Ebook A practical approach to obstetric anesthesia (2/E): Part 1

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Names:Baysinger,CurtisL.,editor.|Bucklin,BrendaA.,editor.|
Gambling,DavidR.,editor.
Title:Apracticalapproachtoobstetricanesthesia/editors,CurtisL.
Baysinger,BrendaA.Bucklin,DavidR.Gambling.
Description:2ndedition.|Philadelphia:WoltersKluwerHealth,[2016]|

PrecededbyApracticalapproachtoobstetricanesthesia/editors,Brenda
A.Bucklin,DavidR.Gambling,DavidWlody.c2009.|Includes
bibliographicalreferencesandindex.
Identifiers:LCCN2015046281|ISBN9781469882864
Subjects:|MESH:Anesthesia,Obstetrical|PregnancyComplications|Labor,
Obstetric
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Dedication
TothememoryofDr.GeraldineO’Sullivan


Preface
APRACTICALAPPROACHTOOBSTETRICANESTHESIA,2NDEDITION
Thereiscertainlynoshortageofobstetricanesthesiatextscurrentlyavailable,
fromintroductoryhandbookstoencyclopedictreatises.Whathasbeenlackingis
abookthatstraddlesthemiddlegroundbetweenthoseextremes,abookthat
wouldservetosupplybothexperiencedandnoviceclinicianswithguidancefor
managingroutineandcomplicatedparturients,aswellasprovidingan
explanationofthephysiologicandpharmacologicprinciplesunderlyingclinical
care.WethinkthatAPracticalApproachtoObstetricAnesthesiahasachieved
thisgoalbyassemblingandreviewingthemostup-to-dateinformationrelevant
tothepracticeofobstetricanesthesiology.
Thebookisaportableuser-friendlyreferencethatgiveseasy-to-followguidance
inanoutlineformat.Thetableofcontentsisdividedintosixsections:
PharmacologyandPhysiology,AntepartumConsiderations,LaborandDelivery,
PostpartumIssues,DiseaseStates,andGuidelinesfromNationalOrganizations.
Thebookcontains33chaptersthathavebeenorganizedwithinaparticular
section.Keypointsarenotedatthebeginningofeachchapter.ClinicalPearlsare
embeddedwithinthetext.Eachchapteralsocontainsalistofcurrentand
relevantreferences.Theuseofcolorinthiseditionhighlightsimportantsections
toimprovereadability.
Thisbookwouldnothavebeenpossiblewithoutthecommitmentandhardwork
ofmorethan40contributorsaswellastheproductionstaffatWoltersKluwer.


Acknowledgments

IwouldliketodedicatethisbooktothememoryofSolShnider,whostartedme
onmycareerinobstetricanesthesia;tomyparents,RoyandMaryLee,whose
resourcesandencouragementhelpedmakemycareerinmedicineareality;to
mychildren,CharlesandKatherine,whohavehonoredmebypursuingcareers
asphysicians;andtomywifeMary,whoseloveandsupportIreceivedaily.
CurtisL.Baysinger
Iwouldliketodedicatethisbooktomyhusband,Uli,myparents,andallofthe
learnerswhostudyobstetricanesthesiology.
BrendaA.Bucklin
Iwouldliketoacknowledgetwoimportantmentors,ProfessorGraham
McMorlandandProfessorJoanneDouglas,whofacilitatedmyunderstandingof
obstetricanesthesia.IdedicatethisbooktothememoryofmyfatherGordonand
toacknowledgetheloveandsupportofmywifeKimberley;mychildren
Carwyn,Jake,andSamantha;andmymotherSadie.
DavidR.Gambling


Contributors
BryanS.Ahlgren,DO
AssistantProfessor
UniversityofColoradoSchoolofMedicine
Aurora,Colorado
MrinaliniBalki,MB,BS;MD
AssociateProfessor
UniversityofToronto
DepartmentofAnesthesiaandPainManagement
DepartmentofObstetricsandGynaecology
MountSinaiHospital
Toronto,Ontario,Canada
CurtisL.Baysinger,MD

