Pharmacology, Physiology, and Practice of Obstetric Anesthesia provides all the essentials of obstetric anesthesia in a straightforward, user-friendly format that avoids encyclopedic language and lengthy discussions, and is inclusive of other healthcare specialties and sub-specialties including obstetrics, neonatal care, and more. Coverage spans the essentials of obstetric as well as overlooked issues including obstetric pharmacology and physiology safe practice strategies, clinical concepts for vaginal delivery and c-section, high-risk pregnancy states and management of the complicated parturient, complications and medicolegal, fetus and newborn considerations, and guidelines, standards and statements related to obstetric anesthesia. Pharmacology, Physiology, and Practice of Obstetric Anesthesia is the perfect reference for an interdisciplinary group of health professionals, policymakers, and researchers working and training in the field of obstetric anesthesiology.
Table of Contents
Part 1: Obstetric Pharmacology, Physiology and Safe Practice Strategies 1. Physiological maternal adaptive changes during pregnancy, e.g., alterations of endometrium and decidua, menstruation, placenta, fetal membranes, placental hormones, morphological and functional fetal development 2. Anatomy of the reproductive tract, including the placenta, uteroplacental circulation, anatomy, transfer of drugs and respiratory gas exchange 3. Obstetric anesthesia and uterine blood flow 4. Perinatal pharmacology 5. Parturient anesthesia assessment and evaluation 6. Point of Care coagulation testing for obstetric hemorrhage 7. How to create a maintain a safe and efficient obstetric anesthesia practice Part 2: Clinical Concepts of Obstetrics and Anesthesia for Vaginal Delivery and C-Section 8. Obstetric anesthesia consultation 9. Obstetric management of labor and delivery, including preoperative assessment and basic standards for pre-anesthesia care 10. Fetal assessment and physiology 11. Opioid analgesics in labor 12. Mechanisms of labor pain and anesthesia in healthy patients 13. Non-opioid analgesia 14. Non-pharmacologic and alternative management of labor and delivery 15. Local anesthetics and adjuvants in healthy obstetric patients 16. Epidural anatomy and epidural anesthesia for labor and C-section Part 3: Neuraxial Analgesia for Labor and C-section 17. Neuraxial analgesia and anesthesia for vaginal delivery 18. Neuraxial analgesia for caesarean delivery 19. General anesthesia for normal, uncomplicated C-sections: indications and strategies 20. Airway management of the pregnant patient for labor and C-section 21. Postoperative anesthesia management for postoperative C-section including (TAP block) 22. Postoperative sterilization surgery and anesthesia considerations 23. Anesthesia for assisted reproductive techniques Part 4: High-Risk Pregnancy States: Evaluation and Management of the Complicated Parturient 24. Anesthesia considerations for pregnant cardiac patients 25. Anesthesia considerations for pregnant patients with lung disease 26. Anesthesia considerations for diabetic mellitus patients and other endocrine disorders 27. Anesthesia considerations for patients with neurologic disorders in pregnancy 28. Anesthesia considerations for fetal growth restriction, and macrosomia in pregnancy 29. Anesthesia considerations for pregnant patients with morbid obesity and neoplasm 30. Anesthesia considerations for patients with substance abuse or psychiatric disorders 31. Anesthesia considerations for patients with renal, hematologic, connective tissue, and immunologic diseases 32. Anesthesia considerations for patients with spine surgery 33. Anesthesia considerations for patients with COVID-19 34. Anesthesia considerations for patients with preeclampsia 35. Anesthesia considerations for patients with infections, HIV, and sexually transmitted diseases 36. Anesthesia considerations with multiple births and fetal malpresentation 37. Anesthesia considerations for vaginal birth after C-section, and for abnormalities of the reproductive tract 38. Anesthesia considerations for non-obstetric surgery during pregnancy 39. Anesthesia considerations for rare obstetric procedures: cerclage placement, external cephalic version, fetal intrauterine procedures Part 5: Obstetric Complications 40. Peripartum hemorrhage and maternal resuscitation 41. Trauma and critical care during pregnancy 42. Postdural puncture headaches 43. Fetal and neonatal assessment of complications and injuries (including abnormal labor), e.g., dystocia abnormalities of expulsive forces, abnormal presentation, position and development, and pelvic contraction 44. Hypotension and hypertension management 45. Pulmonary aspiration and interventions to reduce aspiration 46. Amniotic fluid embolism 47. Intraamniotic infection 48. Preterm birth 49. Neurologic complications from regional anesthesia and general anesthesia in obstetric practice 50. Anesthesia-related morbidity and mortality (both intraoperative and postoperative) as well as extremes of reproductive life and abortion 51. Anesthesia for fetal surgery 52. Obstetric anesthesia and medicolegal/ethical issues Part 6: Fetus and Newborn Considerations 53. Fetal evaluation, including the premature fetus and the compromised fetus 54. Fetal and neonatal complications and treatment, including resuscitation 55. Diagnosis and treatment of fetal/newborn asphyxia and respiratory failure 56. Retrolental fibroplasia and anesthesia 57. Long-term effects of anesthetics on the fetal and neonate
Authors
Alan D. Kaye LSU School of Medicine. Aaron J. Kaye Wake Anesthesia, USA.Dr. Aaron Joshua Kaye, MD attended and graduated from Stanford University in Palo Alto, California and the Medical University of South Carolina in Charleston, South Carolina. He completed his anesthesia residency at the Medical University of South Carolina in Charleston, South Carolina and is in private practice with Wake Anesthesia in Raleigh, North Carolina.
