Comprehensive, user-friendly, and up to date, Chestnut's Obstetric Anesthesia: Principles and Practice, 6th Edition, provides the authoritative clinical information you need to provide optimal care to your patients. This substantially revised edition keeps you current on everything from basic science to anesthesia techniques to complications, including coverage of new research that is paving the way for improved patient outcomes. An expert editorial team ensures that this edition remains a must-have resource for obstetric anesthesiologists and obstetricians, nurse anesthetists and anesthesiology assistants, and anesthesiology and obstetric residents and students.
1. Part I Introduction - p. xii 2. 1 The History of Obstetric Anesthesia - p. 2 3. Part II Maternal and Fetal Physiology - p. 11 4. Introduction - p. 12 5. 2 Physiologic Changes of Pregnancy - p. 13 6. 3 Uteroplacental Blood Flow - p. 38 7. 4 The Placenta - p. 56 8. 5 Fetal Physiology - p. 77 9. Part III Fetal and Neonatal Assessment and Therapy - p. 95 10. Introduction - p. 96 11. 6 Antepartum Fetal Assessment and Therapy - p. 97 12. 7 Anesthesia for Fetal Surgery and Other Intrauterine Procedures - p. 132 13. 8 Intrapartum Fetal Assessment and Therapy - p. 155 14. 9 Neonatal Assessment and Resuscitation - p. 171 15. 10 Fetal and Neonatal Neurologic Injury - p. 199 16. Part IV Foundations in Obstetric Anesthesia - p. 222 17. Introduction - p. 223 18. 11 Patient Safety and Team Training - p. 224 19. 12 Spinal, Epidural, and Caudal Anesthesia - p. 238 20. 13 Local Anesthetics and Opioids - p. 271 21. Local Anesthetics - p. 271 22. Opioids - p. 286 23. Adjuvants - p. 298 24. References - p. 301 25. Part V Anesthesia before and during Pregnancy - p. 311 26. Introduction - p. 312 27. 14 Pharmacology during Pregnancy and Lactation - p. 313 28. 15 In Vitro Fertilization and Other Assisted Reproductive Technology - p. 336 29. 16 Problems of Early Pregnancy - p. 350 30. 17 Nonobstetric Surgery during Pregnancy - p. 368 31. Part VI Labor and Vaginal Delivery - p. 391 32. Introduction - p. 392 33. 18 Obstetric Management of Labor and Vaginal Delivery - p. 393 34. 19 Trial of Labor and Vaginal Birth after Cesarean Delivery - p. 409 35. 20 The Pain of Childbirth and Its Effect on the Mother and the Fetus - p. 422 36. 21 Childbirth Preparation and Nonpharmacologic Analgesia - p. 441 37. 22 Systemic Analgesia - p. 453 38. 23 Epidural and Spinal Analgesia: Anesthesia for Labor and Vaginal Delivery - p. 474 39. Preparation for Neuraxial Analgesia - p. 475 40. Initiation of Epidural Analgesia - p. 479 41. Initiation of Spinal Analgesia - p. 487 42. Maintenance of Analgesia - p. 490 43. Analgesia/Anesthesia for Vaginal Delivery - p. 497 44. Side Effects of Neuraxial Analgesia - p. 498 45. Complications of Neuraxial Analgesia - p. 502 46. Effects of Neuraxial Analgesia on the Progress of Labor - p. 508 47. Effects of Neuraxial Analgesia on the Fetus and Neonate - p. 520 48. Conclusions and Recommendations - p. 522 49. References - p. 524 50. 24 Alternative Regional Analgesic Techniques for Labor and Vaginal Delivery - p. 540 51. 25 Postpartum Tubal Sterilization - p. 553 52. Part VII Cesarean Delivery - p. 566 53. Introduction - p. 567 54. 26 Anesthesia for Cesarean Delivery - p. 568 55. History - p. 568 56. Indications - p. 569 57. Operative Technique - p. 569 58. Morbidity and Mortality - p. 570 59. Prevention of Cesarean Delivery - p. 570 60. Preparation for Anesthesia - p. 571 61. Anesthetic Technique - p. 578 62. Recovery From Anesthesia - p. 597 63. Anesthetic Complications - p. 598 64. Obstetric Complications - p. 608 65. References - p. 613 66. 