Evidence-based Obstetric Anesthesia

by Halpern, Stephen H.; Douglas, M. Joanne

• ISBN13: 9780727917348
• ISBN10: 072791734X
• Edition: 1st
• Format: Hardcover
• Copyright: 2005-08-12
• Publisher: BMJ Books

Summary

This is the first text to systematically review the evidence for obstetric anesthesia and analgesia.Evidence-based practice is now being embraced worldwide as a requirement for all clinicians; in the everyday use of anesthesia and analgesia for childbirth, anesthetists will find this synthesis of the best evidence an invaluable resource to inform their practice.Contributions from anesthetic specialists trained in the skills of systematic reviewing provide a comprehensive and practical guide to best practice in normal and caesarean section childbirth.This book, coming from one of the world's leading obstetric centers and the cradle of evidence-based medicine, is a much needed addition to the obstetric anesthesia literature.

Author Biography

Stephen H Halpern, Director of Obstetrical Anaesthesia, Sunnybrook and Women's College Health Sciences Center, University of Toronto, Toronto, ON, Canada

M Joanne Douglas, Clinical Professor, Department of Anaesthesia, University of British Columbia and British Columbia's Women's Hospital, Vancouver, BC, Canada

Table of Contents

Contributors,	vii
Preface,	ix
Acknowledgments,	xi
Part 1: Analgesia for normal labor,	1	(86)
1 Consent for obstetric analgesia and anesthesia,	3	(7)
M. Joanne Douglas
2 Epidural analgesia and the progress of labor,	10	(13)
Barbara L. Leighton & Stephen H. Halpern
3 Maintenance of epidural analgesia for labor - continuous infusion or patient controlled,	23	(7)
Stephen H. Halpern
4 The use of transcutaneous electrical nerve stimulation for labor pain,	30	(8)
Carolyn F. Weiniger
5 Is nitrous oxide an effective analgesic for labor? A qualitative systematic review,	38	(18)
Jean E. Kronberg & Dorothy E.A. Thompson
6 Choice of local anesthetic for labor and delivery - bupivacaine, ropivacaine and levobupivacaine,	56	(12)
Stephen H. Halpern
7 Intrathecal opioids in labor - do they increase the risk of fetal bradycardia?,	68	(9)
Chahé Mardirosoff & Martin R. Tramèr
8 Epidural catheter design and the incidence of complications,	77	(10)
Margaret Srebrnjak & Stephen H. Halpern
Part 2: Anesthesia for cesarean section,	87	(76)
9 The effect of increasing central blood volume to decrease the incidence of hypotension following spinal anesthesia for cesarean section,	89	(12)
Pamela J. Morgan
10 The use of vasopressors for the prevention and treatment of hypotension secondary to regional anesthesia for cesarean section,	101	(7)
Stephen H. Halpern & Michelle Chochinov
11 Is regional anesthesia safer than general anesthesia for cesarean section?,	108	(24)
Yehuda Ginosar, Ian F. Russell & Stephen H. Halpern
12 Prevention and treatment of side-effects of neuraxial opioids,	132	(20)
Niall L. Purdie & Martin van der Vyver
13 Multimodal analgesia following cesarean section: Use of non-steroidal anti-inflammatory drugs combined with neuraxial opioids,	152	(11)
Pamela Angle & Kamal Hussain
Part 3: Complications of obstetric anesthesia,	163	(74)
14 The use of neuraxial anesthesia in parturients with thrombocytopenia: What is an adequate platelet count?,	165	(13)
M. Joanne Douglas
15 A rational approach to aspiration prophylaxis,	178	(14)
Geraldine O'Sullivan, Darren Hart & Andrew Shennan
16 Postdural puncture headache,	192	(16)
Peter T-L. Choi & Stefan Lucas
17 Epidural analgesia and back pain,	208	(9)
Terrance W. Breen
18 Analgesia for external cephalic version,	217	(8)
William Wight
19 Is there a difference between the obstetric and non-obstetric airway?,	225	(12)
Eric Goldszmidt
Appendix: Jadad scale for reporting randomized controlled trials,	237	(2)
Index,	239