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Normal Pregnancy, Labor, and Delivery––Without Epidural Analgesia
Pages 3-17
With 32 engaging and dramatic cases and 174 colorful, insightful and innovative graphics, this book takes a fresh, creative and highly visual approach to the fundamentals of obstetric anesthesia as well as emerging knowledge and three emerging technologies: 1) pre-procedural ultrasound to facilitate neuraxial block placement, 2) point-of-care transthoracic echocardiography to guide maternal resuscitation, and 3) electrical cardiometry to trend maternal cardiac output and avoid fetal hypoxia. Besides discussing the threats to fetal oxygenation presented by labor and the avoidance of maternal and fetal complications while providing excellent anesthesia, the book also explores the psychological and behavioral dimensions of obstetric anesthesia practice and promotes the obstetric anesthesiologist as a valued member of the obstetric care team who makes unique, insightful and empathic contributions to the overall excellent care of pregnant patients. Obstetric Anesthesia: A Case-Based and Visual Approach is an indispensable resource for medical students, residents, fellows, anesthesiologists, nurse anesthetists, nurse midwives, and obstetricians.
Normal Pregnancy, Labor, and Delivery––Without Epidural Analgesia
Pages 3-17
Neuraxial Anesthesia and the Supine Position Cause Non-reassuring Fetal Status
Pages 19-27
Hyperstimulation
Pages 29-37
Scheduled Repeat Cesarean Delivery
Pages 39-50
Uterine Atony: The Most Common Cause of Postpartum Hemorrhage
Pages 53-67
Hypovolemic Shock
Pages 69-78
A Traumatic Cesarean Delivery with Consumptive Coagulopathy
Pages 79-97
Trial of Labor After Cesarean Delivery (TOLAC), with Uterine Dehiscence and Emergency Cesarean Delivery Under General Anesthesia
Pages 99-106
High Spinal
Pages 109-117
Prolapsed Umbilical Cord
Pages 119-122
A Patient Delivers Vaginally After an Eclamptic Seizure
Pages 123-133
Cesarean Delivery Under General Anesthesia in a Septic Patient
Pages 135-140
Morbidly Obese Preeclamptic Patient with Difficult IV Access for Urgent Cesarean Delivery
Pages 143-168
Patient with Known Placenta Previa and Accreta for Elective Cesarean Hysterectomy
Pages 169-177
A Patient with Severe Idiopathic Pulmonary Hypertension Delivers Her Fourth Child
Pages 179-188
Fooling Ourselves: Intravenous Fentanyl Creates the Illusion of a Successful Epidural
Pages 191-194
What Not to Do During Uterine Contractions: Three Vignettes with One Simple Lesson
Pages 195-198
A One-Sided Epidural
Pages 199-207
Dosing an Epidural for “Back Labor.”
Pages 209-212
Management of a Patient with an Unsatisfactory Labor Epidural, Now Going for Cesarean Delivery
Pages 213-216
Rescuing a Low Spinal
Pages 217-222
A Failed Epidural Followed by a Failed Spinal (Part 1)
Pages 223-231
A Failed Epidural Followed by a Failed Spinal (Part 2)
Pages 233-240
Labor Epidural for a Patient with Scoliosis
Pages 241-250
Wrong Medication
Pages 253-255
Headache After Dural Puncture with an Epidural Needle
Pages 257-263
Neurological Deficit After Neuraxial Analgesia for Labor and Vaginal Delivery
Pages 265-270
Left Sciatic Neuropathy After Cesarean Delivery in an Obese, Diabetic Patient
Pages 271-273
Vasopressin, Used as a Vasopressor During Cystoscopy, Causes Non-reassuring Fetal Status
Pages 275-277
Emergency Cesarean Delivery After Repair of an Ankle Fracture
Pages 279-286
Another Spinal Mishap
Pages 287-289
Cardiac Output-Guided Resuscitation of the Uterus: An Obese Patient Has Dysfunctional Labor Which Resolves with Position Change. Coincidence or Possible Therapy?
Pages 293-301
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