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Chapter 9 - Obstetric Anesthesia

from Part II - INTRAPARTUM AND POSTPARTUM

Published online by Cambridge University Press:  07 May 2010

John Patrick O'Grady ,
Martin L. Gimovsky ,
Lucy A. Bayer-Zwirello  and
Kevin Giordano
By
Paul C. Youngstrom ,
Margaret Sedensky  and
Daniel F. Grum
John Patrick O'Grady
Affiliation:
Tufts University, Massachusetts
Paul C. Youngstrom
Affiliation:
Staff Anesthesiologist, The Cleveland Clinic Foundation Cleveland, Ohio
Margaret Sedensky
Affiliation:
Professor, Department of Anesthesiology and Department of Genetics University Hospitals of Cleveland Case Western Reserve University School of Medicine Cleveland, Ohio
Daniel F. Grum
Affiliation:
Associate Professor, Department of Anesthesiology The University of Tennessee School of Medicine Chief Department of Anesthesiology Director Resident Education Department of Anesthesiology The University of Tennessee Health Science Center Memphis, Tennessee
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Summary

This chapter begins with a discussion on the pharmacology of both new and accepted drugs in obstetric anesthesia management. Drugs administered to the parturient to provide analgesia or anesthesia for childbirth can affect not only maternal physiology but also fetal condition and neonatal well-being. Therapeutic strategies must be formulated with consideration for these effects, as well as the compounding influences of obstetric agents and illicitly consumed substances. Operative anesthesia must be appropriately adapted to the special requirements of surgery during pregnancy but is rarely a legitimate alternative for analgesic management. An obstetric anesthesia service requires a director with interest and skill in management; clinical, educational, or research success is not a substitute. Challenges include provision for appropriate staffing and equipment and fostering effective communication among professional staff from multiple disciplines whose timely, coordinated input is essential to safe, high-quality outcomes.
Type
Chapter
Information
Operative Obstetrics , pp. 193 - 231
Publisher: Cambridge University Press
Print publication year: 2008

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  • Obstetric Anesthesia
    • By Paul C. Youngstrom, Staff Anesthesiologist, The Cleveland Clinic Foundation Cleveland, Ohio, Margaret Sedensky, Professor, Department of Anesthesiology and Department of Genetics University Hospitals of Cleveland Case Western Reserve University School of Medicine Cleveland, Ohio, Daniel F. Grum, Associate Professor, Department of Anesthesiology The University of Tennessee School of Medicine Chief Department of Anesthesiology Director Resident Education Department of Anesthesiology The University of Tennessee Health Science Center Memphis, Tennessee
  • John Patrick O'Grady, Tufts University, Massachusetts, Martin L. Gimovsky, Lucy A. Bayer-Zwirello, Kevin Giordano
  • Book: Operative Obstetrics
  • Online publication: 07 May 2010
  • Chapter DOI: https://doi.org/10.1017/CBO9780511580987.011
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  • Obstetric Anesthesia
    • By Paul C. Youngstrom, Staff Anesthesiologist, The Cleveland Clinic Foundation Cleveland, Ohio, Margaret Sedensky, Professor, Department of Anesthesiology and Department of Genetics University Hospitals of Cleveland Case Western Reserve University School of Medicine Cleveland, Ohio, Daniel F. Grum, Associate Professor, Department of Anesthesiology The University of Tennessee School of Medicine Chief Department of Anesthesiology Director Resident Education Department of Anesthesiology The University of Tennessee Health Science Center Memphis, Tennessee
  • John Patrick O'Grady, Tufts University, Massachusetts, Martin L. Gimovsky, Lucy A. Bayer-Zwirello, Kevin Giordano
  • Book: Operative Obstetrics
  • Online publication: 07 May 2010
  • Chapter DOI: https://doi.org/10.1017/CBO9780511580987.011
Available formats
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  • Obstetric Anesthesia
    • By Paul C. Youngstrom, Staff Anesthesiologist, The Cleveland Clinic Foundation Cleveland, Ohio, Margaret Sedensky, Professor, Department of Anesthesiology and Department of Genetics University Hospitals of Cleveland Case Western Reserve University School of Medicine Cleveland, Ohio, Daniel F. Grum, Associate Professor, Department of Anesthesiology The University of Tennessee School of Medicine Chief Department of Anesthesiology Director Resident Education Department of Anesthesiology The University of Tennessee Health Science Center Memphis, Tennessee
  • John Patrick O'Grady, Tufts University, Massachusetts, Martin L. Gimovsky, Lucy A. Bayer-Zwirello, Kevin Giordano
  • Book: Operative Obstetrics
  • Online publication: 07 May 2010
  • Chapter DOI: https://doi.org/10.1017/CBO9780511580987.011
Available formats
×