"Pregnancy is a normal maternal physiological state that is developed to accommodate and nurture the fetus and enable the mother during labor. Pregnancy engenders multiple systemic changes - whether it be hormonal, mechanical, or circulatory. The gravid uterus and the increase in progesterone and estrogen levels, attributes to the multi systemic changes. The increase in peptide hormones alters connective tissue characteristics leading to structural changes to the kidneys, ureters, ribcage, diaphragm, andabdominal compartments. Cardiac output, pulmonary blood flow, and circulating blood volume are all increased in response to rising metabolic demands. There are additionally significant changes in many biochemical lab results in comparison to the non-pregnant women. Awareness of those changes will not only enable clinicians to navigate normal pregnancy but also to identify critical pathological values that assist in the further management"--
As the practice of obstetric anesthesia becomes increasingly recognized as a major subspecialty of anesthesia, there is a growing interest from current practitioners to evolve their neuraxial, regional, and general anesthesia techniques and understanding of the latest evidence. Obstetric Anesthesia Practice is a timely update in the field, providing a concise, evidence-based, and richly illustrated book for students, trainees, and practicing clinicians. Comprehensive in scope, this book addresses the essential topics necessary for the practitioner to quickly assess the patient and risk stratify them, decide on the type of analgesic and anesthetic plan most appropriate as well as its feasibility and safety, provide expert consultation to the other members of the obstetric team, manage anesthesia care and complications, and arrange for advanced care if needed.
Obstetric Anesthesia Practice is a timely update in the field, providing a concise, evidence-based, and richly illustrated book for students, trainees, and practicing clinicians. The book comprehensively covers a robust list of topics focused to improve understanding in the field with emphasis on recent developments in clinical practices, technology, and procedures.