This newest contribution to the FAAM sequence presents a finished and recent dialogue of anaesthetic administration in being pregnant, in the course of supply, and in sufferers present process gynaecological surgical procedure. With authoritative contributions from overseas specialists it's a sensible reference for all anaesthetists and professional clinicians.
Chapter 1 Maternal adjustments in being pregnant (pages 1–29): James Eldrtdge
Chapter 2 the consequences of Anaesthesia and Analgesia at the child (pages 30–78): Jackie Porter
Chapter three soreness aid in Labour: Non?Regional (pages 79–108): Mark Scrutton
Chapter four neighborhood Analgesia and Anaesthesia (pages 109–177): Michael Paech
Chapter five basic Anaesthesia for Obstetrics (pages 178–200): Richard Vanner
Chapter 6 The Parturient with Co?Existing disorder (pages 201–238): Philippa Groves and Michael Avidan
Chapter 7 clinical Emergencies in being pregnant (pages 239–280): Caroline Grange
Chapter eight Postnatal evaluation (pages 281–302): Robin Russell
Chapter nine Anaesthesia for Gynaecological surgical procedure (pages 303–345): Kym Osborn and Scott Simmons
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Additional resources for Anaesthesia for Obstetrics and Gynaecology
Lo'l~l'll Because intracranial pathology is relatively common during pregnancy, neurosurgery is actually performed surprisingly frequently. "" Neuroanaesthetists often use mild hyperventilation to control intracranial pressure. Because a pregnant woman is already hypocapnic, arterial carbon dioxide partial pressure has to be reduced further to reduce intracranial pressure. Such hyperventilation impairs uterine blood flow, shifts the oxyhaemoglobin dissociation curve to the left and reduces fetal oxygenation.
28 Deckardt R, Fembacher I’M, Schneider KTM, Graeff H. Maternal arterial oxygen saturation during labor and delivery: pain-dependent alterations and effects on the newborn. Obstet Gynecol 1987;70:21-5. 29 Porter JS, Bonello E, Reynolds F. The effect of epidural opioids on maternal oxygenation during labour and delivery. Anaesthesia 1996;51:899-903. 30 Bassey 00. Pregnancy heartburn in Nigerians and Caucasians with theories about aetiology based on manometric recordings from the oesophagus and stomach.
Laryngeal oedema associated with pre-eclamptic toxaemia. Anaestheszu 1977;32:556-8. 75 Reynolds F, Knott C . Pharmacokinetics in pregnancy and placental drug transfer. Oxford Rev Reprod Biol 1989;11:389449. 76 Dean M, Stock B, Patterson RJ, Levy G. Serum protein binding of drugs during and after pregnancy in humans. Clin Phamzacol Therapeut 1980;28:253-6 1. 28 MAI'ERNAL CHANGES IN PREGNANCY 77 Flynn RJ, Moore J, Dwyer R, Duly E, Dundee JW. Changes in alpha 1 acid glycoprotein during labor. Anesth Analg 1988;67:s61.