Controversies in Obstetric Anesthesia and Analgesia

by Edited by Ian McConachie

• ISBN13: 9780521171830
• ISBN10: 0521171830
• Edition: 1st
• Format: Paperback
• Copyright: 2012-01-09
• Publisher: Cambridge University Press

Summary

The provision of anesthesia during childbirth still generates considerable debate; opinions vary widely within the obstetric anesthesia community over issues such as the effect of anesthetic drugs on the fetal brain and the choice between different epidural techniques. Controversies in Obstetric Anesthesia and Analgesia debates these and other clinical management controversies encountered in daily practice, providing practical advice on how to manage each clinical problem. This concise, practical text is designed to provide rapid access to key information on both diagnosis and treatment, presenting each side of the debate in a clear discussion. Key references and suggestions for further reading are also provided. Written by a team of international practitioners working with and caring for high risk obstetric patients, Controversies in Obstetric Anesthesia and Analgesia is an invaluable resource for trainees and practitioners in anesthesia, obstetrics and critical care medicine.

Author Biography

Ian McConachie is Associate Professor of Anesthesia and Perioperative Medicine at the University of Western Ontario, Canada.

Table of Contents

Foreword	p. vii
Preface	p. ix
List of contributors	p. x
Substance abuse in pregnancy	p. 1
Cardiac disease in pregnancy	p. 16
Hemodynamic management of pre-eclampsia and eclampsia	p. 38
Management of major obstetric hemorrhage	p. 56
Anesthetic drugs and the developing fetal brain	p. 72
Ultrasound guidance for epidural anesthesia	p. 86
Combined spinal-epidural anesthesia and continuous spinal anesthesia	p. 100
Coagulation and regional anesthesia	p. 113
Air vs. normal saline for the loss of resistance technique during epidural insertion	p. 122
Ambulatory and patient-controlled epidural analgesia	p. 131
Hypotension following spinal anesthesia	p. 140
Prevention and management of postdural puncture headache	p. 154
Epidurals and outcome	p. 164
Epidural and intrathecal opiates and outcome	p. 176
Remifentanil infusions and patient-controlled analgesia	p. 186
Nitrous oxide	p. 196
Fasting and aspiration prophylaxis in labor and for cesarean section	p. 207
Controversies surrounding airway management and cesarean delivery	p. 215
Oxygen supplementation for cesarean section	p. 229
Oxytocin use and dosage during cesarean section	p. 238
Analgesia post cesarean section	p. 246
Index	p. 258
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