Handbook of Obstetric Anesthesia (Clinical References) by Craig M. Palmer, Michael J. Paech

By Craig M. Palmer, Michael J. Paech

This widely illustrated booklet offers an obtainable creation to obstetric anaesthesia and analgesia. With simply 3 imperative authors, there's a consistency of favor inside of a entire textbook that offers the elemental technology, pharmacology and scientific perform correct to obstetric anaesthesia. Chapters hide subject matters corresponding to analgesia in the course of labour, anaesthesia and postoperative analgesia for caesarean supply, significant obstetric and anaesthetic issues, overview of the foetus and resuscitation of the neonate, and customary medical eventualities equivalent to administration of pre-eclampsia, weight problems, a number of gestation and co-existing ailment.

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Decreasing uterine tone. As described above, increases in uterine tone or an increase in the intensity and frequency of uterine contractions can decrease placental perfusion by impeding uterine blood flow. A very rapid contraction pattern may not allow a fetus sufficient time to recover between contractions from the episodic decrease in oxygen delivery. 25 mg. Nitroglycerin, either intravenous or sublingual, is another agent for rapidly producing uterine relaxation that has proven effective. Intravenous nitroglycerin should be administered beginning at a dose of 50 μg: the dose can be increased to as high as 500 μg until the desired relaxant effect is seen.

A. (1995) Descending control of pain. Br. /. Anaesth. 75: 217-227. , Morimoto, N. and Saito, Y. (1999) The addition of epinephrine increases the intensity of sensory block during epidural anesthesia with lidocaine. Reg. Anesth. Pain Med. 24: 541-546. 40 Palmer, Craig M. Handbook of Obstetric Anesthesia. Oxford,, GBR: BIOS Scientific Publishers Ltd, 2002. p 40. id=10006558&ppg=52 Voulgaropoulos, D. and Palmer, CM. (1996) Local anesthetic pharmacology. In: International Practice of Anaesthesia (eds Prys-Roberts, C.

This assumes an epidural service exists at that institution and that the patient has no contraindications to regional anesthesia. 1). When relative contraindications exist, the risk of a complication occurring must be weighed against the benefits of the regional anesthetic on a case-by-case basis. 5 Preparation All patients should have a brief history and physical exam and the risks of the procedure explained prior to epidural catheter placement. Laboratory tests are not routinely recommended unless the history warrants them, such as a platelet count in a patient with a history of preeclampsia (see Chapter 9).

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