hypertension Incidental surgery during pregnancy ObesitySubstance abuse Adverse drug reactions Psychological disorders Fever in labour SepsisHerpes simplex HIV infection HepatitisMusculoskeletal disorders (general) Low back pain KyphoscoliosisCervical spine disorders Rheumatoid arthritis SarcoidosisConnective tissue disorders Steroid therapy Endocrine disease (general) Diabetes mellitus Neurological disease - intracranial Neurological disease - spinal Neurological disease - peripheral EpilepsyMultiple sclerosis Spina bifida MigraineHaematological disease - bleeding and clotting (general) Deep vein thrombosis/PE Anticoagulant therapy Bleeding disorders Thrombocytopenia and thrombophilia HypercoagulationAnaemiaPolycythaemiaHaemoglobinopathiesLatex allergy Renal failure TransplantationMalignant disease Lymphoma/leukaemiaRespiratory disease (general) Restrictive lung disease AsthmaAir embolism BronchiectasisCystic fibrosis Cardiovascular disease - general Congenital heart disease (incl non-congenital) Aortic coarction Steroid therapy Endocrine disease (general) Diabetes mellitus Neurological disease - intracranial Neurological disease - spinal Neurological disease - peripheral EpilepsyMultiple sclerosis Spina bifida MigraineHaematological disease - bleeding and clotting (general) Deep vein thrombosis/PE Anticoagulant therapy Bleeding disorders Thrombocytopenia and thrombophilia HypercoagulationAnaemiaPolycythaemiaHaemoglobinopathiesLatex allergy |
Renal failure TransplantationMalignant disease Lymphoma/leukaemiaRespiratory disease (general) Restrictive lung disease AsthmaAir embolism BronchiectasisCystic fibrosis Cardiovascular disease - general Congenital heart disease (incl non-congenital) Aortic coarction Air embolism BronchiectasisCystic fibrosis Cardiovascular disease - general Congenital heart disease (incl non-congenital) Aortic coarction Air embolism BronchiectasisCystic fibrosis Cardiovascular disease - general Congenital heart disease (incl non-congenital) Aortic coarction Pulmonary hypertension & Eisenmenger's syndrome Prosthetic heart valves Ischaemic heart disease ArrhythmiasCardiomyopathyCardiac failure (differential diagnosis) Invasive monitoring Intensive care in pregnancy Acute lung injury 4 Obstetric "Medical" Emergencies Postpartum haemorrhage Maternal cardiopulmonary resuscitation in pregnancy Coarctation of the aorta Collapse in labour ward Anaphylaxis and adverse drug reactions Amniotic fluid embolism ConvulsionsMajor haemorrhage CPR in pregnancy 5 Problems Confined to Obstetrics Myasthenia gravis Acute fatty liver of pregnancy Hyperemesis gravidarum HELLP syndrome Intrauterine surgery Pre-eclampsia & eclampsia MagnesiumPlacenta praevia Placental abruption Multiple pregnancy Malpresentations/positionsECVCord prolapse Trial of scar Underage pregnancy Induction/augmentation of labour/active management Preterm labour & delivery Oxytocics, tocolytics & prostaglandins Intrauterine death PDPHMaternal mortality 6 Instrumental Delivery and Third Stage Instrumental delivery Caesarean section (CS) - emergency (classification) Epidural anaesthesia for Caesarean section Spinal anaesthesia for CS Inadequate block for CS General anaesthesia for CS Cricoid pressure Difficult intubation Awake intubation Air embolism Other problems during CS Post-CS analgesia Post-CS recovery Retained placenta 7 The Neonate Drugs and the neonate Neonatal physiology Neonatal assessment (neurobehavioural) Neonatal CPR Perinatal mortality 8 Anaesthetic Complications Poor quality epidural analgesia Bloody tap Dural puncture Post-dural puncture headache Epidural blood patch PruritisShivering Nausea and vomiting Extensive blocks Cranial nerve palsies/Horner's syndrome MeningitisSpinal abscess Nerve injury Cauda equina syndrome ArachnoiditisBackacheAwarenessAspiration of gastric contents SECTION 3 PUERPERIUM AND AFTER Drugs and breastfeeding Follow-upMaternal satisfaction SECTION 4 ORGANISATIONAL ASPECTS Labour ward organisation Minimum standards Antenatal education Audit Risk management Protocols and guidelines Medicolegal aspects ConsentRecord keeping OAA/SOAPMidwives training, accountability, drugs Research in obstetrics/ethics Vital statistics HistoryTest doses |