Antepartum and Postpartum Hemorrhage

Jun 12, 2019 by in ANESTHESIA Comments Off on Antepartum and Postpartum Hemorrhage

Abstract Obstetric hemorrhage is the most common cause of maternal mortality worldwide, accounting for roughly 15% of maternal deaths. The World Health Organization estimates that severe hemorrhage complicates 10.5% of…

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Liver Disease

Jun 12, 2019 by in ANESTHESIA Comments Off on Liver Disease

Abstract Liver diseases can be either incidental or unique to pregnancy and complicate as many as 3% of all pregnancies. The more common conditions are addressed in this chapter. Various…

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Maternal Mortality

Jun 12, 2019 by in ANESTHESIA Comments Off on Maternal Mortality

Abstract This chapter reviews the epidemiology and etiologies of maternal mortality, focusing first on low-income countries, which account for 99% of maternal deaths worldwide. The chapter next addresses maternal mortality…

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Aspiration: Risk, Prophylaxis, and Treatment

Jun 12, 2019 by in ANESTHESIA Comments Off on Aspiration: Risk, Prophylaxis, and Treatment

Abstract Maternal morbidity and mortality caused by aspiration of gastric contents in anesthetized parturients with an unprotected airway was recognized by early pioneers in the use of anesthesia to facilitate…

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Infection

Jun 12, 2019 by in ANESTHESIA Comments Off on Infection

Abstract Maternal fever and infection can contribute to adverse fetal and maternal outcomes. The early identification and treatment of sepsis will be discussed. Obstetric and anesthetic management of chronic maternal…

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Embolic Disorders

Jun 12, 2019 by in ANESTHESIA Comments Off on Embolic Disorders

Abstract Embolic disease during pregnancy includes venous thromboembolism, amniotic fluid embolism, and venous air embolism. These entities vary in incidence, clinical course, and consequences. Embolic events account for almost one-sixth…

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Autoimmune Disorders

Jun 12, 2019 by in ANESTHESIA Comments Off on Autoimmune Disorders

Abstract Autoimmunity has been described in more than 40 disorders, and may result in chronic illness and severe disability. The classification of autoimmune diseases has been controversial since it is…

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Shared Decision-Making and Communication

Jun 12, 2019 by in ANESTHESIA Comments Off on Shared Decision-Making and Communication

Abstract The relationship between a physician and his or her patient is rooted in common moral principles of autonomy, beneficence, nonmaleficence, and justice. Respect for a patient’s autonomy underscores the…

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Postoperative Analgesia

Jun 12, 2019 by in ANESTHESIA Comments Off on Postoperative Analgesia

Abstract The cesarean delivery rate in the United States and around the world has steadily increased as a result of changing patterns in obstetric practice. Recent data indicate that more…

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