27 Postoperative Analgesia - p. 627 67. Pain After Cesarean Delivery - p. 627 68. Systemic Analgesia - p. 627 69. Neuraxial Analgesia - p. 633 70. Non-Neuraxial Regional Analgesic Techniques - p. 652 71. References - p. 656 72. Part VIII Anesthetic Complications - p. 669 73. Introduction - p. 670 74. 28 Aspiration - p. 671 75. 29 The Difficult Airway - p. 692 76. 30 Postpartum Headache - p. 724 77. 31 Neurologic Complications of Pregnancy and Neuraxial Anesthesia - p. 752 78. 32 Shared Decision-Making and Communication - p. 777 79. Part IX Obstetric Complications - p. 796 80. Introduction - p. 797 81. 33 Preterm Labor and Delivery - p. 798 82. 34 Abnormal Presentation and Multiple Gestation - p. 822 83. 35 Hypertensive Disorders - p. 840 84. Classification of Hypertensive Disorders - p. 840 85. Preeclampsia - p. 841 86. Eclampsia - p. 866 87. References - p. 868 88. 36 Infection - p. 879 89. 37 Antepartum and Postpartum Hemorrhage - p. 901 90. 38 Embolic Disorders - p. 937 91. 39 Maternal Mortality - p. 956 92. Part X The Parturient with Systemic Disease - p. 970 93. Introduction - p. 971 94. 40 Autoimmune Disorders - p. 972 95. 41 Cardiovascular Disease - p. 987 96. Cardiovascular Physiologic Changes of Pregnancy - p. 988 97. Cardiac Examination during Pregnancy - p. 989 98. Cardiac Risk Prediction - p. 990 99. Cardiovascular Imaging during Pregnancy - p. 991 100. Cardiac Drugs and Pregnancy - p. 993 101. Aortic Diseases and Aortic Dissection - p. 993 102. Congenital Heart Disease - p. 995 103. Pulmonary Hypertension - p. 1001 104. Infective Endocarditis - p. 1003 105. Implantable Cardiac Devices - p. 1004 106. Adult Arrhythmias - p. 1005 107. Myocardial Infarction - p. 1007 108. Valvular Heart Disease - p. 1009 109. Cardiomyopathies - p. 1016 110. Pericardial Disease - p. 1021 111. Cardiopulmonary Resuscitation during Pregnancy - p. 1022 112. Pregnancy after Heart Transplantation - p. 1023 113. Cardiopulmonary Bypass during Pregnancy - p. 1023 114. References - p. 1024 115. 42 Chronic Pain during and after Pregnancy - p. 1033 116. 43 Endocrine Disorders - p. 1056 117. 44 Hematologic and Coagulation Disorders - p. 1088 118. 45 Liver Disease - p. 1112 119. 46 Malignant Hyperthermia - p. 1126 120. 47 Musculoskeletal Disorders - p. 1139 121. 48 Neurologic and Neuromuscular Disease - p. 1160 122. 49 Obesity - p. 1190 123. 50 Psychiatric Disorders - p. 1207 124. 51 Renal Disease - p. 1215 125. 52 Respiratory Disease - p. 1231 126. 53 Substance Use Disorders - p. 1248 127. 54 Trauma and Critical Care - p. 1274 128. Appendix A American Society of Anesthesiologists Guidelines for Neuraxial Anesthesia in Obstetrics* - p. 1300 129. Appendix B Practice Guidelines for Obstetric Anesthesia: an Updated Report by the American Society of Anesthesiologists Task Force on Obstetric Anesthesia and the Society for Obstetric Anesthesia and Perinatology - p. 1302 130. Appendix C Optimal Goals for Anesthesia Care in Obstetrics - p. 1326 131. Appendix D Information Technology Resources for Obstetric Anesthesia Providers - p. 1328 132. Index - p. 1333
Comprehensive, user-friendly, and up to date, Chestnut's Obstetric Anesthesia: Principles and Practice, 6th Edition, provides the authoritative clinical information you need to provide optimal care to your patients. This substantially revised edition keeps you current on everything from basic science to anesthesia techniques to complications, including coverage of new research that is paving the way for improved patient outcomes. An expert editorial team ensures that this edition remains a must-have resource for obstetric anesthesiologists and obstetricians, nurse anesthetists and anesthesiology assistants, and anesthesiology and obstetric residents and students.
