Neurosurgical and neurological disease in pregnancy
Figure 22.1 The pituitary. Lesions of the pituitary Mass lesions are usually primary adenomas of the anterior pituitary and stalk that may be secretory or non-secretory, and are either large…
Obesity and ultrasonography for central neuraxial blocks
Figure 18.1 Parasagittal (oblique) view. The laminae (L) form a ‘saw-tooth’ pattern. Figure 18.2 Parasagittal (oblique) view of L5–S1 junction. Figure 18.3 Transverse (interlaminar) view of the lumbar spine. Figure…
Haematologic disease in pregnancy
Figure 21.1 TEG graph and annotation. The reaction time (R-time) depicts the time for fibrin strands to form. It is decreased in hypercoagulable states such as pregnancy. A prolonged R-time…
General anaesthesia for caesarean section and transverse abdominal plane block
Figure 12.1 Obstetric failed intubation algorithm. Table 12.1 Proposed template for obstetric preoperative assessment Problems with previous anaesthetics Family history of anaesthetic reactions Co-morbidities: Most parturients are ASA 1. However,…
Clinical governance and patient safety
Table 28.1 Risk assessment tool The process: Proactive assessment Undertaken to prevent a patient safety incident For example, increasing numbers of deliveries in the unit. Rate of significant postpartum haemorrhage…
Maternal collapse, including massive obstetric haemorrhage, amniotic fluid embolism and cardiac arrest
Figure 25.1 Maternal collapse algorithm. (Reproduced from Royal College of Obstetricians and Gynaecologists. Maternal Collapse in Pregnancy and the Puerperium. Green-top Guideline No. 56. London: RCOG; 2011, with the permission…
Obstetrics for the anaesthetist
Figure 6.1a Normal and abnormal CTGs. A normal cardiotocograph trace. The baseline is 135 beats/min variability 25 beats/min accelerations present and no decelerations. Figure 6.1b A pathological cardiotocograph trace demonstrating…
Ethics, consent and the law
html xmlns=”http://www.w3.org/1999/xhtml” xmlns:mml=”http://www.w3.org/1998/Math/MathML” xmlns:epub=”http://www.idpf.org/2007/ops”> Chapter 29 Ethics, consent and the law Andrew Heck and Ross Clark Introduction Obstetric anaesthesia poses a convergence of all the ethical and consensual dilemmas only…
Multidisciplinary teaching and training on the delivery unit
html xmlns=”http://www.w3.org/1999/xhtml” xmlns:mml=”http://www.w3.org/1998/Math/MathML” xmlns:epub=”http://www.idpf.org/2007/ops”> Chapter 27 Multidisciplinary teaching and training on the delivery unit Catherine Robinson and Cathy Armstrong Introduction In addition to the central role of training anaesthetic trainees…
Postpartum complications, follow-up and maternal satisfaction
Figure 26.1 Neuropraxia algorithm. (Courtesy of Adam Zermansky, Kirsty MacLennan, Peter Sandbach and Rachel Stoeter.) Follow-up Anaesthetic contact with the parturient may occur at any time during the antenatal or…
