Download Anaesthesia for Obstetrics and Gynaecology: Fundamentals of by Robin Russell PDF

By Robin Russell

This most recent contribution to the FAAM sequence offers a finished and recent dialogue of anaesthetic administration in being pregnant, in the course of supply, and in sufferers present process gynaecological surgical procedure. With authoritative contributions from foreign specialists it's a functional reference for all anaesthetists and professional clinicians.

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Coagulation and fibrinolytic mechanism during and after normal childbirth. B M J 1970;2:200-3. 51 Gerbasi FR, Bottoms S, Farag A, Mammen EF. Increased intravascular coagulation associated with pregnancy. Obstet Gynecol 1990;75:385-9. 52 Ueland K. Maternal cardiovascular dynamics. VII. Intrapartum blood volume changes. A m J Obstet Gynecol 1976;126:671-7. 53 Taylor DJ, Lind T. Puerperal haematological indices. B r J Obsret Gynaecol 1981;88:601-6. 54 McNair RD, Jaynes RV. Alterations in liver function during normal pregnancy.

However, at nearly 10 times the maximum dose recommended for use in humans, bupivacaine has embryocidal effects in rats. " Cocaine abuse during pregnancy may increase the incidence of fetal abnormalities in the genitourinary and gastrointestinal tracts. Anaesthesia during the first trimester When a pregnant woman is anaesthetised, the fetus is exposed to the anaesthetic agents. However, as already discussed, the direct risks from this are low. Of greater importance are the indirect effects on the fetus that may 22 MATEFWAI.

A low p H provides an indirect measure of hypoxia. Continuous readings have been obtained using a p H electrode applied to the subcutaneous tissues of the fetal scalp. Whilst this provides trend data and perhaps an earlier warning of fetal hypoxia than intermittent sampling, the correlation between p H Values following intermittent sampling and the p H electrode remains in question. Confirmation of its value in predicting neonatal outcome requires large studies. 34 EFFECTS OF ANAESTHESIA AND ANALGESIA ON THE RABY Respirato y gas measurements Intermittent values for fetal oxygen and carbon dioxide tensions may be obtained at the same time as intermittent p H readings but the procedure is invasive.

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