Improve medical outcomes for both mothers and children with this essential guide
For the first time in decades, maternal mortality rates are climbing in the United States. Factors including lack of access to prenatal care, un- or underinsured populations, rising rates of cardiovascular disease, and more combine to make pregnancy and childbirth more dangerous prospects. In this environment, the study of critical care obstetrics has never been more essential.
Critical Care Obstetrics, Seventh Edition a fully updated guide to the medical management of serious conditions in pregnancy and childbirth. Beginning with basic principles, it surveys the potential serious complications occurring in pregnancy and delivery and the techniques and procedures for maximizing patient outcomes for both pregnant people and fetuses. This clear, accessible text promises to continue the essential work of earlier editions.
Readers of the seventh edition of Critical Care Obstetrics will also find: - Detailed protocols for implementing life-saving treatments in emergencies - New chapters on topics including ECMO, antibiotics, and pneumonia - Authorship by internationally renowned experts in emergency obstetrics
Critical Care Obstetrics is ideal for working clinical obstetricians and for trainees in obstetrics and gynecology.
Table of Contents
Notes on Contributors ix
Foreword xvii
Preface xix
Part One Basic Critical Care Clinical and Surgical Principles 1
1 Epidemiology of Critical Illness in Pregnancy 3
Cande V. Ananth and John C. Smulian
2 Organizing an Obstetrical Critical Care Unit: Care without Walls 17
Lilly Y. Liu and Leslie Moroz
3 Critical Care Obstetric Nursing 33
Nan H. Troiano and Suzanne McMurtry Baird
4 Pregnancy-Induced Physiologic Alterations 49
Julian N. Robinson and Jeffrey P. Phelan
5 Maternal Blood Gas Physiology 77
Aaron B. Caughey
6 Fluid and Electrolyte Balance 95
William E. Scorza and Sharon Maynard
7 Interventional Radiology in Pregnancy 123
Arsalan Saleem, Sania Javed, Irfan Masood, and Eric M. Walser
8 Fetal Considerations in the Critically Ill Gravida 133
Jeffrey P. Phelan
9 Fetal Effects of Drugs Commonly Used in Critical Care 163
Anthony Kendle and Sarah Gloria Običan
10 Maternal-Fetal Oxygenation 189
Alfred D. Fleming and Marsha Henn
11 Cardiopulmonary Resuscitation (CPR) in Pregnancy 199
Terri-Ann Bennett and Carolyn M. Zelop
12 Neonatal Resuscitation in the Critical Care Setting 209
Jay P. Goldsmith and Gilbert I. Martin
13 Ventilator Management in Critical Illness 233
Luis D. Pacheco and Antonio F. Saad
14 Vascular Access 267
Eryn Hart, Gayle Olson, and Aristides P. Koutrouvelis
15 Nutritional Support 283
Bill Tang, Michael J. Tang, and Jeffrey P. Phelan
16 Acute Kidney Injury and Renal Replacement Therapy 291
Luis D. Pacheco and Chasey I. Omere
17 Cardiopulmonary Bypass 305
Erin G. Sreshta, Tris M. Miller, and Alexis L. McQuitty
18 ECMO in Obstetrics 323
Emily E. Naoum, Amir A. Shamshirsaz, and Luis D. Pacheco
19 Antibiotics, Antivirals, and Antifungals in Critical Care 335
Amir A. Shamshirsaz and Arthur J. Vaught
20 Noninvasive Monitoring in Critical Care 361
Sarah Rae Easter
21 Critical Care Drills in Obstetrics 381
Monica A. Lutgendorf and Shad H. Deering
22 Maternal-Fetal Transport in the High-Risk Pregnancy 397
Joshua A. Makhoul, Albert P. Sarno, Jr., and John C. Smulian
Part Two Acute Emergencies 411
23 Seizure and Status Epilepticus 413
Amir Arain and Michael W. Varner
24 Acute Spinal Cord Injury 423
