This most recent contribution to the FAAM sequence offers a accomplished 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 alterations in being pregnant (pages 1–29): James Eldrtdge
Chapter 2 the results of Anaesthesia and Analgesia at the child (pages 30–78): Jackie Porter
Chapter three soreness reduction in Labour: Non?Regional (pages 79–108): Mark Scrutton
Chapter four nearby Analgesia and Anaesthesia (pages 109–177): Michael Paech
Chapter five normal Anaesthesia for Obstetrics (pages 178–200): Richard Vanner
Chapter 6 The Parturient with Co?Existing illness (pages 201–238): Philippa Groves and Michael Avidan
Chapter 7 scientific Emergencies in being pregnant (pages 239–280): Caroline Grange
Chapter eight Postnatal overview (pages 281–302): Robin Russell
Chapter nine Anaesthesia for Gynaecological surgical procedure (pages 303–345): Kym Osborn and Scott Simmons
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Additional info for Anaesthesia for Obstetrics and Gynaecology
Pharmacokinetics in pregnancy and placental drug transfer. Oxford Rev Reprod Biol 1989;11:389449. 76 Dean M, Stock B, Patterson RJ, Levy G. Serum protein binding of drugs during and after pregnancy in humans. Clin Phamzacol Therapeut 1980;28:253-6 1. 28 MAI'ERNAL CHANGES IN PREGNANCY 77 Flynn RJ, Moore J, Dwyer R, Duly E, Dundee JW. Changes in alpha 1 acid glycoprotein during labor. Anesth Analg 1988;67:s61. 78 Whittaker M, Crawford J, Lewis M. Some observations of levels of plasma cholinesterase activity within an obstetric population.
Although excessive doses of volatile agents should be avoided, adequate doses must be maintained to avoid awareness. MAC is reduced during pregnancy but inadequate anaesthesia is associated with increased catecholamine release, which reduces placental blood flow. For the same reason postoperative analgesia must be effective. Although opiates can be used, they may result in maternal hypercarbia; regional analgesia with local anaesthetic agents may be advantageous. In the third trimester every effort should be made to monitor the fetal heart rate and uterine activity as far as possible both during and after surgery.
Maternal cardiovascular dynamics. VII. Intrapartum blood volume changes. A m J Obstet Gynecol 1976;126:671-7. 53 Taylor DJ, Lind T. Puerperal haematological indices. B r J Obsret Gynaecol 1981;88:601-6. 54 McNair RD, Jaynes RV. 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.
Anaesthesia for Obstetrics and Gynaecology