Analgesia, Anaesthesia and Pregnancy - A Practical Guide

Yentis - Analgesia, Anaesthesia and Pregnancy
£50.00
£50.00
Authors/editors: Steve Yentis, Anne May and Surbhi Malhotra
ISBN: 978-0-521-69474-2
Page count: 396
Publisher: Cambridge UP
Publication year: 2007

A thoroughly updated 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:

SECTION 1 - PRECONCEPTION AND CONCEPTION

  1. Assisted conception
  2. Ovarian hyperstimulation syndrome
  3. Anaesthesia before conception or confirmation of pregnancy

SECTION 2 - PREGNANCY

I. Procedures in early/mid-pregnancy

  1. Cervical suture (cerclage)
  2. Ectopic pregnancy
  3. Evacuation of retained products of conception
  4. Incidental surgery in the pregnant patient
  5. Intrauterine surgery
  6. Termination of pregnancy

II. Normal pregnancy and delivery

  1. Anatomy of the spine and peripheral nerves
  2. Physiology of pregnancy
  3. Aortocaval compression
  4. Normal labour
  5. Gastric function and feeding in labour
  6. Drugs and pregnancy
  7. Placental transfer of drugs
  8. Prescription and administration of drugs by midwives
  9. Local anaesthetics
  10. Antenatal fetal monitoring
  11. Charting of labour
  12. Intrapartum fetal monitoring
  13. Pain of labour
  14. Epidural analgesia for labour
  15. Epidural test doses
  16. Combined spinal-epidural analgesia and anaesthesia
  17. Spinal analgesia
  18. Caudal analgesia
  19. Spinal and epidural opioids
  20. Inhalational analgesic drugs
  21. Systemic analgesic drugs
  22. Non-pharmacological analgesia

III. Operative delivery and third stage

  1. Instrumental delivery
  2. Caesarean section
  3. Epidural anaesthesia for Caesarean section
  4. Spinal anaesthesia for Caesarean section
  5. General anaesthesia for Caesarean section
  6. Cricoid pressure
  7. Failed and difficult intubation
  8. Awake intubation
  9. Post-Caesarean section analgesia
  10. Removal of retained placenta

IV. Anaesthetic complications

  1. Bloody tap
  2. Dural puncture
  3. Postdural puncture headache
  4. Epidural blood patch
  5. Extensive regional blocks
  6. Inadequate regional analgesia in labour
  7. Backache
  8. Horner's syndrome and cranial nerve palsy
  9. Peripheral nerve lesions following regional anaesthesia
  10. Spinal cord lesions following regional anaesthesia
  11. Arachnoiditis
  12. Cauda equina syndrome
  13. Opioid-induced pruritus
  14. Shivering
  15. Aspiration of gastric contents
  16. Awareness
  17. Air embolism

V. Problems confined to obstetrics

  1. Induction and augmentation of labour
  2. Oxytocic and tocolytic drugs
  3. Premature labour, delivery and rupture of membranes
  4. Malpresentations and malpositions
  5. External cephalic version
  6. Multiple pregnancy
  7. Trial of scar
  8. Under-age pregnancy and advanced maternal age
  9. Placenta praevia
  10. Placental abruption
  11. Prolapsed cord
  12. Fetal distress
  13. Intrauterine death
  14. Uterine inversion
  15. Major obstetric haemorrhage
  16. Postpartum haemorrhage
  17. Collapse on labour ward
  18. Maternal cardiopulmonary resuscitation
  19. Amniotic fluid embolism
  20. Cholestasis of pregnancy (obstetric cholestasis)
  21. Acute fatty liver of pregnancy
  22. HELLP syndrome
  23. Hypertension, pre-eclampsia and eclampsia
  24. Magnesium sulphate
  25. Hyperemesis gravidarum
  26. Maternal mortality

VI. Problems not confined to obstetrics

  1. Allergic reactions
  2. Cardiovascular disease
  3. Arrhythmias
  4. Pulmonary oedema
  5. Cardiomyopathy
  6. Coarctation of the aorta
  7. Prosthetic heart valves
  8. Congenital heart disease
  9. Pulmonary hypertension and Eisenmenger's syndrome
  10. Ischaemic heart disease
  11. Endocrine disease
  12. Diabetes mellitus
  13. Anaemia and polycythaemia
  14. Deep-vein thrombosis and pulmonary embolism
  15. Thrombophilia
  16. Coagulopathy
  17. Von Willebrand's disease and haemophilia
  18. Disseminated intravascular coagulation
  19. Thrombocytopenia
  20. Lymphoma and leukaemia
  21. Haemoglobinopathies
  22. Rheumatoid arthritis
  23. Cervical spine disorders
  24. Kyphoscoliosis
  25. Low back pain
  26. Neurological disease
  27. Meningitis
  28. Acute post-infective peripheral neuropathy (Guillain-Barré syndrome)
  29. Past history of neurological trauma
  30. Benign intracranial hypertension
  31. Intracranial tumour
  32. Cerebrovascular accident
  33. Epilepsy
  34. Migraine
  35. Multiple sclerosis
  36. Myasthenia gravis
  37. Spina bifida
  38. Convulsions
  39. Respiratory disease
  40. Asthma
  41. Cystic fibrosis
  42. Pulmonary fibrosis
  43. Sarcoidosis
  44. Acute lung injury (acute respiratory distress syndrome)
  45. Psychiatric disease
  46. Obesity
  47. Pyrexia during labour
  48. Connective tissue disorders
  49. Renal failure
  50. Hepatitis
  51. Herpes simplex infection
  52. HIV infection
  53. Sepsis
  54. Steroid therapy
  55. Substance abuse
  56. Trauma in pregnancy
  57. Malignant disease
  58. Transplantation
  59. Intensive care in pregnancy
  60. Invasive monitoring

VII. The neonate

  1. Neonatal assessment
  2. Neonatal physiology and pharmacology
  3. Neonatal resuscitation
  4. Perinatal mortality

SECTION 3 - PUERPERIUM AND AFTER

  1. Drugs and breastfeeding
  2. Follow-up
  3. Maternal satisfaction

SECTION 4 - ORGANISATIONAL ASPECTS

  1. Antenatal education
  2. Audit
  3. Labour ward organisation
  4. Midwifery training
  5. Consent
  6. Medicolegal aspects
  7. Record keeping
  8. Minimum standards, guidelines and protocols
  9. Risk management
  10. Post-crisis management
  11. Research on labour ward
  12. Obstetric anaesthetic organisations
  13. Vital statistics
  14. Historical aspects of obstetric analgesia and anaesthesia

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