Chestnut's Obstetric Anesthesia: Principles and Practice

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From basic science to various anesthesia techniques to complications, the meticulously updated, fifth edition of Chestnut’s Obstetric Anesthesia: Principles and Practice, covers all you need to know about obstetric anesthesia. An editorial team of leading authorities presents the latest on anesthesia techniques for labor and delivery and medical disorders that occur during pregnancy. New chapters and rewritten versions of key chapters cover topics such as psychiatric disorders in the pregnant patient, neurologic disorders, and critical care of obstetric patients.  With online access to the full text, it is an invaluable, comprehensive reference textbook for specialists in obstetric anesthesiology and obstetricians, as well as anesthesiology and obstetric residents. This book also serves as a clear, user-friendly guide for both anesthesiologists and obstetricians who are in clinical practice.


Hardbound, 1328 Pages

Published: April 2014

Imprint: Saunders

ISBN: 978-1-4557-4866-2


  • Chestnut’s Obstetric Anesthesia, 5E


    Part 1 Introduction

    1. The History of Obstetric Anesthesia

    Part 2 Maternal and Fetal Physiology

    2. Physiologic Changes of Pregnancy

    3. Uteroplacental Blood Flow

    4. The Placenta: Anatomy, Physiology, and Transfer of Drugs

    5. Fetal Physiology

    Part 3 Fetal and Neonatal Assessment and Therapy

    6. Antepartum Fetal Assessment and Therapy

    7. Anesthesia for Fetal Surgery and Other Intrauterine Procedures

    8. Intrapartum Fetal Assessment and Therapy

    9. Neonatal Assessment and Resuscitation

    10. Fetal and Neonatal Neurologic Injury

    Part 4 Foundations in Obstetric Anesthesia

    11. Patient Safety and Team Training

    David J. Birnbach and Eduardo Salas

    12. Spinal, Epidural and Caudal Anesthesia: Anatomy, Physiology, and Technique

    Naveen Nathan and Cynthia Wong

    13. Local Anesthetics and Opioids

    Brenda A. Bucklin and Alan C. Santos

    Part 5 Anesthesia Before and During Delivery

    14. Pharmacology and Nonanesthetic Drugs during Pregnancy and Lactation

    15. In Vitro Fertilization and Other Assisted Reproductive Technology

    16. Problems of Early Pregnancy

    17. Nonobstetric Surgery During Pregnancy

    Part 6 Labor and Vaginal Delivery

    18. Obstetric Management of Labor and Vaginal Delivery

    19. Trial of Labor and Vaginal Birth after Cesarean Delivery

    20. The Pain of Childbirth and Its Effect on the Mother and the Fetus

    21. Childbirth Preparation and Nonpharmacologic Analgesia

    22. Systemic Analgesia: Parenteral and Inhalational Agents


    23. Epidural and Spinal Analgesia/Anesthesia for Labor and Vaginal Delivery

    24. Alternative Regional Analgesic Techniques for Labor and Vaginal Delivery

    25. Postpartum Tubal Sterilization

    Part 7 Cesarean Delivery

    26. Anesthesia for Cesarean Delivery

    27. Postoperative and Chronic Pain: Systemic and Regional Analgesic Techniques

    28. Postoperative Analgesia: Epidural and Spinal Techniques

    Part 8 Anesthetic Complications

    29. Aspiration: Risk, Prophylaxis, and Treatment

    30. The Difficult Airway: Risk, Assessment, Prophylaxis and Management

    31. Postpartum Headache

    32. Neurologic Complications of Pregnancy and Neuraxial Anesthesia

    33. Medicolegal Issues in Obstetric Anesthesia

    Part 9 Obstetric Complications

    34. Preterm Labor and Delivery

    35. Abnormal Presentation and Multiple Gestation

    36. Hypertensive Disorders

    37. Fever and Infection

    38. Antepartum and Postpartum Hemorrhage

    39. Embolic Disorders

    40. Maternal Mortality

    Part 10 The Parturient with Systemic Disease

    41. Autoimmune Disorders

    42. Cardiovascular Disease

    43. Endocrine Disorders

    44. Hematologic and Coagulation Disorders

    45. Human Immunodeficiency Virus

    46. Liver Disease

    47. Malignant Hyperthermia

    48. Musculoskeletal Disorders

    49. Neurologic and Neuromuscular Disease

    50. Obesity

    51. Psychiatric Disorders

    52. Renal Disease

    53. Respiratory Disease in Pregnancy

    54. Substance Abuse

    55. Trauma and Critical Care During Pregnancy

    Appendix A

    American Society of Anesthesiologists Guidelines for Neuraxial Anesthesia in Obstetrics

    Appendix B

    Practice Guidelines for Obstetric Anesthesia: An Updated Report by the American Society of Anesthesiologists Task Force on Obstetric Anesthesia

    Appendix C

    Optimal Goals for Anesthesia Care in Obstetrics

    Appendix D

    Information Technology Resources for Obstetric Anesthesia Providers


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