By Michael Foley, Jr., Thomas Strong, Thomas Garite
The fourth version of severe Care Obstetrics has been broadly revised to mirror the advances which have been made in maternal-fetal drugs. This version comprises 14 fresh chapters written by way of the field's major physicians.
Critical Care Obstetrics, 4/e, bargains elevated insurance in parts important to in depth care administration, together with Neonatal Resuscitation, The Organ Transplant Obstetrical sufferer, and moral issues
This sensible advisor and reference may be of priceless counsel to obstetricians, and first care physicians, in either the remedy and referral of high-risk sufferers.
Chapter 1 Epidemiology of serious disease and results in being pregnant (pages 2–12): Cande V. Ananth and John C. Smulian
Chapter 2 Organizing a serious Care Obstetric Unit (pages 13–16): Cornelia R. Graves
Chapter three Pregnancy?Induced Physiologic changes (pages 19–42): Errol R. Norwitz, Julian N. Robinson and Fergal D. Malone
Chapter four Maternal?Fetal Blood gasoline 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 disease (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 pass (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 twine damage (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 affliction (pages 252–274): Michael R. Foley
Chapter 20 Thromboembolic ailment (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 serious 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 concern (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 harm (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 severely ailing Gravida (pages 593–611): Jeffrey P. Phelan, Cortney Kirkendall and Shailen S. Shah
Chapter forty three Fetal results of substances conventional severe Care (pages 612–619): Jerome Yankowitz
Chapter forty four Anesthesia for the seriously ailing Parturient with Cardiac affliction 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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Extra resources for Critical Care Obstetrics, Fourth Edition
PP, postpartum. (Reprinted by permissionof the publisher from Wilson M, Morganti AA, Zervodakis I, etal. Blood pressure, the renin-aldosterone system, and sex steroids throughout normal pregnancy. Am J Med 68:97. However, a direct effect of hormonal factors cannot be entirely excluded. , 1990). The possibility that thyroid hormones may be responsible for the maternal tachycardia warrants further investigation. In addition to pregnancy-associated changes, maternal tachycardia can also result from other causes (such as fever, pain, blood loss, hyperthyroidism, respiratory insufficiency, and cardiac disease) which may have important clinical implications for critically ill parturients.
Adapted by permission from Clark SL, Cotton DB, Lee W, et al. Central hernodynamic assessment of normal term pregnancy. 7). When compared with postpartum values, late pregnancy was associated with a significant increase in heart rate (+17%), stroke volume (+23%),and cardiacoutput (43%)as measured in the left lateral recumbent position. Significant decreases were noted in SVR (-21%), pulmonary vascular resistance (-34%), serum colloid osmotic pressure (-14%), and the colloid osmotic pressure to pulmonary capillary wedge pressure gradient (-28%).
1200-300rnL(-20% to-25%) t 100-300m~(+5%to+lO%) Unchanged (Data from Baldwin GR, Moorthi DS, Whelton JA, MacDonnell KH. New lung functions in pregnancy. ) 31 PART II Pregnancy physiology r 7 7 lnspiratory ? I lnspiratory . - lnspiratory capacity 2500 8 P . - -zm 8 Q -Vmm c 8P c 5 ' m c Expiratory reserve volume 700 Functional residual capacity 700 Residual volume 1 L Reldual c ~ ~ $ t y volume I 1 * Nonpregnant I 1000 1 4 1000 - Gravida at term Changes in maternal acid-base status Pregnancy represents a state of compensated respiratory alkalosis.