By Steve Yentis, Surbhi Malhotra
Analgesia, Anaesthesia and being pregnant specializes in pre-empting difficulties and maximising caliber of care. each bankruptcy of this well-established useful consultant has been thoroughly up to date and revised, maintaining the idea that and format of prior variations. All points of obstetric medication suitable to the anaesthetist are coated, from pre-pregnancy administration to notion, all through being pregnant, to postnatal care. Over one hundred fifty power issues are each one lined in sections: matters raised and administration suggestions, with key issues extracted into bins for speedy reference. a piece on organisational facets resembling list holding, education, protocols and guidance makes this a massive source for any labour ward or clinic facing pregnant ladies. awarded in a transparent, based layout, this functional precis could be necessary to anaesthetists at any level in their profession who come across obstetrics sufferers. additionally hugely helpful for obstetricians, neonatologists, midwives, nurses and working division practitioners wishing to increase or replace their wisdom.
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Additional resources for Analgesia, Anaesthesia and Pregnancy: A Practical Guide
16 Section 2: Pregnancy Further reading Cheek TG, Baird E. Anesthesia for nonobstetric surgery: maternal and fetal considerations. Clin Obstet Gynecol 2009; 52: 535–45. Melnick DM, Wahl WL, Dalton VK. Management of general surgical problems in the pregnant patient. Am J Surg 2004; 187: 170–80. Reitman E, Flood P. Anaesthetic considerations for non-obstetric surgery during pregnancy. Br J Anaesth 2011; 107 (Suppl 1): i72–8. g. neck tumours with airway obstruction, sacrococcygeal teratomas, obstructive uropathy and diaphragmatic hernia.
The period of risk of aspiration thus extends to a poorly defined time after delivery, and appropriate general anaesthetic management in the early postpartum period is somewhat controversial. Routine withholding of food and fluids in labour has been challenged by a number of authors, particularly those who are not anaesthetists. They point out that absolute starvation is not popular with mothers, that aspiration associated with emergency general anaesthesia nowadays is uncommon owing to the increase in use of regional anaesthesia, and that there may be risks associated with prolonged starvation.
Elsevier 2009. C2 C3 C4 T2 C5 T4 T1 C8 T10 C6 C7 T12 L1 L2 L1 S4 S3 S5 L2 L3 L3 S2 L4 L4 L5 L5 S1 S1 Futher reading Broadbent CR, Maxwell WB, Ferrie R, et al. Ability of anaesthetists to identify a marked lumbar interspace. Anaesthesia 2000; 55: 1122–6. Capogna G, Celleno D, Simonetti C, Lupoi D. Anatomy of the lumbar epidural region using magnetic resonance imaging: a study of dimensions and a comparison of two postures. Int J Obstet Anesth 1997; 6: 97–100. Harrison GR. Topographical anatomy of the lumbar epidural region: an in vivo study using computerized axial tomography.
Analgesia, Anaesthesia and Pregnancy: A Practical Guide by Steve Yentis, Surbhi Malhotra