This most up-to-date contribution to the FAAM sequence offers a finished 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 functional reference for all anaesthetists and expert clinicians.
Chapter 1 Maternal adjustments 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 basic Anaesthesia for Obstetrics (pages 178–200): Richard Vanner
Chapter 6 The Parturient with Co?Existing disorder (pages 201–238): Philippa Groves and Michael Avidan
Chapter 7 scientific Emergencies in being pregnant (pages 239–280): Caroline Grange
Chapter eight Postnatal review (pages 281–302): Robin Russell
Chapter nine Anaesthesia for Gynaecological surgical procedure (pages 303–345): Kym Osborn and Scott Simmons
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Extra info for Anaesthesia for Obstetrics and Gynaecology
T h e incidence of cardiac surgery during pregnancy is probably rising. Pregnancy does not seem to increase the maternal mortality associated with the surgery, but fetal loss as high as 25% is to be expected with such operations. If cardiopulmonary bypass is required, the fetus appears to tolerate 25 ANAESTHESIA FOR OBSTETRICS AND GYNAECOLOGY mild hypothermia well, although fetal heart rate patterns may become very abnormal. Whenever possible, blood pressure should be maintained above 60 mmHg, even during bypass.
Whilst drugs with a molecular weight less than 600 Da cross the placenta freely, for those with a higher molecular weight 31 ANAESTHESIA FOR OBSTETRICS AND GYNAECOLOGY placental permeability limits the rate of transfer. These drugs are said to undergo “permeability-dependent transfer”. Concentration gradient p H gradient Lipid-soluble drugs diffuse down a concentration gradient. Since only unionised drug diffuses in significant quantity, the degree of ionisation will in part determine this gradient.
Alterations in liver function during normal pregnancy. Am J Obstet Gynecol 1960;80:500-5. 55 Mendenhal HW. Serum protein concentrations in pregnancy. I. Concentrations in maternal serum. A m J Obsrer Gynecol 1970;106:388-99. 56 Braverman DZ, Johnson ML, Kern FJ. Effects of pregnancy and contraceptive steroids on gallbladder function. N EnglJ Med 1980;302:362-4. 57 Bailey RR, Rolleston GL. Kidney length and ureteric dilation in the puerperium. J Obstet Gynaecol Br Commonwealth 197 1;78:55-61. 58 Lindheimer MD, Katz AI.
Anaesthesia for Obstetrics and Gynaecology