This most modern contribution to the FAAM sequence offers a complete 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 foreign specialists it's a sensible reference for all anaesthetists and professional clinicians.
Chapter 1 Maternal alterations 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 discomfort reduction in Labour: Non?Regional (pages 79–108): Mark Scrutton
Chapter four local Analgesia and Anaesthesia (pages 109–177): Michael Paech
Chapter five normal Anaesthesia for Obstetrics (pages 178–200): Richard Vanner
Chapter 6 The Parturient with Co?Existing affliction (pages 201–238): Philippa Groves and Michael Avidan
Chapter 7 scientific Emergencies in being pregnant (pages 239–280): Caroline Grange
Chapter eight Postnatal overview (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 info for Anaesthesia for Obstetrics and Gynaecology
N E n g l J Med 1984;311:919-920. 87 Reddy BK, Pizer B, Bull PT. Neonatal serum cortisol suppression by etomidate compared with thiopentone, for elective caesarean section. E u r J Arraesrhesiol 1988;5: 17 1. 88 Basford A, Fink BR. Teratogenicity of halothane in the rat. Arresthesiology 1968;29: 1167-73. 89 Pope WDB, Halsey MJ, Lansdown ABG, et al. Fetotoxicity in rats following chronic exposure to halothane, nitrous oxide or methoxyflurane. Anesrhesiology 1978;48: 11-1 6. 90 Wharton RS, Wilson AI, Mazze RI, Baden JM, Rice S.
As the fetus is viable, detection of fetal compromise becomes increasingly important because the baby may be delivered if necessary. While general anaesthesia is required for many surgical procedures, most obstetric anaesthetists would recommend 24 MATERNAI. " During the third trimester women become particularly vulnerable to hypoxia because of the combination of increased oxygen consumption and the reduced FRC, especially in the supine position. Adequate preoxygenation and denitrogenation are crucial.
Within the first few weeks of pregnancy, the lower oesophageal barrier pressure falls. Because of this, some anaesthetists would recommend a rapid-sequence induction whenever general anaesthesia is administered to pregnant women, no matter what gestation. " Vanner and colleagues demonstrated that significant reflux is not increased in asymptomatic women during the first trimester. "" These were the two procedures that were most likely to be performed without intubation. Furthermore, rapid-sequence induction is not completely devoid of risk.
Anaesthesia for Obstetrics and Gynaecology