ProfessorofAnesthesiology
DivisionofObstetricAnesthesia
DepartmentofAnesthesiology
VanderbiltUniversitySchoolofMedicine
Nashville,Tennessee
YaakovBeilin,MD
ProfessorofAnesthesiologyandObstetrics
GynecologyandReproductiveScience
ViceChairforQuality
DepartmentofAnesthesiology
Director,ObstetricAnesthesiology
IcahnSchoolofMedicineatMountSinai
NewYork,NewYork
JessicaBooth,MD
AssistantProfessor


DepartmentofAnesthesiology
WakeForestSchoolofMedicine
Winston-Salem,NorthCarolina
JamesP.R.Brown,MBChB(Hons),MRCP,FRCA
ConsultantAnesthesiologist,ClinicalInstructor
AnesthesiaFellow
BCWomen’sHospital&HealthCentre
Vancouver,BritishColumbia,Canada
BrendaA.Bucklin,MD
ProfessorofAnesthesiology
AssistantDean,ClinicalCoreCurriculum
UniversityofColoradoSchoolofMedicine
Aurora,Colorado

WilliamCamann,MD
Director,ObstetricAnesthesiaService
BrighamandWomen’sHospital
AssociateProfessor
HarvardMedicalSchool
Boston,Massachusetts
ChristopherR.Cambic,MD
AssistantProfessor
DepartmentofAnesthesiology
NorthwesternUniversityFeinbergSchoolofMedicine
Chicago,Illinois
LaurieA.Chalifoux,MD
AssistantProfessorofAnesthesiology
NorthwesternUniversityFeinbergSchoolofMedicine
Chicago,Illinois
DebnathChatterjee,MD
AssociateProfessorofAnesthesiology


Children’sHospitalColorado/UniversityofColoradoSchoolofMedicine
Aurora,Colorado
MaryDiMiceli-Zsigmond,MD
AssistantProfessorofAnesthesiology
VanderbiltUniversitySchoolofMedicine
Nashville,Tennessee
M.JoanneDouglas,MD,FRCPC,CM
ClinicalEmeritusProfessor
DepartmentofAnesthesiology
PharmacologyandTherapeutics
UniversityofBritishColumbia

ConsultantAnesthesiologist
BCWomen’sHospital&HealthCentre
Vancouver,BritishColumbia,Canada
LiorDrukker,MD
Lecturer
DepartmentofObstetricsandGynecology
ShaareZedekMedicalCenter
HebrewUniversityMedicalSchool
Jerusalem,Israel
SharonEinav,MSc,MD
DirectorofSurgicalIntensiveCare
ShaareZedekMedicalCentre
ProfessorofIntensiveCareMedicine
HebrewUniversitySchoolofMedicine
Jerusalem,Israel
TammyY.Euliano,MD
ProfessorofAnesthesiologyandObstetrics&Gynecology
UniversityofFloridaCollegeofMedicine
Gainesville,Florida


RoshanFernando,MB,BCh,FRCA
ConsultantAnesthetist
UniversityCollegeLondonHospitalsNHSFoundationTrust
London,UnitedKingdom
MichaelFrölich,MD,MS
ProfessorofAnesthesiology
UniversityofAlabamaatBirmingham
Birmingham,Alabama
RobertR.Gaiser,MD,MSEd

ProfessorofAnesthesiologyandCriticalCare
HospitaloftheUniversityofPennsylvania
Philadelphia,Pennsylvania
DavidR.Gambling,MB,BS;FRCPC
StaffAnesthesiologist
SharpMaryBirchHospitalforWomenandNewborns
ClinicalProfessor(Voluntary)
DepartmentofAnesthesiology
UniversityofCaliforniaSanDiego(UCSD)
SanDiego,California
AndrewGeller,MD
AssistantProfessorandAssistantFellowshipDirector
DepartmentofAnesthesiology
Cedars-SinaiMedicalCenter
LosAngeles,California
StephanieR.Goodman,MD
ProfessorofAnesthesiology
DepartmentofAnesthesiology
ColumbiaUniversityMedicalCenter
NewYork,NewYork
JoyL.Hawkins,MD


