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Analgesia, Anaesthesia and Pregnancy

A Practical Guide



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Analgesia, Anaesthesia and Pregnancy: A Practical Guide
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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.

Table of 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-Barre 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

Author Biography

Steve Yentis is a Consultant Anaesthetist at Chelsea and Westminster Hospital, London and Honorary Senior Lecturer at Imperial College, London. Anne May is a Consultant Obstetric Anaesthetist at Leicester Royal Infirmary NHS Trust and Honorary Senior Lecturer at the University of Leicester. Surbhi Malhotra is a Clinical Fellow in Obstetric Anaesthesia at Chelsea and Westminster Hospital, London.
Release date NZ
May 10th, 2007
Edited by Anne May Edited by Dr. Steve Yentis Edited by Surbhi Malhotra
Country of Publication
United Kingdom
2nd Revised edition
12 b/w illus. 39 tables
Cambridge University Press
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