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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.

  • Presents the latest information on anesthesia techniques for labor and delivery and medical disorders that occur during pregnancy, emphasizing the treatment of the fetus and the mother as separate patients with distinct needs.
  • Contains new chapters on shared decision-making in obstetric anesthesia and chronic pain during and after pregnancy.
  • Features extensive revisions from cover to cover, including consolidated information on maternal infection and postoperative analgesia.
  • Covers key topics such as neonatal assessment and resuscitation, pharmacology during pregnancy and lactation, use of nitrous oxide for labor analgesia, programmed intermittent epidural bolus (PIEB) technique, epidural analgesia-associated fever, the role of gastric ultrasonography to assess the risk of aspiration, sugammadex in obstetric anesthesia, the role of video laryngoscopy and new supraglottic airway devices, spinal dysraphism, and cardiac arrest in obstetric patients.
  • Incorporates the latest guidelines on congenital heart disease and the management of sepsis, as well as difficult airway guidelines that are specific to obstetric anesthesia practice.
  • Offers abundant figures, tables, and boxes that illustrate the step-by-step management of a full range of clinical scenarios.

1. Part I: Introduction - p. iii 2. Chapter 1: The History of Obstetric Anesthesia - p. iii 3. Part II: Maternal and Fetal Physiology - p. iii 4. Chapter 2: Introduction - p. iii 5. Chapter 3: Physiologic Changes of Pregnancy - p. iii 6. Chapter 4: Uteroplacental Blood Flow - p. iii 7. Chapter 5: The Placenta: Anatomy, Physiology, and Transfer of Drugs - p. iii 8. Chapter 6: Fetal Physiology - p. iii 9. Part III: Fetal and Neonatal Assessment and Therapy - p. iii 10. Chapter 7: Introduction - p. iii 11. Chapter 8: Antepartum Fetal Assessment and Therapy - p. iii 12. Chapter 9: Anesthesia for Fetal Surgery and Other Intrauterine Procedures - p. iii 13. Chapter 10: Intrapartum Fetal Assessment and Therapy - p. iii 14. Chapter 11: Neonatal Assessment and Resuscitation - p. iii 15. Chapter 12: Fetal and Neonatal Neurologic Injury - p. iii 16. Part IV: Foundations in Obstetric Anesthesia - p. iii 17. Chapter 13: Introduction - p. iii 18. Chapter 14: Patient Safety and Team Training - p. iii 19. Chapter 15: Spinal, Epidural, and Caudal Anesthesia: Anatomy, Physiology, and Technique - p. iii 20. Chapter 16: Local Anesthetics and Opioids - p. iii 21. Part V: Anesthesia before and during Pregnancy - p. iii 22. Chapter 17: Introduction - p. iii 23. Chapter 18: Pharmacology during Pregnancy and Lactation - p. iii 24. Chapter 19: In Vitro Fertilization and Other Assisted Reproductive Technology - p. iii 25. Chapter 20: Problems of Early Pregnancy - p. iii 26. Chapter 21: Nonobstetric Surgery during Pregnancy - p. iii 27. Part VI: Labor and Vaginal Delivery - p. iii 28. Chapter 22: Introduction - p. iii 29. Chapter 23: Obstetric Management of Labor and Vaginal Delivery - p. iii 30. Chapter 24: Trial of Labor and Vaginal Birth after Cesarean Delivery - p. iii 31. Chapter 25: The Pain of Childbirth and Its Effect on the Mother and the Fetus - p. iii 32. Chapter 26: Childbirth Preparation and Nonpharmacologic Analgesia - p. iii 33. Chapter 27: Systemic Analgesia: Parenteral and Inhalational Agents - p. iii 34. Chapter 28: Epidural and Spinal Analgesia: Anesthesia for Labor and Vaginal Delivery - p. iii 35. Chapter 29: Alternative Regional Analgesic Techniques for Labor and Vaginal Delivery - p. iii 36. Chapter 30: Postpartum Tubal Sterilization - p. iii 37. Part VII: Cesarean Delivery - p. iii 38. Chapter 31: Introduction - p. iii 39. Chapter 32: Anesthesia for Cesarean Delivery - p. iii 40. Chapter 33: Postoperative Analgesia - p. iii 41. Part VIII: Anesthetic Complications - p. iii 42. Chapter 34: Introduction - p. iii 43. Chapter 35: Aspiration: Risk, Prophylaxis, and Treatment - p. iii 44. Chapter 36: The Difficult Airway: Risk, Assessment, Prophylaxis, and Management - p. iii 45. Chapter 37: Postpartum Headache - p. iii 46. Chapter 38: Neurologic Complications of Pregnancy and Neuraxial Anesthesia - p. iii 47. Chapter 39: Shared Decision-Making and Communication - p. iii 48. Part IX: Obstetric Complications - p. iii 49. Chapter 40: Introduction - p. iii 50. Chapter 41: Preterm Labor and Delivery - p. iii 51. Chapter 42: Abnormal Presentation and Multiple Gestation - p. iii 52. Chapter 43: Hypertensive Disorders - p. iii 53. Chapter 44: Infection - p. iii 54. Chapter 45: Antepartum and Postpartum Hemorrhage - p. iii 55. Chapter 46: Embolic Disorders - p. iii 56. Chapter 47: Maternal Mortality - p. iii 57. Part X: The Parturient with Systemic Disease - p. iii 58. Chapter 48: Introduction - p. iii 59. Chapter 49: Autoimmune Disorders - p. iii 60. Chapter 50: Cardiovascular Disease - p. iii 61. Chapter 51: Chronic Pain during and after Pregnancy - p. iii 62. Chapter 52: Endocrine Disorders - p. iii 63. Chapter 53: Hematologic and Coagulation Disorders - p. iii 64. Chapter 54: Liver Disease - p. iii 65. Chapter 55: Malignant Hyperthermia - p. iii 66. Chapter 56: Musculoskeletal Disorders - p. iii 67. Chapter 57: Neurologic and Neuromuscular Disease - p. iii 68. Chapter 58: Obesity - p. iii 69. Chapter 59: Psychiatric Disorders - p. iii 70. Chapter 60: Renal Disease - p. iii 71. Chapter 61: Respiratory Disease - p. iii 72. Chapter 62: Substance Use Disorders - p. iii 73. Chapter 63: Trauma and Critical Care - p. iii 74. American Society of Anesthesiologists Guidelines - p. iii 75. Practice Guidelines for Obstetric Anesthesia - p. iii 76. Optimal Goals for Anesthesia Care in Obstetrics - p. iii 77. Information Technology Resources for Obstetric Anesthesia Providers - p. iii 78. Index - p. iii

