From basic science to various anesthesia techniques to complications, the meticulously updated, fifth edition of Chestnut’s Obstetric Anesthesia: Principles and Practice, covers all you need to know about obstetric anesthesia. An editorial team of leading authorities presents the latest on anesthesia techniques for labor and delivery and medical disorders that occur during pregnancy. New chapters and rewritten versions of key chapters cover topics such as psychiatric disorders in the pregnant patient, neurologic disorders, and critical care of obstetric patients. With online access to the full text, it is an invaluable, comprehensive reference textbook for specialists in obstetric anesthesiology and obstetricians, as well as anesthesiology and obstetric residents. This book also serves as a clear, user-friendly guide for both anesthesiologists and obstetricians who are in clinical practice.
Emphasizes the treatment of the fetus and the mother as separate patients with distinct needs to ensure the application of modern principles of care.
Delivers contributions from many leaders in the fields of obstetric anesthesia and maternal-fetal medicine from all over the world.
Offers abundant figures, tables, and boxes that illustrate the step-by-step management of a full range of clinical scenarios.
Presents key point summaries in each chapter for quick, convenient reference.
Stay current on the latest advancements and developments with sweeping updates and new chapters on topics such as patient safety and team approach, transthoracic echocardiography and noninvasive measurement of cardiac output in obstetric patients, psychiatric disorders during pregnancy, neurologic injuries, and more.
Prevent and plan for potential complications associated with the advancing age of pregnant women. An extensive, state-of-the art discussion of "critical care of obstetric patients" equips you to address any special considerations for this increasing segment.
Know exactly how to proceed. An abundance of tables and boxes illustrate the step-by-step management of a full range of clinical scenarios.
Choose the best drugs available while adhering to the most recent guidelines for obstetric anesthesia.
Your purchase entitles you to access the web site until the next edition is published, or until the current edition is no longer offered for sale by Elsevier, whichever occurs first. If the next edition is published less than one year after your purchase, you will be entitled to online access for one year from your date of purchase. Elsevier reserves the right to offer a suitable replacement product (such as a downloadable or CD-ROM-based electronic version) should online access to the web site be discontinued.
The book contains predominantly black-and-white illustrations, with some two-color illustrations.
1 The history of obstetric anesthesia 3 2 Physiologic changes of pregnancy 15 3 Uteroplacental blood flow 37 4 The placenta : anatomy, physiology, and transfer of drugs 49 5 Fetal physiology 66 6 Antepartum fetal assessment and therapy 79 7 Anesthesia for fetal surgery and other intrauterine procedures 96 8 Intrapartum fetal assessment and therapy 110 9 Neonatal assessment and resuscitation 122 10 Fetal and neonatal neurologic injury 148 11 Spinal, epidural, and caudal anesthesia : anatomy physiology, and technique 171 12 Local anesthetics 190 13 Nonanesthetic drugs during pregnancy and lactation 213 14 In vitro fertilization and other assisted reproductive techniques 229 15 Problems of early pregnancy 241 16 Nonobstetric surgery during pregnancy 255 17 Obstetric management of labor and vaginal delivery 275 18 The pain of childbirth and its effect on the mother and the fetus 288 19 Childbirth preparation and nonpharmacologic analgesia 302 20 Systemic analgesia : parenteral and inhalational agents 311 21 Epidural and spinal analgesia/anesthesia 324 I Local anesthetic techniques 324 II Opioid techniques 349 III Effect on the progress of labor and method of delivery 369 22 Alternative regional anesthetic techniques : paracervical block, lumbar sympathetic block, pudendal nerve block, and perineal infiltration 387 23 Vaginal birth after cesarean section 397 24 Postpartum tubal sterilization 407 25 Anesthesia for cesarean section 421 26 Anesthesia for fetal distress 447 27 Postoperative analgesia : systemic techniques 461 28 Postoperative analgesia : epidural and spinal techniques 472 29 Medicolegal issues in obstetric anesthesia 507 30 Aspiration : risk, prophylaxis, and treatment 523 31 The difficult airway : risk, prophylaxis, and management 535 32 Postpartum headache 562 33 Neurologic complications of pregnancy and regional anesthesia 579 34 Preterm labor and delivery 605 35 Abnormal presentation and multiple gestation 632 36 Fever and infection 647 37 Antepartum and postpartum hemorrhage 662 38 Embolic disorders 683 39 Autoimmune disorders 697 40 Cardiovascular disease 707 41 Endocrine disorders 734 42 Hematologic and coagulation disorders 764 43 Human immunodeficiency virus 780 44 Hypertensive disorders 794 45 Liver disease 836 46 Malignant hyperthermia 846 47 Musculoskeletal disorders 856 48 Neurologic and neuromuscular disease 872 49 Obesity 892 50 Renal disease 904 51 Respiratory disease 915 52 Substance abuse 929 53 Trauma 942 App. A American Society of Anesthesiologists guidelines for regional anesthesia in obstetrics 951 App. B Practice guidelines for obstetrical anesthesia : a report by the American Society of Anesthesiologists task force on obstetrical anesthesia 953 App. C American Society of Anesthesiologists optimal goals for anesthesia care in obstetrics 959