1. Part I Introduction - p. xii 2. 1 The History of Obstetric Anesthesia - p. 2 3. Part II Maternal and Fetal Physiology - p. 11 4. Introduction - p. 12 5. 2 Physiologic Changes of Pregnancy - p. 13 6. 3 Uteroplacental Blood Flow - p. 38 7. 4 The Placenta - p. 56 8. 5 Fetal Physiology - p. 77 9. Part III Fetal and Neonatal Assessment and Therapy - p. 95 10. Introduction - p. 96 11. 6 Antepartum Fetal Assessment and Therapy - p. 97 12. 7 Anesthesia for Fetal Surgery and Other Intrauterine Procedures - p. 132 13. 8 Intrapartum Fetal Assessment and Therapy - p. 155 14. 9 Neonatal Assessment and Resuscitation - p. 171 15. 10 Fetal and Neonatal Neurologic Injury - p. 199 16. Part IV Foundations in Obstetric Anesthesia - p. 222 17. Introduction - p. 223 18. 11 Patient Safety and Team Training - p. 224 19. 12 Spinal, Epidural, and Caudal Anesthesia - p. 238 20. 13 Local Anesthetics and Opioids - p. 271 21. Local Anesthetics - p. 271 22. Opioids - p. 286 23. Adjuvants - p. 298 24. References - p. 301 25. Part V Anesthesia before and during Pregnancy - p. 311 26. Introduction - p. 312 27. 14 Pharmacology during Pregnancy and Lactation - p. 313 28. 15 In Vitro Fertilization and Other Assisted Reproductive Technology - p. 336 29. 16 Problems of Early Pregnancy - p. 350 30. 17 Nonobstetric Surgery during Pregnancy - p. 368 31. Part VI Labor and Vaginal Delivery - p. 391 32. Introduction - p. 392 33. 18 Obstetric Management of Labor and Vaginal Delivery - p. 393 34. 19 Trial of Labor and Vaginal Birth after Cesarean Delivery - p. 409 35. 20 The Pain of Childbirth and Its Effect on the Mother and the Fetus - p. 422 36. 21 Childbirth Preparation and Nonpharmacologic Analgesia - p. 441 37. 22 Systemic Analgesia - p. 453 38. 23 Epidural and Spinal Analgesia: Anesthesia for Labor and Vaginal Delivery - p. 474 39. Preparation for Neuraxial Analgesia - p. 475 40. Initiation of Epidural Analgesia - p. 479 41. Initiation of Spinal Analgesia - p. 487 42. Maintenance of Analgesia - p. 490 43. Analgesia/Anesthesia for Vaginal Delivery - p. 497 44. Side Effects of Neuraxial Analgesia - p. 498 45. Complications of Neuraxial Analgesia - p. 502 46. Effects of Neuraxial Analgesia on the Progress of Labor - p. 508 47. Effects of Neuraxial Analgesia on the Fetus and Neonate - p. 520 48. Conclusions and Recommendations - p. 522 49. References - p. 524 50. 24 Alternative Regional Analgesic Techniques for Labor and Vaginal Delivery - p. 540 51. 25 Postpartum Tubal Sterilization - p. 553 52. Part VII Cesarean Delivery - p. 566 53. Introduction - p. 567 54. 26 Anesthesia for Cesarean Delivery - p. 568 55. History - p. 568 56. Indications - p. 569 57. Operative Technique - p. 569 58. Morbidity and Mortality - p. 570 59. Prevention of Cesarean Delivery - p. 570 60. Preparation for Anesthesia - p. 571 61. Anesthetic Technique - p. 578 62. Recovery From Anesthesia - p. 597 63. Anesthetic Complications - p. 598 64. Obstetric Complications - p. 608 65. References - p. 613 66. 