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Author: Publisher: ISBN: Category : Languages : en Pages : 19
Book Description
It has been estimated that up to 2% of pregnant women require non-obstetric surgery that may be performed during any trimester of their pregnancy. Depending on the type of surgery and condition of the patient, non-obstetric surgery may be performed using multiple options for anesthetic agents for general anaesthesia (GA) or regional anaesthesia (RA). However, anaesthesia may present risks to both the mother and the fetus by increasing the potential for maternal and fetal hypoxia, adverse impact on fetal development, or loss of pregnancy. For this reason, proper anaesthesia management of the pregnant patient is particularly sensitive. To inform clinical practice decisions, it is important to identify whether certain anaesthetic agents or drugs are safer than others for use during surgery on pregnant patients, particularly during early pregnancy or in cases when the patient does not yet know she is pregnant. The purpose of this report is to review the clinical evidence and evidence-based guidelines regarding the safety of anaesthesia in pregnant women undergoing non-obstetric surgical or endoscopic procedures.
Author: Publisher: ISBN: Category : Languages : en Pages : 19
Book Description
It has been estimated that up to 2% of pregnant women require non-obstetric surgery that may be performed during any trimester of their pregnancy. Depending on the type of surgery and condition of the patient, non-obstetric surgery may be performed using multiple options for anesthetic agents for general anaesthesia (GA) or regional anaesthesia (RA). However, anaesthesia may present risks to both the mother and the fetus by increasing the potential for maternal and fetal hypoxia, adverse impact on fetal development, or loss of pregnancy. For this reason, proper anaesthesia management of the pregnant patient is particularly sensitive. To inform clinical practice decisions, it is important to identify whether certain anaesthetic agents or drugs are safer than others for use during surgery on pregnant patients, particularly during early pregnancy or in cases when the patient does not yet know she is pregnant. The purpose of this report is to review the clinical evidence and evidence-based guidelines regarding the safety of anaesthesia in pregnant women undergoing non-obstetric surgical or endoscopic procedures.
Author: Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
TITLE: Anaesthetic Agents in Pregnant Women Undergoing Non-Obstetric Surgical or Endoscopic Procedures: A Review of the Safety and Guidelines DATE: 8 June 2015 CONTEXT AND POLICY ISSUES It has been estimated that up to 2% of pregnant women require non-obstetric surgery that may be performed during any trimester of their pregnancy.1-4 Depending on the type of surgery and condition of the patient, [...] The purpose of this report is to review the clinical evidence and evidence-based guidelines regarding the safety of anaesthesia in pregnant women undergoing non-obstetric surgical or endoscopic procedures. [...] Critical Appraisal of Individual Studies The included systematic review was critically appraised using AMSTAR,5 the non-randomized study was evaluated using the Downs and Black checklist,6 and the guideline was assessed with the AGREE II instrument.7 Summary scores were not calculated for the included studies; rather, a review of the strengths and limitations of each included study were described [...] The risk of including inevitably nonviable pregnancies in the retrospective chart review was reduced by excluding patients that had a record of pre-surgical vaginal bleeding or an absence of a fetal heartbeat on ultrasonography.9 The ASGE guideline10 is relevant to pregnant women in any trimester of pregnancy and lactating women undergoing gastrointestinal endoscopy. [...] The ASGE guideline10 provides recommendations for the provision of anaesthesia and suggested agents for endoscopy of pregnant and lactating women.