ProfessorofAnesthesiology
DirectorofObstetricAnesthesia
UniversityofColoradoSchoolofMedicine
Aurora,Colorado
MaryA.Herman,MD,PhD
AssistantProfessor
DepartmentofAnesthesiology

UniversityofFloridaCollegeofMedicine
Gainesville,Florida
JenniferHofer,MD
AssistantProfessor
DepartmentofAnesthesia&CriticalCare
UniversityofChicago
Chicago,Illinois
RachelM.Kacmar,MD
AssistantProfessor
DepartmentofAnesthesiology
UniversityofColoradoSchoolofMedicine
Aurora,Colorado
ErinJ.Keely,MD,FRCPC
Professor
DepartmentsofMedicineandObstetricsandGynecology
UniversityofOttawa
Chief,DivisionofEndocrinology
TheOttawaHospital
Ottawa,Ontario,Canada
EllenM.Lockhart,MD
AssociateProfessorandViceChairman
DepartmentofAnesthesiology
WashingtonUniversitySchoolofMedicine


St.Louis,Missouri
JanineMalcolm,MD
AssistantProfessor
DepartmentofEndocrinologyandMetabolism
UniversityofOttawaHospital

Endocrinologist
DepartmentofEndocrinologyandMetabolism
TheOttawaHospital
Ottawa,Ontario,Canada
M.SusanMandell,MD,PhD
Director
AnesthesiaforAbdominalTransplantation
UniversityofColoradoHospital
Aurora,Colorado
SuzanneK.W.Mankowitz,MD
AssistantProfessorofAnesthesiology
ColumbiaUniversityCollegeofPhysiciansandSurgeons
ColumbiaUniversityMedicalCenter
NewYork,NewYork
JillM.Mhyre,MD
AssociateProfessorofAnesthesiology
UniversityofArkansasforMedicalSciences
LittleRock,Arkansas
RebeccaD.Minehart,MD
Director,CA-1TutorialSimulation
DepartmentofAnesthesia,CriticalCare&PainMedicine
MassachusettsGeneralHospital
Boston,Massachusetts
DominiqueMoffitt,MD
InstructorinAnaesthesia


HarvardMedicalSchool
BrighamandWomen’sHospital
Boston,Massachusetts

WintMon,FRCA
ResearchFellow
UniversityCollegeLondonHospitalsNHSFoundationTrust
London,UnitedKingdom
RichardA.Month,MD
AssistantProfessorofClinicalAnesthesiologyandInterimChiefofObstetric
Anesthesia
DepartmentofAnesthesiologyandCriticalCare
UniversityofPennsylvaniaHealthSystem
Philadelphia,Pennsylvania
UmaMunnur,MD
AssociateProfessor
BaylorCollegeofMedicine
Anesthesiologist
BenTaubHospital
Houston,Texas
GeraldineO’Sullivan,MD,FRCA†
LeadClinicianinObstetricAnaesthesia
ConsultantAnaesthetist
DepartmentofAnaesthetics
Guy’sandSt.Thomas’NHSFoundationTrust
London,UnitedKingdom
QuisqueyaT.Palacios,MD
AssociateProfessor
DepartmentofAnesthesiology
AssociateProfessor
DepartmentofObstetricsandGynecology


