Obstetric Medications
4. Route of administration/dose a. Terbutaline can be administered intravenously (IV) or subcutaneously (SC). However, it is most commonly administered by intermittent injection in doses of 0.25 mg every 20 to 30…
ANESTHESIA
Management of Postdural Puncture Headache
I. Scope of the problem II. Pathophysiology A. Meningeal traction B. Cerebral vasodilation III. Risk factors for postdural puncture headache A. Unmodifiable risk factors B. Modifiable risk factors IV. Diagnosis…
Impact of Neuraxial Analgesia on Obstetric Outcomes
CLINICAL PEARLNeuraxial analgesia provides superior pain relief to the mother during labor and delivery and conveys other significant benefits. II.Effects of neuraxial analgesia on the progress of labor A. Observational…
Trauma in the Obstetric Patient
CLINICAL PEARL A severely injured unstable pregnant trauma patient should be treated similarly to any other unstable trauma patient. 1. Pregnancy workup. Maternal pelvic examination should include abdominal palpation of the…
Nonobstetric Surgery during Pregnancy
An association between benzodiazepine use and oral cleft anomalies was reported in the 1970s, but later case-control and prospective studies failed to demonstrate a relationship between oral cleft anomalies and…
Ethical and Legal Considerations in Obstetric Anesthesia
Ethical and Legal Considerations in Obstetric Anesthesia M. Joanne Douglas and William J. Sullivan I. Introduction to ethics II. Informed consent A. Background B. Can laboring women give informed…
Anesthetic Management for the Surgical Treatment of Valvular Heart Disease
KEY POINTS 1. Increasing utilization of intraoperative transesophageal echocardiography (TEE) has greatly expanded the role of the cardiac anesthesiologist in operations for valve repair and replacement. 2. Because atrial contraction…
Anesthetic Management for Patients with Congenital Heart Disease: The Pediatric Population
KEY POINTS 1. Three important channels characteristic of the circulation in utero allow preferential shunting of blood to sustain fetal viability. These include the ductus venosus, foramen ovale, and ductus…
Monitoring the Cardiac Surgical Patient
KEY POINTS 1. For cardiac anesthesia, a five-electrode surface ECG monitor should be used in the diagnostic mode, with a frequency response of 0.05 to 100 Hz. 2. After a…
