The updated fourth edition of this comprehensive, highly respected reference covers all you need to know about obstetric anesthesia-from basic science to various anesthesia techniques to complications. The editorial team of leading authorities in the field now features Drs. Linda S. Polley, Lawrence C. Tsen, and Cynthia A. Wong and presents the latest on anesthesia techniques for labor and delivery and medical disorders that occur during pregnancy. This edition features two new chapters and rewritten versions of key chapters such as Epidural and Spinal Analgesia and Anesthesia. And, Expert Consult functionality allows you to access the entire contents of the book online.
Preface
Three decades ago, I could not decide whether I wanted to pursue a career in anesthesiology or obstetrics. So … I decided to do both. I obtained training in both specialties largely because of my love of perinatal medicine. This text is the result of my desire to prepare a comprehensive resource for all anesthesia providers (and obstetricians) who provide care for pregnant women.
In the preface to the first edition, I identified two goals: (1) to collate the most important information that anesthesia providers should know about obstetrics, and (2) to prepare a thorough and user-friendly review of anesthesia care for obstetric patients. I asked each contributor to prepare a comprehensive, scholarly discussion of the subject and also to provide clear, practical recommendations for clinical practice. As we unveil the fourth edition, those goals remain intact. Further, the fourth edition has undergone a more extensive revision than either the second or the third edition.
First, consider the cover. The maternal-fetal image draws attention to the fact that the anesthesia provider and the obstetrician provide simultaneous care for two (or more) patients – both the mother and her unborn child. As I look at that image, I am awestruck by the miraculous beauty of conception, pregnancy, and childbirth.
Second, consider the content. At least 10 chapters – including the chapters on neuraxial labor analgesia, cesarean delivery, the difficult airway, and hypertensive disorders – have been rewritten from start to finish. The three previously published chapters on neuraxial labor analgesia have been consolidated into a single chapter, as have the two previously published chapters on anesthesia for cesarean delivery. All chapters have been updated, and most chapters have undergone extensive revision. Two new chapters address the important subjects of patient safety and maternal mortality. And the fourth edition – for the first time – features a dedicated website that includes the whole content of the book and is fully searchable. The book's interior has been enhanced by the addition of a second color, which allows a better and more attractive visual presentation.
Third, consider the contributors. The fourth edition includes an astounding number of 32 new contributors! Of special significance is the addition of three outstanding new editors. I hand-picked these new editors as a result of my personal interaction with them in the preparation of previous editions of this textbook, as well as my familiarity with – and respect for – the depth and breadth of their knowledge and judgment, and the quality of their scholarship. The title page lists their academic affiliations and hospital leadership positions. In addition, Linda S. Polley, M.D., is the current President of the Society for Obstetric Anesthesiology and Perinatology (SOAP). Lawrence C. Tsen, M.D., is the President-elect of SOAP, and he also serves as Editor-in-Chief of International Journal of Obstetric Anesthesia. And Cynthia A. Wong, M.D., is the obstetric anesthesia section editor for Anesthesia and Analgesia. The addition of these extraordinary obstetric anesthesiologists to the editorial team has resulted not only in the preparation of a better product, but it also reflects the publisher's (and my own) long-term commitment to this text.
My fellow editors and I should like to acknowledge the important roles of four groups of special people. First, we should like to thank the 72 other talented and distinguished contributors to the fourth edition, as well as the contributors to previous editions of this text. Without their commitment to this project, the fourth edition would not have seen the light of day. Second, we should like to gratefully acknowledge the invaluable contributions made by our competent, loyal, and at times long-suffering assistants: Jennifer Lee and Donna Stortz (DHC); Mary Lou Greenfield (LSP); Judy Johnson (LCT); and Allison Ernt and Sean Jones (CAW). Third, we should like to acknowledge the encouragement, expertise, and attention to detail provided by the professional production team at Elsevier Mosby. And finally, we should like to thank you, the readers, not only for your support of this text through the years, but also for your ongoing commitment to the provision of safe and compassionate care for pregnant women and their unborn children.
