This newest contribution to the FAAM sequence presents 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 useful reference for all anaesthetists and expert clinicians.
Chapter 1 Maternal adjustments in being pregnant (pages 1–29): James Eldrtdge
Chapter 2 the results 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 neighborhood Analgesia and Anaesthesia (pages 109–177): Michael Paech
Chapter five common Anaesthesia for Obstetrics (pages 178–200): Richard Vanner
Chapter 6 The Parturient with Co?Existing sickness (pages 201–238): Philippa Groves and Michael Avidan
Chapter 7 clinical Emergencies in being pregnant (pages 239–280): Caroline Grange
Chapter eight Postnatal evaluation (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
32 Vanner RG. Gastro-oesophageal reflux and regurgitation during general anaesthesia for termination of pregnancy. I n t J Obsret Anesth 1992;l: 123-8. 33 Attia RR, Ebeid A, Fischer JE, Goudsouzian NG. Maternal, fetal and placental gastrin concentrations. Anaesthesia 1982;37: 18-2 1. 34 O’Sullivan G . The stomach - fact and fantasy: eating and drinking during labor. Int Anesthesiol Clin 1994;32:31-44. 35 Nimmo WS, Wilson J, Prescott LF. Narcotic analgesics and delayed gastric emptying during labour.
Succinylcholine pharmacodynamics in peripartum patients. Anesthesiology 1986;64:202-5. 80 Mazze RI, Kallen B. Reproductive outcome after anesthesia and operation during pregnancy: a registry study of 5405 cases. A m J Obstet Gynecol 1989;161:1178-85. 81 Brodsky J, Cohen EN, Brown BW, Wu M, Whitcher C. Surgery during pregnancy and fetal outcome. A m J Obsret Cynecol 1980;138: 1165-67. 82 Shnider SM, Webster GM. Maternal and fetal hazards of surgery during pregnancy. A m 3 Obsret Gynecol 1965;92:891-900.
Analgesics Although the opiates readily cross the placenta, brief exposure is safe. Long-term exposure will cause symptoms of withdrawal when the fetus is delivered. Animal studies have not demonstrated any teratogenic changes associated with exposure to morphine, fentanyl or alfentanil, providing the side-effects of hypoventilation and impaired feeding are eliminated. Use of any opiate near the time of delivery may cause neonatal depression. Non-steroidal anti-inflammatory agents act through the inhibition of prostaglandin synthesis and their use in early pregnancy may cause bleeding and fetal loss.
Anaesthesia for Obstetrics and Gynaecology