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Analgesia, Anaesthesia and Pregnancy
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  • 12 b/w illus. 39 tables
  • Page extent: 0 pages

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 (ISBN-13: 9780511286971)

A thoroughly updated 2007 edition of this well-established practical guide to obstetric analgesia and anaesthesia originally published by W. B. Saunders. All aspects of obstetric medicine relevant to the anaesthetist are covered, from conception, throughout pregnancy, to after birth care. The emphasis is on pre-empting problems and maximising quality of care. The authors have identified over 150 potential complications each covered in two sections: issues raised and management options, with key points extracted into boxes for quick reference. A section on organisational aspects such as record keeping, training, protocols and guidelines makes this an important resource for any labour ward or hospital dealing with pregnant women. Presented in a clear, structured format, this book will be invaluable to trainee anaesthetists at all levels and to experienced anaesthetists who encounter obstetric patients. Obstetricians, neonatologists, midwives, nurses and operating department practitioners wishing to extend or update their knowledge will also find it highly beneficial.

• Concise style with bullet points and key references, clear and consistent layout. • Potential problems and pitfalls for each clinical situation highlighted • Covers all aspects of obstetric medicine relevant to anaesthetist, from conception to after birth care

Contents

1. Assisted conception; 2. Ovarian hyperstimulation syndrome; 3. Anaesthesia before conception or confirmation of pregnancy; 4. Cervical suture (cerclage); 5. Ectopic pregnancy; 6. Evacuation of retained products of conception; 7. Incidental surgery in the pregnant patient; 8. Intrauterine surgery; 9. Termination of pregnancy; 10. Anatomy of the spine and peripheral nerves; 11. Physiology of pregnancy; 12. Aortocaval compression; 13. Normal labour; 14. Gastric function and feeding in labour; 15. Drugs and pregnancy; 16. Placental transfer of drugs; 17. Prescription and administration of drugs by midwives; 18. Local anaesthetics; 19. Antenatal fetal monitoring; 20. Charting of labour; 21. Intrapartum fetal monitoring; 22. Pain of labour; 23. Epidural analgesia for labour; 24. Epidural test doses; 25. Combined spinal-epidural analgesia and anaesthesia; 26. Spinal analgesia; 27. Caudal analgesia; 28. Spinal and epidural opioids; 29. Inhalational analgesic drugs; 30. Systemic analgesic drugs; 31. Non-pharmacological analgesia; 32. Instrumental delivery; 33. Caesarian section; 34. Epidural anaesthesia for Caesarian section; 35. Spinal anaesthesia for Caesarean section; 36. General anaesthesia for Caesarean section; 37. Cricoid pressure; 38. Failed and difficult intubation; 39. Awake intubation; 40. Post-Caesarean section analgesia; 41. Removal of retained placenta; 42. Bloody tap; 43. Dural puncture; 44. Postdural puncture headache; 45. Epidural blood patch; 46. Extensive regional blocks; 47. Inadequate regional analgesia in labour; 48. Backache; 49. Horner's syndrome and cranial nerve palsy; 50. Peripheral nerve lesions following regional anaesthesia; 51. Spinal cord lesions following regional anaesthesia; 52. Arachnoiditis; 53. Cauda equina syndrome; 54. Opioid-induced pruritus; 55. Shivering; 56. Aspiration of gastric contents; 57. Awareness; 58. Air embolism; 59. Induction and augmentation of labour; 60. Oxytocic and tocolytic drugs; 61. Premature labour, delivery and rupture of membranes; 62. Malpresentations and malpositions; 63. External cephalic version; 64. Multiple pregnancy; 65. Trial of scar; 66. Under-age pregnancy and advanced maternal age; 67. Placenta praevia; 68. Placental abruption; 69. Prolapsed cord; 70. Fetal distress; 71. Intrauterine death; 72. Uterine inversion; 73. Major obstetric haemorrhage; 74. Postpartum haemorrhage; 75. Collapse on labour ward; 76. Maternal cardiopulmonary resuscitation; 77. Amniotic fluid embolism; 78. Cholestasis of pregnancy (obstetric cholestasis); 79. Acute fatty liver of pregnancy; 80. HELLP syndrome; 81. Hypertension, pre-eclampsia and eclampsia; 82. Magnesium sulphate; 83. Hyperemesis gravidarum; 84. Maternal mortality; 85. Allergic reactions; 86. Cardiovascular disease; 87. Arrhythmias; 88. Pulmonary oedema; 89. Cardiomyopathy; 90. Coarctation of the aorta; 91. Prosthetic heart valves; 92. Congenital heart disease; 93. Pulmonary hypertension and Eisenmenger's syndrome; 94. Ischemic heart disease; 95. Endocrine disease; 96. Diabetes mellitus; 97. Anaemia and polycythaemia; 98. Deep-vein thrombosis and pulmonary embolism; 99. Thrombophilia; 100. Coagulopathy; 101. Von Willebrand's disease and haemophilia; 102. Disseminated intravascular coagulation; 103. Thrombocytopenia; 104. Lymphoma and leukaemia; 105. Haemoglobinopathies; 106. Rheumatoid arthritis; 107. Cervical spine disorders; 108. Kyphoscoliosis; 109. Low back pain; 110. Neurological disease; 111. Meningitis; 112. Acute post-infective peripheral neuropathy (Guillain-Barré syndrome); 113. Past history of neurological trauma; 114. Benign intracranial hypertension; 115. Intracranial tumour; 116. Cerebrovascular accident; 117. Epilepsy; 118. Migraine; 119. Multiple sclerosis; 120. Myasthenia gravis; 121. Spina bifida; 122. Convulsions; 123. Respiratory disease; 124. Asthma; 125. Cystic fibrosis; 126. Pulmonary fibrosi