Lisa R. Wenzel, Angela Vrooman, and Hunter Hammill
25 Severe Acute Asthma 443
Dharani K. Narendra and Nicola A. Hanania
26 Acute Respiratory Distress Syndrome in Pregnancy 455
Dharani K. Narendra, Munish Sharma, David Muigai, and Kalpalatha K. Guntupalli
27 The Acute Abdomen During Pregnancy 475
Ibrahim A. Hammad
28 Acute Pancreatitis 487
Anna S. Leung and Jeffrey P. Phelan
29 Pneumonia During Pregnancy (Bacterial and Viral) 503
M. Ashley Cain and Judette M. Louis
30 Acute Fatty Liver of Pregnancy 519
Ibrahim A. Hammad and T. Flint Porter
31 Disseminated Intravascular Coagulation 527
Martina Burn, Hillary Hosier, Nazli Hossain, and Michael J. Paidas
32 Endocrine Emergencies 541
Mary C. Tolcher, Heather S. Hoff, Kjersti M. Aagaard, and Jeffrey P. Phelan
33 Acute Psychiatric Conditions in Pregnancy: Critical Care Obstetrics 555
Kelly B. Zafman and Adina R. Kern-Goldberger
34 Diabetic Ketoacidosis 571
Mark A. Curran
Part Three Shock in Pregnancy 585
35 Hypovolemic Shock 587
Jerasimos Ballas and Scott Roberts
36 Blood Component Therapy and Massive Transfusion 603
Shiu-Ki R. Hui, Kjersti M. Aagaard, and Jun Teruya
37 Etiology and Management of Hemorrhage (Includes Accreta) 627
Irene A. Stafford, Karin A. Fox, Michael A. Belfort, and Gary A. Dildy
38 Septic Shock 665
Sonya S. Abdel-Razeq
39 Cardiogenic Shock 697
Martha W. F. Rac and Mary C. Tolcher
40 Anaphylactic Shock in Pregnancy 707
Richard Burwick
41 Amniotic Fluid Embolism 719
Gary A. Dildy, Michael A. Belfort, and Steven L. Clark
Part Four Medical/Surgical Management 737
42 Pregnancy-Related Stroke 739
Loralei L. Thornburg, Jamil ElFarra, and James N. Martin, Jr.
43 Cardiac Disease and Pregnancy 775
Abby Frederickson, Jordan D. Awerbach, Roxann Rokey, Michael A. Belfort, and Wayne J. Franklin
44 Anesthesia Considerations for the Critically Ill Gravida with Cardiac Disease 813
Yi Deng, Sanjna Tripathy, Lisa Mouzi Wofford, Vibha Mahendra, and Shoba Murugan
45 Thromboembolic Disease 831
Martha Pritchett Mims and Arthur J. Vaught
46 Pulmonary Hypertension in Pregnancy 849
Mohammad Zaidan and Alexander G. Duarte
47 Sickle Cell Disease and Pregnancy 869
Mark M. Udden and Iberia Romina Sosa
48 Thrombotic Thrombocytopenic Purpura, Hemolytic-Uremic Syndrome, and HELLP 883
Kelty R. Baker
49 Complications of Preeclampsia 901
Mary C. Tolcher and Kjersti M. Aagaard
50 Systemic Lupus Erythematosus and Antiphospholipid Syndrome 939
Fawzi Saoud and Maged M. Costantine
51 Trauma in Pregnancy 959
Robert Rossi, Alfredo F. Gei, Arthur J. Vaught, and James W. Van Hook
52 Thermal and Electrical Injury 987
Cornelia R. Graves
53 Overdose, Poisoning, and Envenomation during Pregnancy 995
Alfredo F. Gei, Victor R. Suarez, Arthur J. Vaught, and James W. Van Hook
54 The Organ Transplant Patient in the Obstetric Critical Care Setting 1053
Calla Holmgren and James Scott
55 Fetal Surgery Procedures and Associated Maternal Complications 1065
Eyal Krispin, Amir A. Shamshirsaz, Ahmed A. Nass, and Alireza A. Shamshirsaz
56 Cancer in the Pregnant Patient 1075
Kristin Bixel, Kenneth H. Kim, and David M. O’Malley
57 Mass Casualties and the Obstetrical Patient 1093
Lisa M. Foglia and Peter E. Nielson
58 Biological, Chemical, and Radiological Exposures in Pregnancy 1099
Lisa M. Foglia and Peter E. Nielson
Part Five Ethical and Legal Considerations 1109
59 Ethics in the Obstetric Critical Care Setting 1111
Fidelma B. Rigby
60 Medical-Legal Considerations in Critical Care Obstetrics 1137
Jeffrey P. Phelan
Index 1161
