The Placenta: Anatomy, Physiology, and Transfer of Drugs
Abstract The placenta is a critical organ of great importance to obstetric anesthesia. Revered by ancient cultures as “the seat of the external soul” or “the bundle of life,” the…
Uteroplacental Blood Flow
Abstract The uteroplacental circulation develops to provide the blood flow and delivery of oxygen and nutrients essential for growth and development of the fetus and placenta. Abnormalities in development are…
Physiologic Changes of Pregnancy
Abstract Marked anatomic and physiologic changes occur during pregnancy that allow the woman to adapt to the developing fetus and its metabolic demands. The enlarging gravid uterus places mechanical strain…
The History of Obstetric Anesthesia
Abstract “The position of woman in any civilization is an index of the advancement of that civilization; the position of woman is gauged best by the care given her at…
Complex Skin Wounds: Advanced Repair Techniques
Key Practice Points ▪ Most lacerations can be closed with one or two simple techniques. However, some wounds and lacerations are more complicated and require advanced repair techniques to close….
Wound Dressing and Bandaging Techniques
Key Practice Points ▪ Wounds heal faster and with less pain when a moist environment is created by an ointment or a dressing. ▪ Neat, well-applied dressings inspire the patient…
Minor Thermal Burns
Key Practice Points ▪ The first responsibility of a clinician when evaluating a burn patient is to ensure that there is no airway involvement, inhalation injury, associated trauma, constricting burn,…
Special Anatomic Sites
Key Practice Points ▪ Although scalp lacerations can appear small and innocuous, they can bleed profusely to the point of hypotension. ▪ Hair does not increase the risk of wound…
Tissue Adhesives and Alternative Wound Closure
Key Practice Points ▪ Alternatives to sutures for wound closure include wound adhesives, tapes, and staples. For the most part, all wound closure materials ultimately have the same cosmetic outcome….
