(Ebook PDF) Chestnut’s Obstetric Anesthesia Principles and Practice 6th Edition by David Chestnut 0323848524 9780323848527 full chapters

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ISBN-10 :  0323848524 

ISBN-13 :  9780323848527

Author : David Chestnut 

Comprehensive, user-friendly, and up to date, Chestnut’s Obstetric Anesthesia: Principles and Practice, 6th Edition, provides the authoritative clinical information you need to provide optimal care to your patients. This substantially revised edition keeps you current on everything from basic science to anesthesia techniques to complications, including coverage of new research that is paving the way for improved patient outcomes. An expert editorial team ensures that this edition remains a must-have resource for obstetric anesthesiologists and obstetricians, nurse anesthetists and anesthesiology assistants, and anesthesiology and obstetric residents and students.

Chestnut’s Obstetric Anesthesia: Principles and Practice 6th Table of contents:

Part I Introduction
1 The History of Obstetric Anesthesia
James Young Simpson
Medical Objections to the Use of Ether for Childbirth
Public Reaction to Etherization for Childbirth
Opioids and Obstetrics
The Effects of Anesthesia on the Newborn
The Effects of Anesthesia on Labor
Some Lessons
Key Points
References
Part II Maternal and Fetal Physiology
Introduction
References
2 Physiologic Changes of Pregnancy
Body Weight and Composition
Cardiovascular Changes
The Respiratory System
The Gastrointestinal System
The Liver and Gallbladder
The Kidneys
Hematology
The Immune System
Nonplacental Endocrinology
The Musculoskeletal System
The Nervous System
Anesthetic Implications
Key Points
References
3 Uteroplacental Blood Flow
Anatomy and Structure
Changes and Function During Pregnancy
Mechanisms of Vascular Changes and Regulation
Methods of Measurement of Uteroplacental Blood Flow
Neuraxial Anesthesia
General Anesthesia
Effects of Other Drugs and Interventions
Key Points
References
4 The Placenta
Anatomy
Physiology
Drug Transfer
Placental Pathology
Key Points
References
5 Fetal Physiology
Fetal Environment
Fetal Cardiovascular System
Fetal Pulmonary System
Fetal Renal System
Fetal Hematologic System
Fetal Gastrointestinal System
Fetal Nervous System
Key Points
References
Part III Fetal and Neonatal Assessment and Therapy
Introduction
References
6 Antepartum Fetal Assessment and Therapy
Prenatal Care in Low-Risk Pregnancies
Prenatal Care in High-Risk Pregnancies
Special Techniques for Antepartum Fetal Surveillance
Special Circumstances Requiring Additional Fetal Surveillance
Fetal Therapy
Key Points
References
7 Anesthesia for Fetal Surgery and Other Intrauterine Procedures
Indications and Rationale for Fetal Surgery
Surgical Benefits and Risks
Anesthetic Management
The Future of Fetal Therapy
Key Points
References
8 Intrapartum Fetal Assessment and Therapy
Fetal Risk during Labor
Intrapartum Fetal Assessment
Intrapartum Fetal Therapy
Key Points
References
9 Neonatal Assessment and Resuscitation
Transition From Intrauterine to Extrauterine Life
Antenatal Assessment
Neonatal Assessment
Neonatal Resuscitation
Special Resuscitation Circumstances
Ethical Considerations
Neurobehavioral Testing
Key Points
References
10 Fetal and Neonatal Neurologic Injury
Fetal Brain Development
Cerebral Palsy
Pathophysiology of Fetal Asphyxia
Fetal and Neonatal Assessment
Anesthesia and Brain Injury
Neuroprotective Therapies
Key Points
References
Part IV Foundations in Obstetric Anesthesia
Introduction
References
11 Patient Safety and Team Training
Patient Safety and Medical Errors
Teams and Teamwork
Key Points
References
12 Spinal, Epidural, and Caudal Anesthesia
Anatomy
Physiology
Technique
Epidural Test Dose
Choice of Drug
Complications of Neuraxial Techniques
Teaching Neuraxial Anesthesia Procedures
Key Points
References
13 Local Anesthetics and Opioids
Local Anesthetics
Opioids
Adjuvants
Key Points
References
Part V Anesthesia before and during Pregnancy
Introduction
References
14 Pharmacology during Pregnancy and Lactation
Changes in Drug Disposition and Effect
Drug Use during Pregnancy
Drug Use During Lactation
Key Points
References
15 In Vitro Fertilization and Other Assisted Reproductive Technology
Assisted Reproductive Technology Procedures
Success of Assisted Reproductive Technology
Obstetric Complications
Effects of Anesthesia on Reproduction
Anesthetic Management
Future Considerations
