George Washington Book

1	Maternal Physiologic Alterations During Pregnancy	3
2	Uteroplacental Circulation and Respiratory Gas Exchange	19
3	Effects of Anesthesia on Uterine Activity and Labor	41
4	Perinatal Pharmacology	61
5	Choice of Local Anesthetics in Obstetrics	73
6	Nonpharmacologic Methods of Pain Relief During Labor	95
7	Systemic Medication for Labor and Delivery	105
8	Regional Anesthesia for Labor and Delivery	123
9	Intraspinal Analgesia in Obstetrics	149
	Opioids and Other Non-local Anesthetics	149
	Clinical Applications	155
10	Inhalation Analgesia and Anesthesia for Labor and Vaginal Delivery	189
11	Anesthesia for Cesarean Section	201
12	Anesthesia for Postpartum Sterilization	237
13	Anesthesia for Surgery During Pregnancy	249
14	Anesthesia for Fetal Procedures and Surgery	267
15	Anesthesia for Abnormal Positions and Presentations, Shoulder Dystocia, and Multiple Births	287
16	Anesthetic Considerations for the Hypertensive Disorders of Pregnancy	297
17	Anesthesia for Preterm Labor and Delivery	323
18	Coagulation Disorders and Hemoglobinopathies in the Obstetric and Surgical Patient	345
19	Amniotic Fluid Embolism	355
20	Antepartum and Postpartum Hemorrhage	361
21	Difficult Airway Management	375
22	Pulmonary Aspiration of Gastric Contents	391
23	Neurologic Complications of Regional Anesthesia for Obstetrics	409
24	Anesthesia-Related Maternal Mortality	429
25	Obstetric Anesthesia and Lawsuits	441
	General Considerations and Recommendations	441
	Review of Obstetric Anesthesia Closed Claims	446
26	Anesthesia for the Pregnant Cardiac Patient	455
27	Perioperative Management of the Pregnant Patient with Asthma	487
28	Anesthesia for the Pregnant Diabetic Patient	497
29	Anesthesia for Neurosurgery During Pregnancy	509
30	Anesthesia for the Pregnant Patient with Neuromuscular Disorders	529
31	Anesthesia for the Morbidly Obese Pregnant Patient	545
32	Anesthesia for the Pregnant Patient with Immunologic Disorders	559
33	Human Immunodeficiency Virus in the Delivery Suite	583
34	Anesthesia and the Drug-Addicted Mother	599
35	Fetal Evaluation: Routine and Indicated Tests	613
36	Electronic Fetal Monitoring and Diagnosis of Fetal Asphyxia	623
37	Evaluation of the Neonate	639
38	Resuscitation of the Newborn	657
App. A	Guidelines for Regional Anesthesia in Obstetrics	671
App. B	Practice Guidelines for Obstetrical Anesthesia	673
App. C	Optimal Goals for Anesthesia Care in Obstetrics	679
App. D	Fetal and Neonatal Effects of Maternally Administered Drugs	681
	Index	691