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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.

  • Presents the latest information on anesthesia techniques for labor and delivery and medical disorders that occur during pregnancy, emphasizing the treatment of the fetus and the mother as separate patients with distinct needs.
  • Contains new chapters on shared decision-making in obstetric anesthesia and chronic pain during and after pregnancy.
  • Features extensive revisions from cover to cover, including consolidated information on maternal infection and postoperative analgesia.
  • Covers key topics such as neonatal assessment and resuscitation, pharmacology during pregnancy and lactation, use of nitrous oxide for labor analgesia, programmed intermittent epidural bolus (PIEB) technique, epidural analgesia-associated fever, the role of gastric ultrasonography to assess the risk of aspiration, sugammadex in obstetric anesthesia, the role of video laryngoscopy and new supraglottic airway devices, spinal dysraphism, and cardiac arrest in obstetric patients.
  • Incorporates the latest guidelines on congenital heart disease and the management of sepsis, as well as difficult airway guidelines that are specific to obstetric anesthesia practice.
  • Offers abundant figures, tables, and boxes that illustrate the step-by-step management of a full range of clinical scenarios.

1. Part I: Introduction - p. iii 2. Chapter 1: The History of Obstetric Anesthesia - p. iii 3. Part II: Maternal and Fetal Physiology - p. iii 4. Chapter 2: Introduction - p. iii 5. Chapter 3: Physiologic Changes of Pregnancy - p. iii 6. Chapter 4: Uteroplacental Blood Flow - p. iii 7. Chapter 5: The Placenta: Anatomy, Physiology, and Transfer of Drugs - p. iii 8. Chapter 6: Fetal Physiology - p. iii 9. Part III: Fetal and Neonatal Assessment and Therapy - p. iii 10. Chapter 7: Introduction - p. iii 11. Chapter 8: Antepartum Fetal Assessment and Therapy - p. iii 12. Chapter 9: Anesthesia for Fetal Surgery and Other Intrauterine Procedures - p. iii 13. Chapter 10: Intrapartum Fetal Assessment and Therapy - p. iii 14. Chapter 11: Neonatal Assessment and Resuscitation - p. iii 15. Chapter 12: Fetal and Neonatal Neurologic Injury - p. iii 16. Part IV: Foundations in Obstetric Anesthesia - p. iii 17. Chapter 13: Introduction - p. iii 18. Chapter 14: Patient Safety and Team Training - p. iii 19. Chapter 15: Spinal, Epidural, and Caudal Anesthesia: Anatomy, Physiology, and Technique - p. iii 20. Chapter 16: Local Anesthetics and Opioids - p. iii 21. Part V: Anesthesia before and during Pregnancy - p. iii 22. Chapter 17: Introduction - p. iii 23. Chapter 18: Pharmacology during Pregnancy and Lactation - p. iii 24. Chapter 19: In Vitro Fertilization and Other Assisted Reproductive Technology - p. iii 25. Chapter 20: Problems of Early Pregnancy - p. iii 26. Chapter 21: Nonobstetric Surgery during Pregnancy - p. iii 27. Part VI: Labor and