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302 ● AnesthesiA student survivAl Guide Gupta AK, Gelb AW (eds) (2008) Essentials of neuroanesthesia and neurointensive care. Elsevier Health Sciences. Moorthy SS, Gupta S, Laurent B, Weisberger EC (2005) Management of airway in patients with laryngeal tumors. J Clin Anesth. 17(8):604–609 Stoelting RK, Dierdorf RF (2004) Anesthesia and co-existing disease, 4th Ed. Elsevier, Churchill Livingston. Werkhaven JA (2004) Microlaryngoscopy-airway management with anaesthetic techniques for CO 2 laser. Paediatr Anaesth 14(1):90–94
Chapter 19 Physiology and Anesthesia for Obstetrics Stephen M. Howell and Mario Serafini For maximum impact, it is recommended that the case study and questions found on page xxvi are reviewed before reading this chapter. Key Learning Objectives ● Learn the physiologic changes associated with pregnancy ● Know the various methods of pain control available during labor ● Understand the anesthetic management of the obstetric patient Obstetric challenges for the anesthesiologist include simultaneous care of the mother and fetus, dire emergencies, and complex disease. In the course of battling these challenges, physicians are immersed in their patient’s life-changing experiences. For this reason, obstetric anesthesia is considered by many to be one of the most rewarding anesthetic subspecialties. Normal Physiologic Changes of Pregnancy In order to provide safe and effective obstetric anesthesia, you must understand maternal physiology. Pregnancy represents a state of profound physiologic adaptation. Some adaptations become apparent in the first trimester and many persist well after delivery. Every organ system is affected. Table 19.1 summarizes some of the important changes. Cardiovascular During pregnancy, maternal oxygen requirements and metabolism steadily in crease and the cardiovascular system must adapt to meet these increased demands. J.M. Ehrenfeld et al. (eds.), Anesthesia Student Survival Guide: A Case-Based Approach, DOI 10.1007/978-0-387-09709-1_19, © Springer Science+Business Media, LLC 2010 303
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Anesthesia Student Survival Guide
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Editors Jesse M. Ehrenfeld, MD, MPH
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Foreword As anesthesiologists and H
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Contents Case Studies xvii Section
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ContEntS ● xi 19 Physiology and A
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Contributors Basem Abdelmalak, MD S
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David C. Lai, MD Partner, Allenmore
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CASE STUDIES In order to focus your
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CASE StUDIES ● xix inhalation ane
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CASE StUDIES ● xxi around the job
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CASE StUDIES ● xxiii ● Although
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CASE StUDIES ● xxv ● You plan a
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CASE StUDIES ● xxvii ● What oth
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CASE StUDIES ● xxix Chapter 23 Ca
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CASE StUDIES ● xxxi of her left h
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CASE StUDIES ● xxxiii speechless.
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CASE StUDIES ● xxxv things go ver
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How to Be a “Star” Student, Car
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hOw tO Be A “stAr” student, CAr
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Pre-Op Holding Area Preoperative Ev
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History of Anesthesia and Introduct
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history of AnesthesiA And introduct
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Pharmacology Section II
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The Preoperative Patient Evaluation
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THe PreoPerATIve PATIenT evAluATIon
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Therapy-based indications radiation
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Table 8.5 Formulation an anesthetic
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Anesthesia Equipment and Monitors B
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AnesthesiA eQuiPment And mOnitOrs
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● ● ● AnesthesiA eQuiPment An
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Table 11.3 Data typically obtained
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Anesthetic Techniques: General, Sed
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Anesthetic techniques: GenerAl, sed
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Table 12.2 Stages of general anesth
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Table 12.6 (continued) Anesthetic t
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Anesthetic Techniques: Regional Ant
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Figure 13.2 Surface anatomy for neu
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Table 13.1 Risks of neuraxial anest
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Anesthetic techniques: reGionAl ●
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Table 14.6 Advantages, disadvantage
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Table 14.11 Transfusion of bloodpro
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Chapter 15 IV, Gastric Tube, Arteri
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iv, GAstric tube, ArteriAl & centrA
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Common Intraoperative Problems Fran
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Pneumothorax Uncommon, but may spon
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COMMON INTRAOPERATIVE PROBLEMS ●
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COMMON INTRAOPERATIVE PROBLEMS ●
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Physiology and Anesthesia for Pedia
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PhysioloGy And AnesthesiA for PediA
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Table 22.6 Common pediatric emergen
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Physiology and Anesthesia for Elder
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PhysioloGy And AnesthesiA for elder
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Chapter 24 Ambulatory Surgery and O
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AmbulAtOry Surgery ANd Out-Of-Or (O
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Perioperative Acute and Chronic Pai
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PerioPerAtive ACute And ChroniC PAi
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Chapter 27 Postoperative Anesthesia
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POstOPerAtive AnesthesiA CAre unit
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Introduction to Critical Care Bever
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introduction to criticAl cAre ● 4
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SVR = [(MAP - CVP)/CO] ´ 80 introd
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● ● ● ● ● introduction to
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Chapter 29 Professionalism, Safety,
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ProfessionAlism, sAfety, And teAmwo
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Chapter 30 Quality Assurance, Patie
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QuAlity AssurAnce, PAtient And Prov
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Chapter 32 Clinical Simulation in A
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Table 32.1 Matrix of categories of
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CliniCAl simulAtion in AnesthesiA e
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ASA Difficult Airway Algorithm Appe
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518 ● ANESTHESIA STUDENT SURVIVAL
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