Principles and Practice of Obstetric Anaesthesia / Edition 1

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Overview

Obstetric anaesthesia is a specialized practice and covers the entire range of pain relief throughout normal labor as well as general anaesthesia for special procedures such as caesarian section. While there is a specialist group based at main teaching centers who practice obsteric anaesthesia exclusively, the majority of anaesthetists are based at smaller hospitals where there is no such specialist. Consequently, it is essential that all anaesthetists are familiar with the anaesthetic requirements of normal labor, and of all but the most extreme cases of abnormal labor. While this book is written for the specialist in obstetric anaesthesia, it is also ideal for trainee anaesthetists. It provides enough information for the final FRCA examination, but also contains sufficient detail on the various clinical problems that may present at any stage in their future career. The underlying principle is that the anaesthetist must understand the physiology of labor in normal and abnormal situations as well as the interventions of his obstetric colleagues in order to practice safely and effectively. The book will replace J. Selwyn Crawford's text, which presented a personal view, backed by his extensive research experience of obstetric anaesthesia.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Bernard Wittels, MD, PhD (University of Chicago Pritzker School of Medicine)
Description: The authors are a pair of British anesthetists who have compiled a text on obstetric anesthesia that is organized and presented with a unique style and consistency. Perhaps a more accurate title would be "A British Perspective of Obstetric Anesthesia." In this text, the authors put forth rather narrow, personal perspectives with regard to content and organization, omitting efforts to be thorough, exhaustive, or authoritative.
Purpose: The authors give credit to the late Dr. Jeffrey Selwyn Crawford as the original author and strive to maintain a "traditional individual textual style, rather than a multi-author, edited tome."
Audience: According to the authors, this text is intended for those taking professional exams and for anyone "with a profound interest in obstetric anesthesia." Because they direct much attention to specific British methods for obstetric service organization, monitoring, and auditing, their text seems most appropriate for anesthesia residents and practitioners working specifically within such British systems.
Features: After describing the organization of British obstetric anesthesia services, the authors organize content by medical system, discussing normal physiological changes of pregnancy together with disease conditions within the same system during pregnancy. Regional and general anesthesia techniques are briefly reviewed, along with maternal and fetal conditions that pose high risks. There are numerous tables and lists of information, with a few black-and-white diagrams; color content is absent. This kind of organization is rather unusual. Often, the authors note what is self-evident, for example, that a thorough history and physical exam is important. Many tables and lists contain items not distinguished by either importance or severity. Discussions are often limited and incomplete, with recommendations that are clearly opinionated and based on literature from past decades.
Assessment: The authors present an abbreviated, personalized overview of their British practice of obstetric anesthesia. The organization and depth of information presented appears to reflect personal preferences without rigorous attention to completeness, accuracy, or the latest updates in the literature. This writing style is unique, but lacks significant academic value. In contrast, multi-authored texts with editorial overview are much more logically organized, thorough, complete, and accurate, and include the most recent articles in the literature such as Chestnut's Obstetric Anesthesia: Principles and Practice, 2nd Edition, (Mosby, 1999).
Bernard Wittels
The authors are a pair of British anesthetists who have compiled a text on obstetric anesthesia that is organized and presented with a unique style and consistency. Perhaps a more accurate title would be ""A British Perspective of Obstetric Anesthesia."" In this text, the authors put forth rather narrow, personal perspectives with regard to content and organization, omitting efforts to be thorough, exhaustive, or authoritative. The authors give credit to the late Dr. Jeffrey Selwyn Crawford as the original author and strive to maintain a ""traditional individual textual style, rather than a multi-author, edited tome."" According to the authors, this text is intended for those taking professional exams and for anyone ""with a profound interest in obstetric anesthesia."" Because they direct much attention to specific British methods for obstetric service organization, monitoring, and auditing, their text seems most appropriate for anesthesia residents and practitioners working specifically within such British systems. After describing the organization of British obstetric anesthesia services, the authors organize content by medical system, discussing normal physiological changes of pregnancy together with disease conditions within the same system during pregnancy. Regional and general anesthesia techniques are briefly reviewed, along with maternal and fetal conditions that pose high risks. There are numerous tables and lists of information, with a few black-and-white diagrams; color content is absent. This kind of organization is rather unusual. Often, the authors note what is self-evident, for example, that a thorough history and physical exam is important. Many tables and listscontain items not distinguished by either importance or severity. Discussions are often limited and incomplete, with recommendations that are clearly opinionated and based on literature from past decades. The authors present an abbreviated, personalized overview of their British practice of obstetric anesthesia. The organization and depth of information presented appears to reflect personal preferences without rigorous attention to completeness, accuracy, or the latest updates in the literature. This writing style is unique, but lacks significant academic value. In contrast, multi-authored texts with editorial overview are much more logically organized, thorough, complete, and accurate, and include the most recent articles in the literature such as Chestnut's Obstetric Anesthesia: Principles and Practice, 2nd Edition, (Mosby, 1999).
Booknews
Mainly writing for a specialist audience, Holdcroft (anesthetics, Royal Postgraduate Medical School, Hammersmith Hospital) and Thomas (Anesthesia, Bristol Royal Infirmary and St Michaels Hospital) also discuss material pertinent to those taking tests in general anesthesiology courses. The material is organized into seven sections which cover general obstetric services, systematic physiology and pathology, regional and general anesthesia, labor, effects on the fetus and neonate, and complications. Annotation c. Book News, Inc., Portland, OR (booknews.com)

1 Star from Doody
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Product Details

  • ISBN-13: 9780865428287
  • Publisher: Wiley
  • Publication date: 1/17/2000
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 472
  • Product dimensions: 7.05 (w) x 9.80 (h) x 1.29 (d)

Table of Contents

SECTION 1: OBSTETRIC ANAESTHETIC SERVICES: ORGANISATION AND OUTCOME.

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1.1 Maternity Services.

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SECTION 2: SYSTEMATIC PHYSIOLOGY AND PATHOLOGY.

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2.1 Cardiovascular System.

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2.2 Respiratory Physiology.

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2.3 Gastrointestinal Changes.

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2.4 Renal System.

2.5 Hepatobiliary System.

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2.6 The Nervous System.

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2.7 Metabolism and its disorders in pregnancy.

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2.8 Immunity and infection.

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2.9 Uterine and placental function.

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2.10 Puerperium.

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2.11 Drug abuse.

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SECTION 3: REGIONAL ANAESTHESIA.

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SECTION 4: GENERAL ANAESTHESIA.

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SECTION 5: LABOUR.

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SECTION 6: THE FETUS AND NEONATE.

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SECTION 7: OBSTETRIC COMPLICATIONS.

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Appendix 1.

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Appendix 2

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