Vaginal Delivery - p. iii 28. Chapter 22: Introduction - p. iii 29. Chapter 23: Obstetric Management of Labor and Vaginal Delivery - p. iii 30. Chapter 24: Trial of Labor and Vaginal Birth after Cesarean Delivery - p. iii 31. Chapter 25: The Pain of Childbirth and Its Effect on the Mother and the Fetus - p. iii 32. Chapter 26: Childbirth Preparation and Nonpharmacologic Analgesia - p. iii 33. Chapter 27: Systemic Analgesia: Parenteral and Inhalational Agents - p. iii 34. Chapter 28: Epidural and Spinal Analgesia: Anesthesia for Labor and Vaginal Delivery - p. iii 35. Chapter 29: Alternative Regional Analgesic Techniques for Labor and Vaginal Delivery - p. iii 36. Chapter 30: Postpartum Tubal Sterilization - p. iii 37. Part VII: Cesarean Delivery - p. iii 38. Chapter 31: Introduction - p. iii 39. Chapter 32: Anesthesia for Cesarean Delivery - p. iii 40. Chapter 33: Postoperative Analgesia - p. iii 41. Part VIII: Anesthetic Complications - p. iii 42. Chapter 34: Introduction - p. iii 43. Chapter 35: Aspiration: Risk, Prophylaxis, and Treatment - p. iii 44. Chapter 36: The Difficult Airway: Risk, Assessment, Prophylaxis, and Management - p. iii 45. Chapter 37: Postpartum Headache - p. iii 46. Chapter 38: Neurologic Complications of Pregnancy and Neuraxial Anesthesia - p. iii 47. Chapter 39: Shared Decision-Making and Communication - p. iii 48. Part IX: Obstetric Complications - p. iii 49. Chapter 40: Introduction - p. iii 50. Chapter 41: Preterm Labor and Delivery - p. iii 51. Chapter 42: Abnormal Presentation and Multiple Gestation - p. iii 52. Chapter 43: Hypertensive Disorders - p. iii 53. Chapter 44: Infection - p. iii 54. Chapter 45: Antepartum and Postpartum Hemorrhage - p. iii 55. Chapter 46: Embolic Disorders - p. iii 56. Chapter 47: Maternal Mortality - p. iii 57. Part X: The Parturient with Systemic Disease - p. iii 58. Chapter 48: Introduction - p. iii 59. Chapter 49: Autoimmune Disorders - p. iii 60. Chapter 50: Cardiovascular Disease - p. iii 61. Chapter 51: Chronic Pain during and after Pregnancy - p. iii 62. Chapter 52: Endocrine Disorders - p. iii 63. Chapter 53: Hematologic and Coagulation Disorders - p. iii 64. Chapter 54: Liver Disease - p. iii 65. Chapter 55: Malignant Hyperthermia - p. iii 66. Chapter 56: Musculoskeletal Disorders - p. iii 67. Chapter 57: Neurologic and Neuromuscular Disease - p. iii 68. Chapter 58: Obesity - p. iii 69. Chapter 59: Psychiatric Disorders - p. iii 70. Chapter 60: Renal Disease - p. iii 71. Chapter 61: Respiratory Disease - p. iii 72. Chapter 62: Substance Use Disorders - p. iii 73. Chapter 63: Trauma and Critical Care - p. iii 74. American Society of Anesthesiologists Guidelines - p. iii 75. Practice Guidelines for Obstetric Anesthesia - p. iii 76. Optimal Goals for Anesthesia Care in Obstetrics - p. iii 77. Information Technology Resources for Obstetric Anesthesia Providers - p. iii 78. Index - p. iii

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