Description
Through six outstanding editions, Dr. David Chestnut's Obstetric Anesthesia has earned its reputation as the leading reference in the field. The fully revised Seventh Edition continues this tradition of excellence, offering comprehensive, user-friendly, and authoritative clinical information you need to provide optimal care to your patients. From basic science to new research and improved anesthesia techniques to the management of complications, the expert editorial team and contributing authors offer complete coverage of the physiology and pharmacology of obstetric anesthesia for both healthy and high-risk pregnancies. This updated edition remains a must-have resource for obstetric anesthesiologists and obstetricians, nurse anesthetists and anesthesiology assistants, and anesthesiology and obstetric residents and students.- Presents the latest information on anesthesia techniques for labor and delivery and the anesthesia care of women with medical disorders during pregnancy, emphasizing the treatment of the fetus and the mother as separate patients with distinct needs- Discusses key topics such as neuraxial labor analgesia, including epidural, combined spinal-epidural, and dural-puncture epidural techniques; epidural-related maternal fever; neuraxial and general anesthesia for Cesarean delivery; postoperative analgesia; anesthesia for non-obstetric procedures during pregnancy; multidisciplinary care of high-risk obstetric patients; patient safety on the labor and delivery unit; care of mothers with substance use disorders; and more- Contains new chapters on racial and ethnic disparities in obstetric anesthesia care and obstetric anesthesia in the developing world- Features extensive revisions from cover to cover, including new content on POCUS, COVID-19, enhanced recovery after Cesarean delivery, and chronic pain after childbirth- Incorporates the latest guidelines on congenital heart disease and the management of sepsis, as well as difficult airway guidelines that are specific to obstetric anesthesia practice- Offers abundant figures, tables, and boxes that illustrate the step-by-step management of a full range of clinical scenarios- Any additional digital ancillary content may publish up to 6 weeks following the publication date
Table of Contents
PART I Introduction1 The History of Obstetric AnesthesiaPART II Maternal and Fetal Physiology2 Physiologic Changes of Pregnancy3 Uteroplacental Blood Flow4 The Placenta: Anatomy, Physiology, Transfer of Drugs, and PathologyPART III Fetal and Neonatal Assessment and Therapy5 Fetal Physiology6 Antepartum Fetal Assessment and Therapy7 Anesthesia for Fetal Surgery and Other Intrauterine Procedures8 Intrapartum Fetal Assessment and Therapy9 Neonatal Assessment and Resuscitation10 Fetal and Neonatal Neurologic Injury11 Quality, Patient Safety, and Medical ErrorPART IV Foundations in Obstetric Anesthesia12 Spinal and Epidural Analgesia and Anesthesia: Anatomy, Physiology, and Technique13 Local Anesthetics and Opioids14 Racial and Ethnic Disparities in Obstetric Anesthesia Care15 Obstetric Anesthesia in Low- and Middle-Income CountriesPART V Anesthesia Before and During Pregnancy16 Pharmacology During Pregnancy and Lactation17 Problems of Early Pregnancy18 Nonobstetric Surgery During PregnancyPART VI Labor and Vaginal Delivery19 Obstetric Management of Labor and Vaginal Delivery20 Trial of Labor and Vaginal Birth After Cesarean Delivery21 The Pain of Childbirth and Its Effect on the Mother and the Fetus22 Childbirth Preparation and Nonpharmacologic Analgesia23 Systemic and Nonneuraxial Regional Labor Analgesia24 Epidural and Spinal Analgesia: Anesthesia for Labor and Vaginal Delivery25 Postpartum Tubal SterilizationPART VII Cesarean Delivery26 Anesthesia for Cesarean Delivery27 Postoperative AnalgesiaPART VIII Anesthesia Complications28 Aspiration: Risk, Prophylaxis, and Treatment29 The Difficult Airway: Risk, Assessment, Prophylaxis, and Management30 Postpartum Headache31 Neurologic Complications of Pregnancy and Neuraxial Anesthesia32 Shared Decision-Making and Informed Consent in Obstetric AnesthesiaPART IX Obstetric Complications33 Preterm Labor and Delivery34 Abnormal Presentation and Multiple Gestation35 Hypertensive Disorders36 Infection37 Antepartum and Postpartum Hemorrhage38 Embolic Disorders39 Maternal MortalityPART X The Patient With Systemic Disease40 Autoimmune Disorders41 Cardiovascular Disease42 Chronic Pain During and After Pregnancy43 Endocrine Disorders44 Hematologic and Coagulation Disorders45 Liver Disease46 Musculoskeletal Disorders47 Neurologic and Neuromuscular Disease48 Obesity49 Psychiatric Disorders50 Renal Disease51 Respiratory Disease52 Substance Use Disorders53 Trauma and Critical Care
