This is the 3rd edition of a classic text which still represents the only multi-disciplinary approach to the evaluation and management of a high-risk pregnancy. Since most chapters are written by a 2-author team (an anesthesiologist and an obstetrician or fetologist), information will be efficiently formated, practical, and complete. Coverage will include causes of the health risk, pathophysiology, obstetric treatment written by an obstetrician, and anesthetic management written by an obstetric anesthesiologist. Chapters will include the latest procedures and most advanced technology. They will cover the parameters used to observe fetal well-being and deal with abnormal findings, regardless of the stage of development. Topics will extend through the delivery and post delivery periods.
It is a book that swings from supernumerary level to high end tertiary referral obstetric anaesthesia, however, the layout and clarity of headings make for easier reading than might be expected. For this reason it would sit extremely well on any departmental bookshelf for access by trainees and consultants alike. I would recommend updating since the previous edition. Some areas of controversy, such as cardio-respiratory and critical care medicine, have been thoroughly updated and ongoing areas of controversy, such as use of Swann–Ganz catheters, have both sides of the argument laid out.
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Anesthetic and Obstetric Management of High-Risk Pregnancy
Labels: Anaesthesia
Transoesophageal Echocardiography in Anaesthesia
Ultrasound was not used for imaging of the human heart until 1954, but from this time there has been tremendous progress in ultrasound technology and its application for examining the heart and great vessels. There is no doubt that the introduction of echocardiography into clinical practice represents one of the most important medical achievements of the past century. However, in the early days of echocardiography, the quality of transthoracic images was poor compared with present standards, and cardiologists often encountered a patient whose chest was impenetrable to the ultrasound waves. Thus, it is not surprising that they looked for a new window onto the heart that was not obscured by the air in the lungs or bony structures of the chest wall. Finally, in 1975, Dr Lee Frazin discovered this window in the oesophagus
Since cardiologists were not always available to perform the diagnostic TOE procedures in the operating room, the opportunity for a new role as an echocardiographer emerged for anaesthetists and, subsequently, many of them took it. In the early days of TOE, this created a violent controversy within the anaesthesiology community. The "anaesthetist echocardiographers" were called irresponsible "cowboys" and asked to "keep the scopes in their holsters". Fortunately, these times are overcritical anaesthesia and at the same time perform TOE. One should be aware that TOE as a monitoring and diagnostic tool is an integral part of anaesthetic management, particularly in critical situations. In our opinion it is, in most cases, appropriate that the anaesthesia team be responsible for both anaesthesia and TOE. However, there will always be situations when assistance from a cardiologist will be needed and welcome. This approach is common practice in our institutions
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Labels: Anaesthesia
How to Survive in Anaesthesia
In this book two highly experienced teachers of anaesthesia provide the practical information on all the procedures an anaesthetist is called upon to perform, both every day and in an emergency. The whole spectrum of anaesthetic practice is covered, from assessing the airway and checking the machines to management of specific complications.
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Labels: Anaesthesia