Download Analgesia, Anaesthesia and Pregnancy: A Practical Guide by Steve Yentis, Surbhi Malhotra PDF

By Steve Yentis, Surbhi Malhotra

Analgesia, Anaesthesia and being pregnant makes a speciality of pre-empting difficulties and maximising caliber of care. each bankruptcy of this well-established functional consultant has been thoroughly up to date and revised, protecting the concept that and structure of past variations. All features of obstetric drugs appropriate to the anaesthetist are coated, from pre-pregnancy administration to perception, all through being pregnant, to postnatal care. Over a hundred and fifty strength issues are each one lined in sections: concerns raised and administration ideas, with key issues extracted into packing containers for fast reference. a bit on organisational facets comparable to checklist retaining, education, protocols and instructions makes this a massive source for any labour ward or sanatorium facing pregnant ladies. offered in a transparent, based structure, this useful precis may be worthwhile to anaesthetists at any level in their occupation who stumble upon obstetrics sufferers. additionally hugely invaluable for obstetricians, neonatologists, midwives, nurses and working division practitioners wishing to increase or replace their wisdom.

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Additional info for Analgesia, Anaesthesia and Pregnancy: A Practical Guide

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Further reading De Buck F, Deprest J, Van de Velde M. Anesthesia for fetal surgery. Curr Opin Anesthesiol 2008; 21: 293–7. Garcia PJ, Olutoye OO, Ivey RT, Olutoye OA. Case scenario: anesthesia for maternal–fetal surgery: the Ex Utero Intrapartum Therapy (EXIT) procedure. Anesthesiology 2011; 114: 1446–52. Tran KM. Anesthesia for fetal surgery. Semin Fetal Neonatal Med 2010;15: 40–5. Pregnancy II. Normal pregnancy and delivery Section 2 Chapter Anatomy of the spine and peripheral nerves 10 Although not exclusive to obstetric anaesthesia, a sound knowledge of the anatomy pertinent to epidural and spinal anaesthesia is fundamental to obstetric anaesthetists.

Since most conditions that might be amenable to intrauterine surgery are rare or uncommon and already associated with poor outcome, it is difficult to demonstrate that outcome after fetal surgery is better than that after conventional postpartum therapy, because any expected improvement will be small. Surgery is technically difficult because of the small size of the fetus and its mobility when small, but leaving the surgery until later may result in increased end-organ damage caused by the malformation.

G. opioids). Many drugs are known to be harmful when given during pregnancy, but for many others, precise information is not always available. Thus, in general, drugs are not prescribed unless the benefits are felt to outweigh any possible risk, especially during the first trimester. Where possible, older drugs of which clinicians have greater experience are preferred over newer ones, and this is also true of anaesthetic agents. Licensing of drugs in pregnancy Many drugs, including anaesthetic agents, are not licensed for use in pregnancy, mainly because of the prohibitive costs to the manufacturer of performing the appropriate studies required and the relatively limited addition such licensing would make to the market.

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