BaylorCollegeofMedicine

Houston,Texas
ArvindPalanisamy,MD,FRCA
AssistantProfessorofAnesthesia
DepartmentofAnesthesiology
PerioperativeandPainMedicine
HarvardMedicalSchool
BrighamandWomen’sHospital
Boston,Massachusetts
PeterH.Pan,MD
Professor
ObstetricalandGynecologicalAnesthesiology
WakeForestBaptistMedicalCenter
Winston-Salem,NorthCarolina
RuchiraPatel,MBBS,BSc,FRCA
Fellow
MountSinaiHospital
Toronto,Ontario,Canada
MichaelG.Richardson,MD
AssociateProfessorofAnesthesiology
Director,ObstetricAnesthesiologyFellowshipProgram
VanderbiltUniversitySchoolofMedicine
Nashville,Tennessee
BarbaraM.Scavone,MD
Professor
DepartmentofAnesthesia&CriticalCare
Professor
DepartmentofObstetrics&Gynecology
UniversityofChicago
Chicago,Illinois

ScottSegal,MD
ProfessorandChair
DepartmentofAnesthesiology
WakeForestUniversitySchoolofMedicine
Winston-Salem,NorthCarolina
HenY.Sela,MD
AttendingPhysician
DepartmentofObstetricsandGynecology
ShaareZedekMedicalCenter
HebrewUniversitySchoolofMedicine
Jerusalem,Israel
AdjunctProfessor
DivisionofMaternalFetalMedicine
DepartmentofObstetricsandGynecology
ColumbiaUniversityMedicalCenter
NewYork,NewYork
YelenaSpitzer
InstructorofAnesthesiology
AlbertEinsteinSchoolofMedicine
YeshivaUniversity
NewYork,NewYork
BartonStaat,MD,LtCol,USAF
MCAF/SGConsultantforObstetrics/Maternal-FetalMedicineAssistant
Professor
UniformedServicesUniversityofHealthSciences
Bethesda,Maryland
JohnT.Sullivan,MD
Professor
DepartmentofAnesthesiology

NorthwesternUniversityFeinbergSchoolofMedicine
Chicago,Illinois


WilliamJ.Sullivan,QC,LLB,MCL
AdjunctProfessor
FacultyofMedicine
UniversityofBritishColumbia
Partner
GuildYuleLLPBarristersandSolicitors
Vancouver,BritishColumbia,Canada
MayaS.Suresh,MD
Professor&Chairman
DepartmentofAnesthesiology
BaylorCollegeofMedicine
ChiefofAnesthesiology
BenTaubHospital
Houston,Texas
AndreaJ.Traynor,MD
ClinicalAssociateProfessor
DepartmentofAnesthesiology
StanfordUniversitySchoolofMedicine
Stanford,California
CarolynF.Weiniger,MB,ChB
SeniorLecturer
DepartmentofAnesthesiologyandCriticalCareMedicine
HadassahHebrewUniversityMedicalCenter
Jerusalem,Israel
DepartmentofAnesthesia
StanfordUniversitySchoolofMedicine

Stanford,California
NathaenS.Weitzel,MD
AssociateProfessor
DepartmentofAnesthesiology
UniversityofColoradoHospital


Aurora,Colorado
RichardN.Wissler,MD,PhD
DirectorofObstetricAnesthesia
MedicalDirectorofPerioperativeServices
UniversityofRochesterMedicalCenter
Rochester,NewYork
DavidWlody,MD
ProfessorofClinicalAnesthesiology
SUNY,DownstateMedicalCenter
Brooklyn,NewYork
CynthiaA.Wong,MD
ProfessorandViceChair
DepartmentofAnesthesiology
NorthwesternUniversityFeinbergSchoolofMedicine
Chicago,Illinois
JessicaL.Young,MD,MPH,FACOG
AssistantProfessor
DepartmentofObstetricsandGynecology
VanderbiltUniversityMedicalCenter
Nashville,Tennessee
MarkI.Zakowski,MD
AssociateProfessorofAnesthesiology
Adjunct

CharlesR.DrewUniversityofMedicineandScience
Chief,ObstetricAnesthesiology
Cedars-SinaiMedicalCenter
LosAngeles,California
KathrynJ.Zuspan,MD
ObstetricAnesthesiologist
Edina,Minnesota


