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Chestnut’s Obstetric Anesthesia: Principles and Practice 6th Edition, ISBN-13: 978-0323566889


  • Publisher: ‎ Elsevier; 6th edition (April 17, 2019)
  • Language: ‎ English
  • 1382 pages
  • ISBN-10: ‎ 032356688X
  • ISBN-13: ‎ 978-0323566889


Chestnut’s Obstetric Anesthesia: Principles and Practice 6th Edition by David H. Chestnut, ISBN-13: 978-0323566889

[PDF eBook eTextbook]

  • Publisher: ‎ Elsevier; 6th edition (April 17, 2019)
  • Language: ‎ English
  • 1382 pages
  • ISBN-10: ‎ 032356688X
  • ISBN-13: ‎ 978-0323566889

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.

Table of Contents:

Part I: Introduction

1. The History of Obstetric Anesthesia

Part II: Maternal and Fetal Physiology

2. Physiologic Changes of Pregnancy

3. Uteroplacental Blood Flow

4. The Placenta: Anatomy, Physiology, and Transfer of Drugs

5. Fetal Physiology

Part III: Fetal and Neonatal Assessment and Therapy

6. Antepartum Fetal Assessment and Therapy

7. Anesthesia for Fetal Surgery and Other Intrauterine Procedures

8. Intrapartum Fetal Assessment and Therapy

9. Neonatal Assessment and Resuscitation

10. Fetal and Neonatal Neurologic Injury

Part IV: Foundations in Obstetric Anesthesia

11. Patient Safety and Team Training

12. Spinal, Epidural, and Caudal Anesthesia: Anatomy, Physiology, and Technique

13. Local Anesthetics and Opioids

Part V: Anesthesia Before and During Pregnancy

14. Pharmacology and Nonanesthetic Drugs During Pregnancy and Lactation

15. In Vitro Fertilization and Other Assisted Reproductive Technology

16. Problems of Early Pregnancy

17. Nonobstetric Surgery during Pregnancy

Part VI: Labor and Vaginal Delivery

18. Obstetric Management of Labor and Vaginal Delivery

19. Trial of Labor and Vaginal Birth after Cesarean Delivery

20. The Pain of Childbirth and its Effect on the Mother and the Fetus

21. Childbirth Preparation and Nonpharmacologic Analgesia

22. Systemic Analgesia: Parenteral and Inhalational Agents

23. Epidural and Spinal Analgesia/ Anesthesia for Labor and Vaginal Delivery

24. Alternative Regional Analgesic Techniques for Labor and Vaginal Delivery

25. Postpartum Tubal Sterilization

Part VII: Cesarean Delivery

26. Anesthesia for Cesarean Delivery

27. Postoperative Analgesia

Part VIII: Anesthetic Complications

28. Aspiration: Risk, Prophylaxis, and Treatment

29. The Difficult Airway: Risk, Assessment, Prophylaxis, and Management

30. Postpartum Headache

31. Neurologic Complications of Pregnancy and Neuraxial Anesthesia

32. Shared Decision-Making in Obstetric Anesthesia

Part IX: Obstetric Complications

33. Preterm Labor and Delivery

34. Abnormal Presentation and Multiple Gestation

35. Hypertensive Disorders

36. Infection

37. Antepartum and Postpartum Hemorrhage

38. Embolic Disorders

39. Maternal Mortality

Part X: The Parturient with Systemic Disease

40. Autoimmune Disorders

41. Cardiovascular Disease

42. Chronic Pain During and After Pregnancy

43. Endocrine Disorders

44. Hematologic and Coagulation Disorders

45. Liver Disease

46. Malignant Hyperthermia

47. Musculoskeletal Disorders

48. Neurologic and Neuromuscular Disease

49. Obesity

50. Psychiatric Disorders

51. Renal Disease

52. Respiratory Disease

53. Substance Abuse

54. Trauma and Critical Care


Appendix A: American Society of Anesthesiologist Guidelines for Neuraxial Anesthesia in Obstetrics

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

Appendix C: Optimal Goals for Anesthesia Care in Obstetrics

Appendix D: Information Technology Resources for Obstetric Anesthesia Providers

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