Key Points
References
16 Problems of Early Pregnancy
Physiologic Changes of Early Pregnancy
Ectopic Pregnancy
Early Pregnancy Loss, Abortion, and Intrauterine Fetal Demise
Cervical Insufficiency or Incompetence
Gestational Trophoblastic Disease
Hyperemesis Gravidarum
Corpus Luteum Cysts
Key Points
References
17 Nonobstetric Surgery during Pregnancy
Maternal Physiology: Anesthetic Implications
Fetal Considerations
Practical Considerations
Key Points
References
Part VI Labor and Vaginal Delivery
Introduction
References
18 Obstetric Management of Labor and Vaginal Delivery
The Process of Labor and Delivery
Labor Progress: Five Management Questions
Special Situations
Key Points
References
19 Trial of Labor and Vaginal Birth after Cesarean Delivery
Primary Cesarean Delivery: Choice of Uterine Incision
Maternal and Neonatal Outcomes
Eligibility and Selection Criteria
Professional Society Practice Guidelines
Obstetric Management
Anesthetic Management
Key Points
References
20 The Pain of Childbirth and Its Effect on the Mother and the Fetus
Measurement and Severity of Labor Pain
Personal Significance and Meaning
Anatomic Basis
Neurophysiologic Basis
Effect on the Mother
Effect on the Fetus
Summary
Key Points
References
21 Childbirth Preparation and Nonpharmacologic Analgesia
Pain Perception
Childbirth Preparation
Nonpharmacologic Analgesic Techniques
Implications for Anesthesia Providers
Key Points
References
22 Systemic Analgesia
Parenteral Opioid Analgesia
Intermittent Bolus Parenteral Opioid Analgesia
Patient-Controlled Analgesia
Opioid Antagonists
Opioid Adjuncts and Sedatives
Inhalational Analgesia
Key Points
References
23 Epidural and Spinal Analgesia: Anesthesia for Labor and Vaginal Delivery
Preparation for Neuraxial Analgesia
Initiation of Epidural Analgesia
Initiation of Spinal Analgesia
Maintenance of Analgesia
Analgesia/Anesthesia for Vaginal Delivery
Side Effects of Neuraxial Analgesia
Complications of Neuraxial Analgesia
Effects of Neuraxial Analgesia on the Progress of Labor
Effects of Neuraxial Analgesia on the Fetus and Neonate
Conclusions and Recommendations
Key Points
References
24 Alternative Regional Analgesic Techniques for Labor and Vaginal Delivery
Paracervical Block
Lumbar Sympathetic Block
Pudendal Nerve Block
Perineal Infiltration
Key Points
References
25 Postpartum Tubal Sterilization
American Society of Anesthesiologists Guidelines
Surgical Considerations
Nonmedical Issues
Preoperative Evaluation
Risk for Aspiration
Anesthetic Management
Postoperative Analgesia
Key Points
References
Part VII Cesarean Delivery
Introduction
References
26 Anesthesia for Cesarean Delivery
History
Indications
Operative Technique
Morbidity and Mortality
Prevention of Cesarean Delivery
Preparation for Anesthesia
Anesthetic Technique
Recovery From Anesthesia
Anesthetic Complications
Obstetric Complications
Key Points
References
27 Postoperative Analgesia
Pain After Cesarean Delivery
Systemic Analgesia
Neuraxial Analgesia
Non-Neuraxial Regional Analgesic Techniques
Key Points
References
Part VIII Anesthetic Complications
Introduction
References
28 Aspiration
History
Incidence, Morbidity, and Mortality
Gastroesophageal Anatomy and Physiology
Risk Factors for Aspiration Pneumonitis
Pathophysiology
Clinical Course
Treatment
Prophylaxis
Recommendations for Cesarean Delivery
Oral Intake During Labor
Key Points
References
29 The Difficult Airway
Risk
Airway Assessment
Prophylaxis
Management
The Unanticipated Difficult Airway
Extubation of the Patient With A Difficult Airway
Key Points
References
30 Postpartum Headache
Differential Diagnosis of Postpartum Headache
Post–Dural Puncture Headache
Unanswered Questions
Key Points
References
31 Neurologic Complications of Pregnancy and Neuraxial Anesthesia
The Incidence of Neurologic Sequelae
Peripehral Nerve Palsies
Postpartum Bladder Dysfunction
Central Nervous System Lesions
Risk Management and Follow-Up
Key Points
References
32 Shared Decision-Making and Communication
Informed Consent and Shared Decision-Making
Decision Making in Obstetric Anesthesia
Team-Based Communication
Unanticipated Outcomes and Medical Errors
Key Points
References
Part IX Obstetric Complications
Introduction
References
33 Preterm Labor and Delivery
Definitions
Neonatal Mortality
Neonatal Morbidity
Preterm Labor
The Preterm Infant
Anesthetic Management
Interactions between Tocolytic Therapy and Anesthesia
Key Points
References
34 Abnormal Presentation and Multiple Gestation
