By Michael Foley, Jr., Thomas Strong, Thomas Garite
The fourth version of serious Care Obstetrics has been commonly revised to mirror the advances which have been made in maternal-fetal medication. This variation includes 14 fresh chapters written via the field's best physicians.
Critical Care Obstetrics, 4/e, deals increased assurance in components very important to extensive care administration, together with Neonatal Resuscitation, The Organ Transplant Obstetrical sufferer, and moral issues
This sensible consultant and reference might be of helpful suggestions to obstetricians, and first care physicians, in either the therapy and referral of high-risk sufferers.
Chapter 1 Epidemiology of severe disease and results in being pregnant (pages 2–12): Cande V. Ananth and John C. Smulian
Chapter 2 Organizing a severe Care Obstetric Unit (pages 13–16): Cornelia R. Graves
Chapter three Pregnancy?Induced Physiologic adjustments (pages 19–42): Errol R. Norwitz, Julian N. Robinson and Fergal D. Malone
Chapter four Maternal?Fetal Blood fuel body structure (pages 43–59): Renee A. Bobrowski
Chapter five Fluid and Electrolyte stability (pages 60–84): William E. Scorza and Anthony Scardella
Chapter 6 Cardiopulmonary Resuscitation (pages 87–103): Nancy A. Hueppchen and Andrew J. Satin
Chapter 7 Neonatal Resuscitation (pages 104–120): Christian Con Yost and Ron Bloom
Chapter eight Airway administration in severe ailment (pages 121–145): Janice E. Whitty
Chapter nine Vascular entry (pages 146–161): Gayle Olson and Aristides Koutrouvelis
Chapter 10 Blood part alternative remedy (pages 162–183): David A. Sacks
Chapter eleven Hyperalimentation (pages 184–190): Jeffrey P. Phelan
Chapter 12 Dialysis (pages 191–198): Gail L. Seiken
Chapter thirteen Cardiopulmonary skip (pages 199–210): Audrey S. Alleyne and Peter L. Bailey
Chapter 14 Noninvasive tracking (pages 211–218): John Anthony and Michael A. Belfort
Chapter 15 Pulmonary Artery Catheterization (pages 219–223): Gary A. Dildy and Steven L. Clark
Chapter sixteen Seizures and standing Epilepticus (pages 227–232): Tawnya Constantino and Michael W. Varner
Chapter 17 Acute Spinal wire harm (pages 233–239): Sheryl Rodts?Palenik and James N. Martin
Chapter 18 Cerebrovascular injuries (pages 240–251): Mark W. Tomlinson and Bernard Gonik
Chapter 19 Cardiac disorder (pages 252–274): Michael R. Foley
Chapter 20 Thromboembolic disorder (pages 275–297): Donna Dizon?Townson, Shailen S. Shah and Jeffrey P. Phelan
Chapter 21 Etiology and administration of Hemorrhage (pages 298–311): Rosie Burton and Michael A. Belfort
Chapter 22 critical Acute bronchial asthma (pages 312–328): William H. Barth and Theresa L. Stewart
Chapter 23 Systemic Inflammatory reaction Syndrome and Acute breathing misery Syndrome (pages 329–345): Brian A. Mason
Chapter 24 Pulmonary Edema (pages 346–353): William C. Mabie
Chapter 25 the extreme stomach (pages 354–360): Howard T. Sharp
Chapter 26 Acute Pancreatitis (pages 361–371): Karen A. Zempolich
Chapter 27 Acute Renal Failure (pages 372–379): Shad H. Deering and Gail L. Seiken
Chapter 28 Acute Fatty Liver of being pregnant (pages 380–385): T. Flint Porter
Chapter 29 Sickle?Cell problem (pages 386–393): Lisa E. Moore and James N. Martin
Chapter 30 Disseminated Intravascular Coagulopathy (pages 394–407): Luis Diego Pacheco, James W. Van Hook and Alfredo F. Gei
Chapter 31 Thrombotic Microangiopathies (pages 408–419): Christopher A. Sullivan and James N. Martin
Chapter 32 Endocrine Emergencies (pages 420–435): Carey L. Winkler and Lowell E. Davis
Chapter 33 problems of Preeclampsia (pages 436–462): Gary A. Dildy
Chapter 34 Anaphylactoid Syndrome of being pregnant (Amniotic Fluid Embolism) (pages 463–471): Gary A. Dildy and Steven L. Clark
Chapter 35 Systemic Lupus Erythematosus and the Antiphospholipid Syndrome (pages 472–483): T. Flint Porter and D. Ware Branch
Chapter 36 Trauma in being pregnant (pages 484–505): James W. Van Hook, Alfredo F. Gei and Luis Diego Pacheco
Chapter 37 Thermal and electric damage (pages 506–511): Cornelia R. Graves
Chapter 38 Overdose, Poisoning, and Envenomation (pages 512–552): Alfredo F. Gei and Victor R. Suarez
Chapter 39 Hypovolemic and Cardiac surprise (pages 553–561): Scott Roberts
Chapter forty Septic surprise (pages 562–580): Michael R. Leonardi and Bernard Gonik
Chapter forty-one Anaphylactic surprise (pages 581–589): Donna Dizon?Townson
Chapter forty two Fetal issues within the significantly unwell Gravida (pages 593–611): Jeffrey P. Phelan, Cortney Kirkendall and Shailen S. Shah
Chapter forty three Fetal results of gear generic serious Care (pages 612–619): Jerome Yankowitz
Chapter forty four Anesthesia for the seriously sick Parturient with Cardiac disorder and Pregnancy?Induced high blood pressure (pages 620–637): Rakesh B. Vadhera
Chapter forty five The Organ Transplant Obstetric sufferer (pages 638–645): James R. Scott
Chapter forty six Ethics within the Obstetric severe Care surroundings (pages 646–665): Fidelma B. Rigby
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Additional resources for Critical Care Obstetrics, Fourth Edition
Morganti AA, Zervodakis I, et al. Blood pressure, the renin-aldosteronesystem, and sex steroids throughout normal pregnancy. Am J Med 68:97. ) I H Sitting 0-0 Standing k 80 I I 6ot 50 4 8 12 16 20 24 28 32 36 40 PP Gestation (weeks) 21 PART II Pregnancy physiology 120 m- Supine Systolic I 70 Diastolic 501 40 I Fig. 3 Sequential changes in BP throughout pregnancywith subjects in the supine and left lateral decubitus positions(n = 69; values are mean SEM). The calculated change in systolic(open triangles)and diastolic (closed triangles) BP produced by repositioning from the left lateral decubitus to the supine position is illustrated.
These clinical features were initially described by Howard et al. , 1988) of women during late pregnancy. In addition to impairing venous return, compressionby the gravid uterus in the supine position can also result in partial obstruction of blood flow through the aorta and its ancillary branches leading, for example, to diminished renal blood flow (Chesley, 1960;Lindheimer & Katz, 1972). The clinical significance of supine hypotension is not clear. Vorys et al. 4). To investigate the effect of gestational age on the maternal cardiovascular response to posture, Ueland et al.
Although their results substantiate the physiologic importance of ANP in the regulation of blood volume, the authors conclude that ANP does not function as a significant vasodilator during pregnancy. Regional blood flow Significant regional blood flow changes have been documented during pregnancy. , 1958), and may serve as a mechanism by which the excessheat of fetal metabolismis allowed to dissipate the maternal circulation. A small decrease in pulmonary vascular resistance was noted at 8 weeks without any subsequent significant change thereafter.