In the preface to the first edition, I identified two goals: (1) to collate the most important information that anesthesia providers should know about obstetrics, and (2) to prepare a thorough and user-friendly review of anesthesia care for obstetric patients. I asked each contributor to prepare a comprehensive, scholarly discussion of the subject and also to provide clear, practical recommendations for clinical practice. As we unveil the fourth edition, those goals remain intact. Further, the fourth edition has undergone a more extensive revision than either the second or the third edition.
First, consider the cover. The maternal-fetal image draws attention to the fact that the anesthesia provider and the obstetrician provide simultaneous care for two (or more) patients – both the mother and her unborn child. As I look at that image, I am awestruck by the miraculous beauty of conception, pregnancy, and childbirth.Second, consider the content. At least 10 chapters – including the chapters on neuraxial labor analgesia, cesarean delivery, the difficult airway, and hypertensive disorders – have been rewritten from start to finish. The three previously published chapters on neuraxial labor analgesia have been consolidated into a single chapter, as have the two previously published chapters on anesthesia for cesarean delivery. All chapters have been updated, and most chapters have undergone extensive revision. Two new chapters address the important subjects of patient safety and maternal mortality. And the fourth edition – for the first time – features a dedicated website that includes the whole content of the book and is fully searchable. The book's interior has been enhanced by the addition of a second color, which allows a better and more attractive visual presentation.
Third, consider the contributors. The fourth edition includes an astounding number of 32 new contributors! Of special significance is the addition of three outstanding new editors. I hand-picked these new editors as a result of my personal interaction with them in the preparation of previous editions of this textbook, as well as my familiarity with – and respect for – the depth and breadth of their knowledge and judgment, and the quality of their scholarship. The title page lists their academic affiliations and hospital leadership positions. In addition, Linda S. Polley, M.D., is the current President of the Society for Obstetric Anesthesiology and Perinatology (SOAP). Lawrence C. Tsen, M.D., is the President-elect of SOAP, and he also serves as Editor-in-Chief of International Journal of Obstetric Anesthesia. And Cynthia A. Wong, M.D., is the obstetric anesthesia section editor for Anesthesia and Analgesia. The addition of these extraordinary obstetric anesthesiologists to the editorial team has resulted not only in the preparation of a better product, but it also reflects the publisher's (and my own) long-term commitment to this text.
My fellow editors and I should like to acknowledge the important roles of four groups of special people. First, we should like to thank the 72 other talented and distinguished contributors to the fourth edition, as well as the contributors to previous editions of this text. Without their commitment to this project, the fourth edition would not have seen the light of day. Second, we should like to gratefully acknowledge the invaluable contributions made by our competent, loyal, and at times long-suffering assistants: Jennifer Lee and Donna Stortz (DHC); Mary Lou Greenfield (LSP); Judy Johnson (LCT); and Allison Ernt and Sean Jones (CAW). Third, we should like to acknowledge the encouragement, expertise, and attention to detail provided by the professional production team at Elsevier Mosby. And finally, we should like to thank you, the readers, not only for your support of this text through the years, but also for your ongoing commitment to the provision of safe and compassionate care for pregnant women and their unborn children.
David H. Chestnut
Book features
- 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.
New to this edition
- Features new chapters on Patient Safety and Maternal Mortality to address the latest developments in the field and keep you current.
- Presents completely rewritten chapters on Epidural and Spinal Analgesia and Anesthesia, Anesthesia for Cesarean Section, and Hypertension Disorders, updated by new members of the editorial team-Drs. Linda S. Polley, Lawrence C. Tsen, and Cynthia A. Wong, for state-of-the-art coverage of key topics and new insights.
- Covers all the latest guidelines and protocols for safe and effective practice so you can offer your patients the very best.
- Allows you to access the entire contents of the book online, from any internet connection through Expert Consult.