Author: Ceana H. Nezhat Publisher: Springer ISBN: 3319907522 Category : Medical Languages : en Pages : 439
Book Description
As minimally invasive surgical techniques evolve, the outlook for patients continues to brighten. This is also true for pregnant women experiencing conditions requiring surgical intervention during gestation. A physician’s ability to identify potential risk factors in pregnant patients that present pre-op directly corresponds with their success in monitoring patients in post-op for adverse obstetric outcomes from non-obstetric surgeries. The utilization of laparoscopic techniques during surgery for pregnant patients has decreased the risk of fetal complications and increased the positive outlook for the duration of the pregnancy. This text is designed to present a minimally invasive approach to surgery that is non-obstetrics related and to educate readers on the potential risk factors and negative outcomes on pregnant patients following non-obstetric surgery. The various sections of this book will address issues faced by surgeons who undertake the task of operating on the pregnant patient. When performing non-obstetric surgery on a pregnant patient the ability to identify possible risk factors for adverse obstetric outcomes is important. Risk factors can be maternal-, surgical-, obstetrical-, or disease-associated. Common adverse obstetric outcomes following non-obstetric surgery include preterm delivery, preterm labor without preterm delivery, and miscarriage. Fetal well-being is an additional risk-benefit factor to be considered when weighing options before conducting non-obstetric surgeries on pregnant patients. This book will provide physicians with the knowledge and tools to identify common risk factors and successfully apply evidence-based risk reduction. To date, no comprehensive resource is available for non-obstetric surgery during pregnancy. Types of pregnancies, potential complications, proper use of anesthesia, types of risk factors (maternal-, surgical-, obstetrical-, and disease-associated), etc. will be thoroughly explained and depicted within these pages. All chapters will be written by subject matter experts in their fields. All information communicated will be comprised of the most currently available knowledge
Author: Marc van de Velde Publisher: Cambridge University Press ISBN: 1107018498 Category : Health & Fitness Languages : en Pages : 503
Book Description
Addresses the challenges of managing critically ill obstetric patients, with chapters authored by intensivists/anesthesiologists and obstetricians/maternal-fetal medicine specialists.
Author: Carlos V. R. Brown Publisher: Springer ISBN: 3319962868 Category : Medical Languages : en Pages : 531
Book Description
The field of emergency general surgery encompasses a wide array of surgical diseases, ranging from the simple to the complex. These diseases may include inflammatory, infectious, and hemorrhagic processes spanning the entire gastrointestinal tract. Complications of abdominal wall hernias, compartment syndromes, skin and soft tissue infections, and surgical diseases are significantly complex in special populations, including elderly, obese, pregnant, immunocompromised, and cirrhotic patients. This book covers emergency general surgery topics in a succinct, practical and understandable fashion. After reviewing the general principles in caring for the emergency general surgery patient, this text discusses current evidence and the best practices stratified by organ system, including esophageal, gastroduodenal, hepatobiliary and pancreatic, small and large bowel, anorectal, thoracic, and hernias. Chapters are written by experts in the field and present a logical, straightforward, and easy to understand approach to the emergency general surgery patient, as well as provide patient care algorithms where appropriate. Emergency General Surgery: A Practical Approach provides surgeons and surgery residents with a practical and evidence-based approach to diagnosing and managing a wide array of surgical diseases encountered on emergency general surgery call.
Author: Charles Vacanti Publisher: Cambridge University Press ISBN: 1139498401 Category : Medical Languages : en Pages : 1191
Book Description
The clinical practice of anesthesia has undergone many advances in the past few years, making this the perfect time for a new state-of-the-art anesthesia textbook for practitioners and trainees. The goal of this book is to provide a modern, clinically focused textbook giving rapid access to comprehensive, succinct knowledge from experts in the field. All clinical topics of relevance to anesthesiology are organized into 29 sections consisting of more than 180 chapters. The print version contains 166 chapters that cover all of the essential clinical topics, while an additional 17 chapters on subjects of interest to the more advanced practitioner can be freely accessed at www.cambridge.org/vacanti. Newer techniques such as ultrasound nerve blocks, robotic surgery and transesophageal echocardiography are included, and numerous illustrations and tables assist the reader in rapidly assimilating key information. This authoritative text is edited by distinguished Harvard Medical School faculty, with contributors from many of the leading academic anesthesiology departments in the United States and an introduction from Dr S. R. Mallampati. This book is your essential companion when preparing for board review and recertification exams and in your daily clinical practice.
