In recent years, we have witnessed significant advances in obstetric anesthesia, providing greater safety for the mother and the fetus, as well as an improvement in pain management procedures during labor.
This volume presents updates in obstetrics and gynecology that are reflective of the changes in the demographics and associated clinical presentations of gynecological pathologies. It compiles state of the art information on the subject in 20 chapters contributed by more than 50 experts in obstetric anesthesia. The main objective of this volume is to inform and update readers about the different aspects essential to the practice of anesthesia and analgesia during pregnancy, labor, cesarean section and puerperium. The contents also include information about the management of pregnant women with different pathologies and high-risk pregnancies.
The authors believe that it is essential for all anesthesiologists to be aware of the latest advances and well-contrasted scientific evidence that will allow them to carry out their usual clinical activity.
The volume approaches the subject in a clear and didactic way for the benefit of all professionals involved in this field, including anesthesiologists, gynecologists, obstetricians, surgeons, clinicians and allied healthcare service providers.
This volume presents updates in obstetrics and gynecology that are reflective of the changes in the demographics and associated clinical presentations of gynecological pathologies. It compiles state of the art information on the subject in 20 chapters contributed by more than 50 experts in obstetric anesthesia. The main objective of this volume is to inform and update readers about the different aspects essential to the practice of anesthesia and analgesia during pregnancy, labor, cesarean section and puerperium. The contents also include information about the management of pregnant women with different pathologies and high-risk pregnancies.
The authors believe that it is essential for all anesthesiologists to be aware of the latest advances and well-contrasted scientific evidence that will allow them to carry out their usual clinical activity.
The volume approaches the subject in a clear and didactic way for the benefit of all professionals involved in this field, including anesthesiologists, gynecologists, obstetricians, surgeons, clinicians and allied healthcare service providers.
Table of Contents
Chapter 1 Introduction- Respiratory System
- Cardiovascular Changes
- Hematological And Fluid Status Changes
- Renal Changes
- Gastrointestinal And Hepatobiliary Changes
- Neurological Changes
- Metabolic And Endocrine Changes
- Immunological Changes
- Other Changes
- Placental Physiology
- Blood Supply
- Transfer Across The Placenta
- Oxygen And Carbon Dioxide
- Drug Transfer
- Fetal Circulation
- Conclusion
- Consent For Publication
- Conflict Of Interest
- Acknowledgement
- References
- Introduction
- Safety And Quality In Obstetrics
- Strategies To Improve Quality In Obstetrics
- How About Safety In The Obstetric Field?
- Strategies To Improve Safety In Obstetrics
- The Role Of Anesthesiologist In The Safety Of The Obstetric Patient
- Simulation Training For Anesthesiologists In The Obstetrics Field 21 Competency-Based Curriculum In Anesthesia
- Improvement Technical Skills
- Improvement Non-Technical Skills
- Improvement Individual Clinical Competence
- Improvement Safety Of The Clinical Environment
- Conclusion
- Consent For Publication
- Conflict Of Interest
- Acknowledgement
- References
- I Ii Pilar Hernández Pinto, Marta López Doueil, Rodrigo Sancho Carrancho And Marta María Galnares Gómez $Guldqd&Durolqd2Ur]Fr9Lqdvfr0Yqlfd6Dq-Xdqèoyduh]And'dylg2Ur]Fr 9Lqdvfr Chapter 3 Airway Management In Pregnancy
- Introduction
- Specific Considerations Of The Obstetric Airway
- Safe General Anaesthesia In The Obstetric Patient
- Pre-Operative Evaluation