Contents
Part I - Introduction
- Chapter 1 - The History of Obstetric Anesthesia
Part II - Maternal and Fetal Physiology
- Chapter 2 - Physiologic Changes of Pregnancy
- Chapter 3 - Uteroplacental Blood Flow
- Chapter 4 - The Placenta: Anatomy, Physiology, and Transfer of Drugs
- Chapter 5 - Fetal Physiology
Part III - Fetal and Neonatal Assessment and Therapy
- Chapter 6 - Antepartum Fetal Assessment and Therapy
- Chapter 7 - Anesthesia for Fetal Surgery and Other Intrauterine Procedures
- Chapter 8 - Intrapartum Fetal Assessment Therapy
- Chapter 9 - Neonatal Assessment and Resuscitation
- Chapter 10 - Fetal and Neonatal Neurologic Injury
Part IV - Foundations in Obstetric Anesthesia
- Chapter 11 - Patient Safety and Team Training
- Chapter 12 - Spinal, Epidural, and Caudal Anesthesia: Anatomy, Physiology, and Technique
- Chapter 13 - Local Anesthetics and Opioids
Part V - Anesthesia Before and During Delivery
- Chapter 14 - Nonanesthetic Drugs during Pregnancy and Lactation
- Chapter 15 - In Vitro Fertilization and Other Assisted Reproductive Technology
- Chapter 16 - Problems of Early Pregnancy
- Chapter 17 - Nonobstetric Surgery during Pregnancy
Part VI - Labor and Vaginal Delivery
- Chapter 18 - Obstetric Management of Labor and Vaginal Delivery
- Chapter 19 - Vaginal Birth after Cesarean Delivery
- Chapter 20 - The Pain of Childbirth and Its Effect on the Mother and the Fetus
- Chapter 21 - Childbirth Preparation and Nonpharmacologic Analgesia
- Chapter 22 - Systemic Analgesia: Parenteral and Inhalational Agents
- Chapter 23 - Epidural and Spinal Analgesia/Anesthesia for Labor and Vaginal Delivery
- Chapter 24 - Alternative Regional Anesthetic Techniques: Paracervical Block, Lumbar Sympathetic Block, Pudendal Nerve Block, and Perineal Infiltration
- Chapter 25 - Postpartum Tubal Sterilization
Part VII - Cesarean Delivery
- Chapter 26 - Anesthesia for Cesarean Delivery
- Chapter 27 - Postoperative Analgesia: Systemic and Local Techniques
- Chapter 28 - Postoperative Analgesia: Epidural and Spinal Techniques
Part VIII - Anesthetic Complications
- Chapter 29 - Aspiration: Risk, Prophylaxis, and Treatment
- Chapter 30 - The Difficult Airway: Risks, Prophylaxis, and Management
- Chapter 31 - Postpartum Headache
- Chapter 32 - Neurologic Complications of Pregnancy and Neuraxial Anesthesia
- Chapter 33 - Medicolegal Issues in Obstetric Anesthesia
Part IX - Obstetric Complications
- Chapter 34 - Preterm Labor and Delivery
- Chapter 35 - Abnormal Presentation and Multiple Gestation
- Chapter 36 - Fever and Infection
- Chapter 37 - Antepartum and Postpartum Hemorrhage
- Chapter 38 - Embolic Disorders
- Chapter 39 - Maternal Mortality
Part X - The Parturient with Systemic Disease
- Chapter 40 - Autoimmune Disorders
- Chapter 41 - Cardiovascular Disease
- Chapter 42 - Endocrine Disorders
- Chapter 43 - Hematologic and Coagulation Disorders
- Chapter 44 - Human Immunodeficiency Virus
- Chapter 45 - Hypertensive Disorders
- Chapter 46 - Liver Disease
- Chapter 47 - Malignant Hyperthermia
- Chapter 48 - Musculoskeletal Disorders
- Chapter 49 - Neurologic and Neuromuscular Disease
- Chapter 50 - Obesity
- Chapter 51 - Renal Disease
- Chapter 52 - Respiratory Disease in Pregnancy
- Chapter 53 - Substance Abuse
- Chapter 54 - Trauma
- Appendix A: American Society of Anesthesiologists Guidelines for Regional Anesthesia in Obstetrics
- Appendix B: Practice Guidelines for Obstetric Anesthesia
- Appendix C: Optimal Goals for Anesthesia Care in Obstetrics
- Appendix D: Online Resources for Obstetric Anesthesia Providers
Product Details
- Hardcover: 1248 pages
- Publisher: Mosby; 4 edition (April 15, 2009)
- Language: English
- ISBN-10: 0323055419
- ISBN-13: 978-0323055413