Reviews

From reviews of the first edition: 'This is a book that openly professes to be a 'short practical text' - and it has achieved its objective very successfully indeed. Clearly set out with discreet well-organized chapters, the text is easy to read and presents a comprehensive overview of a difficult field in a 'user-friendly' form.' European Journal of Anaesthesiology

'The authors have succeeded in producing an excellent book in a style that sets it apart from, and possibly above, recent similar publications. The layout lends itself to update for future editions. The book achieves its aim of targeting anaesthetists in training at all levels, and would provide a useful handbook for both the experienced and the occasional consultant obstetric anaesthetist.' International Journal of Obstetric Anesthesia

'This book will be of value to anaesthetic trainees and more senior obstetric anaesthetists as it covers both the fundamentals of routine obstetric anaesthesia and the more complex problems encountered less frequently.' Postgraduate Medical Journal

'The strength of this book is the brief reference list at the end of each chapter. In most cases the references cited are recent (1990-1999) and pertinent.' Canadian Journal of Anaesthesia

'The diversity of topics and their limited analysis makes it easy to read the text quickly and pick up key points. At the end of each topic is a bullet point synopsis. … It is these characteristics of the book that create the practical approach. … The book … is certain to be popular given its broad authorship and succinct style. British Journal of Anaesthesia

'… this book successfully accomplish[es] the goal of being a practical guide to the most important aspects of obstetric medicine required to safely practise obstetric anesthesia. The short, concise chapters provide the reader with multiple treatment options for the common problems encountered in obstetric anesthesia. … The chapters discussing the impact of co-existing diseases on pregnancy provide an excellent overview that is applicable to anesthesia providers practising in all obstetrical settings.' Anesthesia and Analgesia

'… makes a nice addition to the library of anesthesiologists who want a concise and yet comprehensive book covering a wide range of topics in obstetric anesthesia.' Anesthesiology

Contributors

Steve Yentis, D. Brighouse, Anne May, David Bogod, C. Elton

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