Contents
Preface
Acknowledgments
Contributors
SECTIONI:PHARMACOLOGYANDPHYSIOLOGY
1.PhysiologicChangesofPregnancy
RachelM.KacmarandAndreaJ.Traynor
2.UteroplacentalAnatomy,BloodFlow,RespiratoryGasExchange,Drug
Transfer,andTeratogenicity
CurtisL.BaysingerandBartonStaat
3.LocalAnestheticsandToxicity
JenniferHoferandBarbaraM.Scavone
4.ObstetricMedications
RuchiraPatelandMrinaliniBalki
SECTIONII:ANTEPARTUMCONSIDERATIONS
5.EthicalandLegalConsiderationsinObstetricAnesthesia
M.JoanneDouglasandWilliamJ.Sullivan
6.NonobstetricSurgeryduringPregnancy
JoyL.HawkinsandDebnathChatterjee
SECTIONIII:LABORANDDELIVERY
7.FetalAssessmentandMonitoring

MichaelG.Richardson,MaryDiMiceli-Zsigmond,andDavidR.Gambling


8.MaternalInfectionandFever
RebeccaD.Minehart,WilliamCamann,andScottSegal
9.Non-neuraxialAnalgesicTechniques
WintMon,RoshanFernando,andGeraldineO’Sullivan
10.ChoiceofNeuraxialAnalgesiaandLocalAnesthetics
DominiqueMoffittandArvindPalanisamy
11.UltrasoundandEchocardiographicTechniquesinObstetricAnesthesia
LaurieA.ChalifouxandJohnT.Sullivan
12.ImpactofNeuraxialAnalgesiaonObstetricOutcomes
ChristopherR.CambicandCynthiaA.Wong
13.AnestheticConsiderationsforWomenReceivingCesareanDelivery
RobertR.Gaiser
14.DifficultAirwayManagementinthePregnantPatient
UmaMunnurandMayaS.Suresh
15.AnesthesiaforMultipleGestationandBreechPresentation
CarolynF.Weiniger
16.ObstetricEmergencies
MichaelFrölichandBrendaA.Bucklin
17.NewbornResuscitation
RichardA.Month
SECTIONIV:POSTPARTUMISSUES
18.PostcesareanAnalgesia
RichardN.Wissler
19.ManagementofPostduralPunctureHeadache
DavidWlody

20.NeurologicDeficitsFollowingLaborandDelivery
MarkI.ZakowskiandAndrewGeller
21.PostpartumTubalLigation
BrendaA.Bucklin
SECTIONV:DISEASESTATES
22.HypertensiveDisordersofPregnancy
YelenaSpitzerandYaakovBeilin
23.EndocrineDisorders
JessicaBooth,PeterH.Pan,JanineMalcolm,andErinJ.Keely
24.Thrombophilias/Coagulopathies
JamesP.R.BrownandM.JoanneDouglas
25.CardiacDiseaseintheObstetricPatient
NathaenS.WeitzelandBryanS.Ahlgren
26.NeurologicandNeuromuscularDisease
TammyY.EulianoandMaryA.Herman
27.RenalandHepaticDiseaseinthePregnantPatient
QuisqueyaT.PalaciosandM.SusanMandell
28.ObstetricAnesthesiaforParturientswithRespiratoryDiseases
SuzanneK.W.MankowitzandStephanieR.Goodman
29.ObesityandPregnancy
BrendaA.BucklinandDavidR.Gambling
30.TraumaintheObstetricPatient
HenY.Sela,LiorDrukker,andSharonEinav
31.ManagementoftheOpioidDependentParturient
JessicaL.Young,EllenM.Lockhart,andCurtisL.Baysinger


32.MaternalMorbidityandMortality
JillM.Mhyre
SECTIONVI:GUIDELINESFROMNATIONALORGANIZATIONS

33.GuidelinesfromNationalOrganizations
KathrynJ.Zuspan
Index


Pharmacology
andPhysiology