Abnormal Position
Breech Presentation
Other Abnormal Presentations
Mutliple Gestation
Key Points
References
35 Hypertensive Disorders
Classification of Hypertensive Disorders
Preeclampsia
Eclampsia
Key Points
References
36 Infection
Fever
Infections in Pregnant Women
Sepsis and Septic Shock
Neuraxial Anesthesia in the Febrile or Infected Patient
Genital Herpes Infection
Human Immunodeficiency Virus
Emerging Global Illness
Key Points
References
37 Antepartum and Postpartum Hemorrhage
Mechanisms of Hemostasis
Antepartum Hemorrhage
Postpartum Hemorrhage
Team Response to Hemorrhage
Transfusion Therapy
Key Points
References
38 Embolic Disorders
Thromboembolic Disorders
Amniotic Fluid Embolism
Venous Air Embolism
Key Points
References
39 Maternal Mortality
Global Maternal Mortality
Maternal Mortality in the Developed World
Key Points
References
Part X The Parturient with Systemic Disease
Introduction
References
40 Autoimmune Disorders
Systemic Lupus Erythematosus
Antiphospholipid Syndrome
Systemic Sclerosis (Scleroderma)
Polymyositis and Dermatomyositis
Key Points
References
41 Cardiovascular Disease
Cardiovascular Physiologic Changes of Pregnancy
Cardiac Examination during Pregnancy
Cardiac Risk Prediction
Cardiovascular Imaging during Pregnancy
Cardiac Drugs and Pregnancy
Aortic Diseases and Aortic Dissection
Congenital Heart Disease
Pulmonary Hypertension
Infective Endocarditis
Implantable Cardiac Devices
Adult Arrhythmias
Myocardial Infarction
Valvular Heart Disease
Cardiomyopathies
Pericardial Disease
Cardiopulmonary Resuscitation during Pregnancy
Pregnancy after Heart Transplantation
Cardiopulmonary Bypass during Pregnancy
Key Points
References
42 Chronic Pain during and after Pregnancy
Predictors of Chronic Pain After Childbirth
Common Chronic Pain Conditions in Pregnant Women
Management of Chronic Pain During Pregnancy
Management of Intractable Pain After Delivery
Key Points
References
43 Endocrine Disorders
Diabetes Mellitus
Thyroid Disorders
Pheochromocytoma
Key Points
References
44 Hematologic and Coagulation Disorders
Anemia
Coagulation
Thrombocytopenic Coagulopathies
Congenital Coagulopathies
Acquired Coagulopathies
Neuraxial Anesthesia in the Patient With Coagulopathy
Hypercoagulable States
Key Points
References
45 Liver Disease
Liver Diseases
Liver Function and Dysfunction
Liver Surgery
Anesthetic Considerations
Key Points
References
46 Malignant Hyperthermia
Epidemiology
Pathophysiology
Genetics
Triggers
Clinical Presentation
Diagnosis
Testing
Pregnancy and Malignant Hyperthermia
Management of the Malignant Hyperthermia–Susceptible Parturient
Assessment of Hyperthermia and Tachycardia
Treatment
Dantrolene in Pregnancy
Key Points
References
47 Musculoskeletal Disorders
Lumbopelvic Pain of Pregnancy
Chronic Low Back Pain
Postpartum Backache
Scoliosis
Chronic Inflammatory Arthritides
Spinal Dysraphism
Achondroplasia
Osteogenesis Imperfecta
Key Points
References
48 Neurologic and Neuromuscular Disease
Multiple Sclerosis
Headache During Pregnancy
Spinal Cord Injury
Myasthenia Gravis
Epilepsy
Myotonia and Myotonic Dystrophy
Muscular Dystrophy
The Phakomatoses (Neurocutaneous Syndromes)
Acute Idiopathic Polyneuritis (Guillain-Barré Syndrome)
Poliomyelitis
Brain Neoplasms
Idiopathic Intracranial Hypertension
Maternal Hydrocephalus With Shunt
Intracerebral Hemorrhage
Cerebral Vein Thrombosis
Motor Neuron Disorders
Isolated Mononeuropathies During Pregnancy
Key Points
References
49 Obesity
Physiologic Changes of Obesity
Comorbidities Associated With Obesity
Impact of Obesity on Pregnancy
Anesthetic Management
Postoperative Complications
Postoperative Care
Key Points
References
50 Psychiatric Disorders
Classification
Epidemiology
Mood Disorders
Anxiety Disorders
Feeding and Eating Disorders
Schizophrenia Spectrum and Other Psychotic Disorders
Other Disorders
Management of Psychiatric Disorders in Pregnancy
Key Points
References
51 Renal Disease
Physiologic Changes in Pregnancy
Renal Parenchymal Disease
Acute Kidney Injury
Renal Transplantation
Urolithiasis
Key Points
References
52 Respiratory Disease
Asthma
Cigarette Smoking
Cystic Fibrosis
Respiratory Failure
Key Points
References
53 Substance Use Disorders
Drug Detection
Licit Substances
Illicit Substances and Misuse of Medications
Key Points
References
54 Trauma and Critical Care
Trauma During Pregnancy
Critical Care During Pregnancy
Key Points

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