Non Obstetric Surgery During Pregnancy

As minimally invasive surgical techniques evolve, the outlook for patients continues to brighten. This is also true for pregnant women experiencing conditions requiring surgical intervention during gestation. A physician’s ability to identify potential risk factors in pregnant patients that present pre-op directly corresponds with their success in monitoring patients in post-op for adverse obstetric outcomes from non-obstetric surgeries. The utilization of laparoscopic techniques during surgery for pregnant patients has decreased the risk of fetal complications and increased the positive outlook for the duration of the pregnancy. This text is designed to present a minimally invasive approach to surgery that is non-obstetrics related and to educate readers on the potential risk factors and negative outcomes on pregnant patients following non-obstetric surgery. The various sections of this book will address issues faced by surgeons who undertake the task of operating on the pregnant patient. When performing non-obstetric surgery on a pregnant patient the ability to identify possible risk factors for adverse obstetric outcomes is important. Risk factors can be maternal-, surgical-, obstetrical-, or disease-associated. Common adverse obstetric outcomes following non-obstetric surgery include preterm delivery, preterm labor without preterm delivery, and miscarriage. Fetal well-being is an additional risk-benefit factor to be considered when weighing options before conducting non-obstetric surgeries on pregnant patients. This book will provide physicians with the knowledge and tools to identify common risk factors and successfully apply evidence-based risk reduction. To date, no comprehensive resource is available for non-obstetric surgery during pregnancy. Types of pregnancies, potential complications, proper use of anesthesia, types of risk factors (maternal-, surgical-, obstetrical-, and disease-associated), etc. will be thoroughly explained and depicted within these pages. All chapters will be written by subject matter experts in their fields. All information communicated will be comprised of the most currently available knowledge

A practical, approachable and accessible guide to total intravenous anaesthesia (TIVA) for novice to experienced practitioners.

This volume in The Requisites in Anesthesiology Series concisely presents all of the knowledge essential to the safe practice of obstetric and gynecologic anesthesia. It covers every facet of the anesthetic care of female patients, including non-obstetrical pain management · pharmacology · physiology · common surgical procedures · oncologic procedures · assisted reproduction · fetal surgery · high-risk obstetric patients · and more. Case studies in each chapter demonstrate the clinical relevance of the material and test your comprehension. Tightly focused, user-friendly chapters make it ideal both as a refresher for certification or recertification, and as a reference for everyday clinical practice. Uses a logical, consistent chapter format to facilitate reference. Presents special boxes that highlight relevant case studies · key points · controversies · and advantages/disadvantages of drugs, tests, techniques, monitoring approaches, and more. Emphasizes current practice guidelines throughout-to ensure the safe and efficacious use of techniques as approved by leading anesthesia societies. Features 1 - 3 case studies in each chapter, consisting of a clinical vignette followed by several questions (with answers) that probe readers' mastery of the relevant knowledge. Represents the work of a single expert author-for a consistent, cohesive approach throughout.

"This book contains a collection of the most recent insights regarding maternal morbidity and mortality and optimization of the care processes during acute critical illness. The volume represents a practical resource to be used in real-time by medical practitioners faced with a woman who is critically ill during pregnancy and the peripartum period. By providing concise tools for disease identifiers and management flow-charts, the Editors aimed to increase awareness and improve processes of care for this population. Many care paradigms for obstetric patients are currently unstandardized, unfocused and often do not follow a pre-determined path. Each chapter will provide the practitioner with updated information on how to identify specific critical conditions and how to manage them once they have been identified, to enhance recognition and readiness. This book should be used as a resource to improve the quality of care administered to obstetric patients, to reduce fragmented care processes and to improve interdisciplinary co-ordination and communication, with the overall aim of decreasing maternal morbidity and mortality. Therefore, this book represents an invaluable guide to specialists in critical care, anesthesia and obstetrics as well as to intensive care nurses and midwives."

This textbook provides an up-to-date summary of the scientific basis, assessment for and provision of anaesthesia throughout pregnancy and labour. It is divided into nine sections including physiology, assessment, complications and systemic disease.

Gynecologic and obstetric surgery is a craft that requires sound knowledge and skills. The specifics of each individual case must be understood to enable the best surgical management approach and to minimize complications. This resource book offers insightful management options to many of the challenges a gynecologic or obstetric surgeon may face before, during and after an operation. Divided into two sections, the book first covers general preoperative, intraoperative and postoperative challenges and, second, specific surgical procedures. It provides advice on both general gynecologic and obstetric operations, as well as subspecialist areas such as reproductive surgery, urogynecology and gynecologic oncology. The chapters are concise, beginning with illustrative case histories followed by background, management options, and any preventative approaches. Designed to guide the surgeon to safe practice throughout all stages, they offer practical and step-by-step help.

This text is intended to serve as a reference guide for clinicians who consult pregnant women presenting with abdominal and pelvic pain. Many health care providers care for pregnant women including attending physicians, resident physicians, advanced practice nurses, certified nurse, midwives, labor and delivery nurses, operating room and post-anesthesia care nurses, medical students and others. The book addresses obstetrical and non-obstetrical aspects to the diagnostic process. Key features include: • the anatomical and physiological alterations of pregnancy • physical examination and management challenges in the first, second and third trimesters • laboratory findings in the gravid female • diagnostic imaging in the gravid female • assessment of the fetus(es) • Surgical and anesthetic issues in the gravid female • Medico-legal challenges in caring for pregnant women • Perinatal and neonatal issues The Diagnosis and Management of the Acute Abdomen in Pregnancy will serve practitioners as a quick-reference guide to those who encounter pregnant women in pain.