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 is the second edition of a well-received book that reflects the state of the art in diagnosis and treatment of acute abdominal disorders in the pregnant patient. It addresses a wide range of conditions - whether associated with or incidental to pregnancy - ranging from very rare to more common ones, such as acute appendicitis and acute cholecystitis. It offers an update on recommendations, guidelines and scenarios to provide fundamental support for all clinicians who might encounter such cases. The book highlights the importance of a rapid diagnosis to avoid serious consequences for both the mother and the fetus. Furthermore, it sheds light on the different imaging modalities of rare pathologies that can occur during pregnancy, helping clinicians and radiologists to better define underlying cases. This new edition has been almost completely rewritten, and includes an additional section focusing on urologic emergencies, preterm labor and intra-abdominal pressure, as well as new figures and tables. It is equally valuable for general and abdominal surgeons, gynecologists and obstetricians, as well as emergency physicians, who may be the first specialists to have clinical contact with this group of patients.

Divided into twelve sections that cover the entirety of anesthetic practice, this is a case-based, comprehensive review of anesthesiology that covers the basics of anesthetic management and reflects all new guidelines and recently developed standards of care. Each chapter of Anesthesiology: Clinical Case Reviews begins with a specific clinical problem or a clinical case scenario, followed by concise discussions of preoperative assessment, intraoperative management, and postoperative pain management. In addition to residents and fellows, this book is written for practicing anesthesiologists, student nurse anesthetists, and certified registered nurse anesthetists (CRNAs).

"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 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.