Author: Tracey Straker Publisher: Anesthesiology a Problem Based ISBN: 0190850698 Category : Medical Languages : en Pages : 481
Book Description
Linking existing knowledge to new knowledge by presenting it in the form of a case or a problem is a popular and effective educational approach resulting in better retention of the knowledge and improved ability to apply that knowledge to solve real problems. This problem-based learning (PBL) method was introduced into medical education at McMaster University in Ontario, Canada, in 1969. Since then it has been widely incorporated into secondary, undergraduate, and graduate education in a variety of disciplines worldwide. This new volume for the Anesthesiology Problem-Based Learning series reviews topics in general anesthesiology utilizing the PBL approach. Each chapter deals with conditions and problems in anesthesia practice presented as a case stem with questions to encourage critical thinking, followed by an evidence-based discussion and multiple-choice questions for self-assessment. Current in its knowledge of organ systems and management, the text keeps pace with new technology, new drugs, and new surgical techniques coupled with current guidelines for anesthetic management. Cases highlight the practical issues that arise in the operating room and offers solutions for them. The book can be used to review an upcoming clinical case or as a PBL tool. The Stem Case and Key Questions and Discussion sections can serve as the basis for interactive learning experiences for study groups or as a broad yet in-depth clinical review of the specialty for the individual learner. Self-assessment questions can be used as a measure of knowledge acquisition or simply as a question bank to prepare for examinations.
Author: Debra Domino Pulley Publisher: Elsevier Health Sciences ISBN: 0323442307 Category : Medical Languages : en Pages : 285
Book Description
This issue of Anesthesiology Clinics focuses on Preoperative Evaluation.Topics will include: Preoperative Clinics, Consultations,Informed Consent/Shared Decision Making, Preoperative Labs,Evaluation of Major Organ Systems, Special Considerations, and Innovative treatment/preparation programs
Author: Michael A. Gropper Publisher: Elsevier Health Sciences ISBN: 0323936520 Category : Medical Languages : en Pages : 7929
Book Description
Offering up-to-date coverage of everything from historical and international perspectives to basic science and today’s clinical practice, Miller's Anesthesia, 10th Edition, remains the #1 reference and trusted learning resource for practitioners and trainees in this complex field. Dr. Michael Gropper leads a team of expert editors and contributing authors who provide current information on the technical, scientific, and clinical issues you face each day—whether you’re managing a challenging patient care situation, preparing for the boards, or studying for recertification. Addresses timely topics alongside foundational basic science for an in-depth and comprehensive understanding of the field. Contains thoroughly up-to-date content, including two new chapters: The Immune System: Implications for Anesthetic Management and Emergency Preparedness in Healthcare. Provides new content in key areas such as sustainability, global health equity, the effect of anesthetics on immune function, anesthesia for special populations, coverage of infectious diseases including COVID-19, and occupational exposure and safety. Offers state-of-the-art coverage of anesthetic drugs, guidelines for anesthetic practice and patient safety, new techniques, step-by-step instructions for patient management, the unique needs of pediatric patients, and much more—all highlighted by more than 1,200 full-color illustrations (300 new to this edition) for enhanced visual clarity. Includes 40+ video clips demonstrating patient positioning, ultrasound, echocardiograms, and other imaging, and anesthetic procedures in real time.
Author: Rachel E. Collis Publisher: Cambridge University Press ISBN: 9781900151771 Category : Medical Languages : en Pages : 362
Book Description
The modern obstetric anaesthetist must not only provide safe and effective pain-relief in labour and anaesthesia for Caesarean section, but also understand the wider role of the anaesthetist in the management of the pregnant woman. Textbook of Obstetric Anaesthesia provides information on the breadth of obstetric anaesthesia and the role of the obstetric anaesthetist in the delivery suite. It provides useful, practical, evidence-based information on all aspects of labour ward management. Coverage of all subject areas is comprehensive, and a multidisciplinary group of expert contributors examine the key issues in normal labour and routine analgesia, routine fetal monitoring and basic interpretation of the CTG. Later chapters go on to cover in detail what happens, and how to manage patients, in difficult situations that extend beyond the routine.