27 Postoperative Analgesia - p. 627 67. Pain After Cesarean Delivery - p. 627 68. Systemic Analgesia - p. 627 69. Neuraxial Analgesia - p. 633 70. Non-Neuraxial Regional Analgesic Techniques - p. 652 71. References - p. 656 72. Part VIII Anesthetic Complications - p. 669 73. Introduction - p. 670 74. 28 Aspiration - p. 671 75. 29 The Difficult Airway - p. 692 76. 30 Postpartum Headache - p. 724 77. 31 Neurologic Complications of Pregnancy and Neuraxial Anesthesia - p. 752 78. 32 Shared Decision-Making and Communication - p. 777 79. Part IX Obstetric Complications - p. 796 80. Introduction - p. 797 81. 33 Preterm Labor and Delivery - p. 798 82. 34 Abnormal Presentation and Multiple Gestation - p. 822 83. 35 Hypertensive Disorders - p. 840 84. Classification of Hypertensive Disorders - p. 840 85. Preeclampsia - p. 841 86. Eclampsia - p. 866 87. References - p. 868 88. 36 Infection - p. 879 89. 37 Antepartum and Postpartum Hemorrhage - p. 901 90. 38 Embolic Disorders - p. 937 91. 39 Maternal Mortality - p. 956 92. Part X The Parturient with Systemic Disease - p. 970 93. Introduction - p. 971 94. 40 Autoimmune Disorders - p. 972 95. 41 Cardiovascular Disease - p. 987 96. Cardiovascular Physiologic Changes of Pregnancy - p. 988 97. Cardiac Examination during Pregnancy - p. 989 98. Cardiac Risk Prediction - p. 990 99. Cardiovascular Imaging during Pregnancy - p. 991 100. Cardiac Drugs and Pregnancy - p. 993 101. Aortic Diseases and Aortic Dissection - p. 993 102. Congenital Heart Disease - p. 995 103. Pulmonary Hypertension - p. 1001 104. Infective Endocarditis - p. 1003 105. Implantable Cardiac Devices - p. 1004 106. Adult Arrhythmias - p. 1005 107. Myocardial Infarction - p. 1007 108. Valvular Heart Disease - p. 1009 109. Cardiomyopathies - p. 1016 110. Pericardial Disease - p. 1021 111. Cardiopulmonary Resuscitation during Pregnancy - p. 1022 112. Pregnancy after Heart Transplantation - p. 1023 113. Cardiopulmonary Bypass during Pregnancy - p. 1023 114. References - p. 1024 115. 42 Chronic Pain during and after Pregnancy - p. 1033 116. 43 Endocrine Disorders - p. 1056 117. 44 Hematologic and Coagulation Disorders - p. 1088 118. 45 Liver Disease - p. 1112 119. 46 Malignant Hyperthermia - p. 1126 120. 47 Musculoskeletal Disorders - p. 1139 121. 48 Neurologic and Neuromuscular Disease - p. 1160 122. 49 Obesity - p. 1190 123. 50 Psychiatric Disorders - p. 1207 124. 51 Renal Disease - p. 1215 125. 52 Respiratory Disease - p. 1231 126. 53 Substance Use Disorders - p. 1248 127. 54 Trauma and Critical Care - p. 1274 128. Appendix A American Society of Anesthesiologists Guidelines for Neuraxial Anesthesia in Obstetrics* - p. 1300 129. Appendix B Practice Guidelines for Obstetric Anesthesia: an Updated Report by the American Society of Anesthesiologists Task Force on Obstetric Anesthesia and the Society for Obstetric Anesthesia and Perinatology - p. 1302 130. Appendix C Optimal Goals for Anesthesia Care in Obstetrics - p. 1326 131. Appendix D Information Technology Resources for Obstetric Anesthesia Providers - p. 1328 132. Index - p. 1333
