by Cynthia A. Wong, MD, Warwick D Ngan Kee, MD, Lawrence C. Tsen, MD, Yaakov Beilin, MD, Jill M. Mhyre, MD, Brian T. Bateman, MD, MSc, Lisa Leffert, MD and David H. Chestnut, MD
Presents the latest information on anesthesia techniques for labor and delivery and the anesthesia care of women with medical disorders during pregnancy, emphasizing the treatment of the fetus and the mother as separate patients with distinct needs
Discusses key topics such as neuraxial labor analgesia, including epidural, combined spinal-epidural, and dural-puncture epidural techniques; epidural-related maternal fever; neuraxial and general anesthesia for Cesarean delivery; postoperative analgesia; anesthesia for non-obstetric procedures during pregnancy; multidisciplinary care of high-risk obstetric patients; patient safety on the labor and delivery unit; care of mothers with substance use disorders; and more
Contains new chapters on racial and ethnic disparities in obstetric anesthesia care and obstetric anesthesia in the developing world
Features extensive revisions from cover to cover, including new content on POCUS, COVID-19, enhanced recovery after Cesarean delivery, and chronic pain after childbirth
Incorporates the latest guidelines on congenital heart disease and the management of sepsis, as well as difficult airway guidelines that are specific to obstetric anesthesia practice
Offers abundant figures, tables, and boxes that illustrate the step-by-step management of a full range of clinical scenarios
An eBook version is included with purchase. The eBook allows you to access all of the text, figures, and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. Additional digital ancillary content may publish up to 6 weeks following the publication date
PART I: Introduction 1. The History of Obstetric Anesthesia
PART II: Maternal and Fetal Physiology 2. Physiologic Changes of Pregnancy 3. Uteroplacental Blood Flow 4. The Placenta: Anatomy, Physiology, Transfer of Drugs, and Pathology
PART III: Fetal and Neonatal Assessment and Therapy 5. Fetal Physiology 6. Antepartum Fetal Assessment and Therapy 7. Anesthesia for Fetal Surgery and Other Intrauterine Procedures 8. Intrapartum Fetal Assessment and Therapy 9. Neonatal Assessment and Resuscitation 10. Fetal and Neonatal Neurologic Injury 11. Quality, Patient Safety, and Medical Error
PART IV: Foundations in Obstetric Anesthesia 12. Spinal and Epidural Analgesia and Anesthesia: Anatomy, Physiology, and Technique 13. Local Anesthetics and Opioids 14. Racial and Ethnic Disparities in Obstetric Anesthesia Care 15. Obstetric Anesthesia in Low- and Middle-Income Countries
PART V: Anesthesia Before and During Pregnancy 16. Pharmacology During Pregnancy and Lactation 17. Problems of Early Pregnancy 18. Nonobstetric Surgery During Pregnancy
PART VI: Labor and Delivery Vaginal Delivery 19. Obstetric Management of Labor and Vaginal Delivery 20. Trial of Labor and Vaginal Birth After Cesarean Delivery 21. The Pain of Childbirth and Its Effect on the Mother and the Fetus 22. Childbirth Preparation and Nonpharmacologic Analgesia 23. Systemic and Nonneuraxial Regional Labor Analgesia 24. Epidural and Spinal Analgesia: Anesthesia for Labor and Vaginal Delivery 25. Postpartum Tubal Sterilization
PART VII: Cesarean Delivery 26. Anesthesia for Cesarean Delivery 27. Postoperative Analgesia
PART VIII: Anesthesia Complications 28. Aspiration: Risk, Prophylaxis, and Treatment 29. The Difficult Airway: Risk, Assessment, Prophylaxis, and Management 30. Postpartum Headache 31. Neurologic Complications of Pregnancy and Neuraxial Anesthesia 32. Shared Decision-Making and Informed Consent in Obstetric Anesthesia
PART IX: Obstetric Complications 33. Preterm Labor and Delivery 34. Abnormal Presentation and Multiple Gestation 35. Hypertensive Disorders 36. Infection 37. Antepartum and Postpartum Hemorrhage 38. Embolic Disorders
PART X: The Patient With Systemic Disease 39. Maternal Mortality 40. Autoimmune Disorders 41. Cardiovascular Disease 42. Chronic Pain During and After Pregnancy 43. Endocrine Disorders 44. Hematologic and Coagulation Disorders 45. Liver Disease 46. Musculoskeletal Disorders 47. Neurologic and Neuromuscular Disease 48. Obesity 49. Psychiatric Disorders 50. Renal Disease 51. Respiratory Disease 52. Substance Use Disorders 53. Trauma and Critical Care
Cynthia A. Wong, MD, Professor and Chair, Department of Anesthesia, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA, Warwick D Ngan Kee, MD, Director of Obstetric Anaesthesia, The Chinese University of Hong Kong, Lawrence C. Tsen, MD, Associate Professor of Anaesthesia, Harvard Medical School; Director of Anesthesia, Center for Reproductive Medicine, Associate Director, Center for Professionalism and Peer Support Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, Massachusetts., USA, Yaakov Beilin, MD, Professor of Anesthesiology and Obstetrics, Gynecology and Reproductive Science, Vice Chair for Quality, Department of Anesthesiology, Icahn School of Medicine at Mount Sinai, USA, Jill M. Mhyre, MD, The Dola S Thompson Professor, Director of Obstetric Anesthesia, Vice-Chair for Research, Department of Anesthesiology, The University of Arkansas for Medical Sciences, USA, Brian T. Bateman, MD, MSc, Associate Professor of Anaesthesia, Harvard Medical School; Chief of Obstetric Anesthesia, Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, Massachusetts, USA, Lisa Leffert, MD, Professor and Chair, Department of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut and David H. Chestnut, MD, Professor of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee, USA
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