OBSTETRIC ANESTHESIA. A CASE-BASED AND VISUAL APPROACH

• Normal Pregnancy, Labor, and Delivery––Without Epidural Analgesia
• Neuraxial Anesthesia and the Supine Position Cause Non-reassuring Fetal Status
• Hyperstimulation
• Scheduled Repeat Cesarean Delivery
• Uterine Atony: The Most Common Cause of Postpartum Hemorrhage
• Hypovolemic Shock
• A Traumatic Cesarean Delivery with Consumptive Coagulopathy
• Trial of Labor After Cesarean Delivery (TOLAC), with Uterine Dehiscence and Emergency Cesarean Delivery Under General Anesthesia
• High Spinal
• Prolapsed Umbilical Cord
• A Patient Delivers Vaginally After an Eclamptic Seizure
• Cesarean Delivery Under General Anesthesia in a Septic Patient
• Morbidly Obese Preeclamptic Patient with Difficult IV Access for Urgent Cesarean Delivery
• Patient with Known Placenta Previa and Accreta for Elective Cesarean Hysterectomy
• A Patient with Severe Idiopathic Pulmonary Hypertension Delivers Her Fourth Child
• Fooling Ourselves: Intravenous Fentanyl Creates the Illusion of a Successful Epidural
• What Not to Do During Uterine Contractions: Three Vignettes with One Simple Lesson
• A One-Sided Epidural
• Dosing an Epidural for “Back Labor.”
• Management of a Patient with an Unsatisfactory Labor Epidural, Now Going for Cesarean Delivery
• Rescuing a Low Spinal
• A Failed Epidural Followed by a Failed Spinal (Part 1)
• A Failed Epidural Followed by a Failed Spinal (Part 2)
• Labor Epidural for a Patient with Scoliosis
• Wrong Medication
• Headache After Dural Puncture with an Epidural Needle
• Neurological Deficit After Neuraxial Analgesia for Labor and Vaginal Delivery
• Left Sciatic Neuropathy After Cesarean Delivery in an Obese, Diabetic Patient
• Vasopressin, Used as a Vasopressor During Cystoscopy, Causes Non-reassuring Fetal Status
• Emergency Cesarean Delivery After Repair of an Ankle Fracture
• Another Spinal Mishap
• Cardiac Output-Guided Resuscitation of the Uterus: An Obese Patient Has Dysfunctional Labor Which Resolves with Position Change. Coincidence or Possible Therapy?

With 32 engaging and dramatic cases and 174 colorful, insightful and innovative graphics, this book takes a fresh, creative and highly visual approach to the fundamentals of obstetric anesthesia as well as emerging knowledge and three emerging technologies: 1) pre-procedural ultrasound to facilitate neuraxial block placement, 2) point-of-care transthoracic echocardiography to guide maternal resuscitation, and 3) electrical cardiometry to trend maternal cardiac output and avoid fetal hypoxia. Besides discussing the threats to fetal oxygenation presented by labor and the avoidance of maternal and fetal complications while providing excellent anesthesia, the book also explores the psychological and behavioral dimensions of obstetric anesthesia practice and promotes the obstetric anesthesiologist as a valued member of the obstetric care team who makes unique, insightful and empathic contributions to the overall excellent care of pregnant patients. Obstetric Anesthesia: A Case-Based and Visual Approach is an indispensable resource for medical students, residents, fellows, anesthesiologists, nurse anesthetists, nurse midwives, and obstetricians.

Features
• Designed for new and experienced clinicians alike
• Presents basic, advanced and emerging knowledge in obstetric anesthesia using compelling case studies and innovative graphics
• Explains the use and benefits of emerging technology in obstetric anesthesia
• Presents concrete techniques for improving communication with patients and overall team performance

Author
Thomas L. Archer, MD, MBA. Clinical Professor from 2008-2015. Department of Anesthesiology. University of California San Diego School of Medicine. San Diego, California, USA.