- Point-Of-Care Ultrasound (Pocus) In Pregnancy
- Gastric Contents
- Difficult Airway
- Fasting And Antacid Prophylaxis
- Planning And Preparation
- Preoxygenation
- Cricoid Pressure
- Face Mask Ventilation During Apnoea
- First Intubation Attempt
- Second Intubation Attempt
- Failed Tracheal Intubation
- Can´T Intubate, Can´T Oxygenate
- Awaken Patient Vs Continue Surgery
- Extubation
- Unanticipated Difficult Airway In Obstetric Patients
- Anticipated Difficult Airway During Obstetric General Anaesthesia
- Conclusion
- Consent For Publication
- Conflict Of Interest
- Acknowledgement
- References
- Introduction
- Physiology
- General Management In All Instances Of Fetal Surgery
- Types Of Fetal Interventions
- Minimally Invasive Interventions
- Anesthetic Management
- Open Midgestation Fetal Surgery
- Anesthetic Management
- Ex Utero Intrapartum Therapy (Exit) And Procedure Requiring Second Team In The Operating Room (Presto) Procedures
- Anesthetic Management
- Conclusion
- Consent For Publication
- Conflict Of Interest
- Acknowledgement
- References
- Eugenio D. Martinez Hurtado, Laura Reviriego Agudo, Pedro Charco Mora, Miguel Ángel Fernández Vaquero And María Gómez Rojo Marta Chacón Castillo, Natalia Martos Gisbert And Adriana Orozco Vinasco Introduction
- Regional Analgesia
- Neuraxial Analgesia
- Neuraxial Techniques
- Maintenance And Dosing Of Epidural Analgesia
- Effects Of Neuraxial Analgesia On Labour And Newborn
- Regional Blocks For Labour Analgesia
- Pudendal Nerve Block
- Paracervical Block
- Parenteral Analgesia
- Opioids
- Opioids Used In Labour Analgesia
- Ketamine
- Non-Steroidal Anti-Inflammatory Drugs (Nsaids)
- Comparison Between Different Parenteral Medications
- Conclusion
- Consent For Publication
- Conflict Of Interest
- Acknowledgement
- References
- Introduction
- Mechanism Of Action Of Local Anesthetics
- Properties And Implications Of Local Anesthetics
- Differences Between Local Anesthetics And Their Effects
- Lidocaine
- Mepivacaine
- Bupivacaine
- Levobupivacaine
- Ropivacaine
- Local Anesthetics Adjuvants
- Opioids
- Fentanyl
- Morphine
- Meperidine (Pethidine)
- Adrenaline
- Bicarbonate
- Other Local Anesthetics Additives
- Possible Doses Of Administration
- Epidural Catheter For Labor
- Combined Epidural-Spinal Technique
- Patient-Controlled/Continuous/Intermittent Perfusion
- Caesarean Section
- Local Anesthetic Systemic Toxicity (Last)
- Conclusion
- Monir Kabiri Sacramento, Javier Alcázar Esteras, Patricia Alfaro De La Torre, Sergi Boada Pie And Miriam Sánchez Merchante Patricia Alfaro De La Torre, Monir Kabiri Sacramento, Irene Riquelme Osado And Rosa Fernández García Consent For Publication
- Conflict Of Interest
- Acknowledgement
- References
- Introduction
- Regional Anesthesia For Cesarean Section
- Complications Of Regional Anesthesia
- Cardiovascular Effects
- Nausea And Vomiting
- Post-Dural Puncture Headache
- Central Nervous System Infections
- Accidental Puncture Of A Blood Vessel
- General Anesthesia For Cesarean Section
- Induction Of General Anesthesia
- Bronchoaspiration
- Maintenance Of Anesthesia
- Antibiotic Prophylaxis
- Deep Vein Thrombosis
- Acute Postoperative Pain
- Anesthetic Management For Cesarean Section In Covid-19 Patient 107 Conclusion
- Consent For Publication
- Conflict Of Interest
- Acknowledgement
- References
- Introduction
- Pain And Labor Analgesia
- Mechanism Of Pain
- Consequences Of Pain
- Labor Analgesia
- Neuraxial Obstetric Analgesia
- Indications [11, 28, 29, 31, 33]
- Contraindications [11, 28, 29, 31, 33]
- Epidural
- Local Anesthetics And Adjuvants
- Maintenance Of Analgesia
- Spinal (Intrathecal)
- Combined Spinal-Epidural Technique
- Commets On Epidural Obstetric Analgesia
- Other Therapies
- Paracervical Block
- Pudendal Block
- Conclusion
Author
- Eugenio Daniel Martinez-Hurtado
- Monica Sanjuan-Alvarez
- Marta Chacon-Castillo
