Pub Date : 2021-11-01DOI: 10.1093/med/9780198853053.003.0035
J. Eldridge, Nicola H. Cox, A. Allana, Heidi Lightfoot
This chapter discusses the anaesthetic management of the pregnant patient, for labour analgesia as well as surgical intervention. It begins with a description of the physiological and pharmacological changes of pregnancy. It describes methods of labour analgesia, including remifentanil, and epidural analgesia and its complications, such as post dural puncture headache (PDPH). It describes anaesthesia for Caesarean section (both regional and general); failed intubation; antacid prophylaxis; postoperative analgesia; retained placenta; in utero fetal death; hypertensive disease of pregnancy (pre-eclampsia, eclampsia and the hypertension, elevated liver enzymes and low platelets (HELLP) syndrome); massive obstetric haemorrhage; placenta praevia and morbidly adherent placenta (placenta accreta, increta and percreta); amniotic fluid embolism (AFE); maternal sepsis, and maternal resuscitation. It discusses comorbidity in pregnancy such as obesity and cardiac disease, and the patient who requires non-obstetric surgery while pregnant. It provides information on safe prescribing in pregnancy and breast-feeding.
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Pub Date : 2021-11-01DOI: 10.1093/med/9780198853053.003.0033
Peter B Williamson
This chapter discusses the anaesthetic management of ophthalmic surgery. It begins with a description of general principles, including anatomy and physiology of the globe and orbit, preoperative considerations of ophthalmology patients, and a discussion of different ocular block techniques. Surgical procedures covered include cataract extraction and intra-ocular lens (IOL) implantation; strabismus surgery; vitreo-retinal surgery; dacrocystorhinostomy (DCR), and repair of penetrating eye injuries.
{"title":"Ophthalmic surgery","authors":"Peter B Williamson","doi":"10.1093/med/9780198853053.003.0033","DOIUrl":"https://doi.org/10.1093/med/9780198853053.003.0033","url":null,"abstract":"This chapter discusses the anaesthetic management of ophthalmic surgery. It begins with a description of general principles, including anatomy and physiology of the globe and orbit, preoperative considerations of ophthalmology patients, and a discussion of different ocular block techniques. Surgical procedures covered include cataract extraction and intra-ocular lens (IOL) implantation; strabismus surgery; vitreo-retinal surgery; dacrocystorhinostomy (DCR), and repair of penetrating eye injuries.","PeriodicalId":143488,"journal":{"name":"Oxford Handbook of Anaesthesia","volume":"1979 9","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113966645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-01DOI: 10.1093/med/9780198853053.003.0018
M. Evans, Leigh Kelligher, S. Ritchie-McLean, J. Mathiszig-Lee, M. Stocker, Laura Bainbridge
This chapter brings together a series of small but important topics relevant to the practice of anaesthesia. First, the oncological impact of anaesthesia is explored. Next, the specific circumstances of anaesthesia for laser surgery are discussed. The third topic is robotic-assisted surgery. The fourth is anaesthesia for day-case surgery. The next two topics are the neurological determination of death, and organ donation surgery. The chapter closes with a discussion of how to handle a major anaesthetic mishap.
{"title":"Specific circumstances","authors":"M. Evans, Leigh Kelligher, S. Ritchie-McLean, J. Mathiszig-Lee, M. Stocker, Laura Bainbridge","doi":"10.1093/med/9780198853053.003.0018","DOIUrl":"https://doi.org/10.1093/med/9780198853053.003.0018","url":null,"abstract":"This chapter brings together a series of small but important topics relevant to the practice of anaesthesia. First, the oncological impact of anaesthesia is explored. Next, the specific circumstances of anaesthesia for laser surgery are discussed. The third topic is robotic-assisted surgery. The fourth is anaesthesia for day-case surgery. The next two topics are the neurological determination of death, and organ donation surgery. The chapter closes with a discussion of how to handle a major anaesthetic mishap.","PeriodicalId":143488,"journal":{"name":"Oxford Handbook of Anaesthesia","volume":"40 6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132866839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-01DOI: 10.1093/med/9780198853053.003.0026
N. Kennedy, Katherine Reeve
This chapter discusses the anaesthetic management of obesity surgery (bariatric surgery). It begins with an introduction to obesity surgery; risk scoring; indications for when obesity surgery should be offered. Surgical procedures covered include intragastric balloon insertion and removal; gastric banding; gastric bypass, and sleeve gastrectomy.
{"title":"Bariatric surgery","authors":"N. Kennedy, Katherine Reeve","doi":"10.1093/med/9780198853053.003.0026","DOIUrl":"https://doi.org/10.1093/med/9780198853053.003.0026","url":null,"abstract":"This chapter discusses the anaesthetic management of obesity surgery (bariatric surgery). It begins with an introduction to obesity surgery; risk scoring; indications for when obesity surgery should be offered. Surgical procedures covered include intragastric balloon insertion and removal; gastric banding; gastric bypass, and sleeve gastrectomy.","PeriodicalId":143488,"journal":{"name":"Oxford Handbook of Anaesthesia","volume":"113 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126286636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-12-01DOI: 10.1093/MED/9780198719410.003.0034
S. Berg
This chapter discusses the anaesthetic management of the neonate, infant and child. It begins with a description of neonatal physiology, then discusses fluid management, anaesthetic equipment and the conduct of anaesthesia in children, including postoperative analgesia. Regional anaesthetic techniques in children are discussed, including caudal, epidural, spinal and regional nerve blocks. Surgical procedures covered include repair of diaphragmatic hernia; gastroschisis/exomphalos; tracheo-oesophageal fistula (TOF); patent ductus arteriosus (PDA); pyloric stenosis; intussusception; herniotomy; circumcision; hypospadias repair; orchidopexy; cleft lip and palate; congenital talipes equinovarus (CTEV); femoral osteotomy, and inhaled foreign body. It includes a discussion of paediatric sedation, paediatric medical problems, paediatric advanced life support, resuscitation of the neonate, the collapsed septic child, stabilisation of the critically ill child, and paediatric drug doses and equipment.
{"title":"Paediatric and neonatal anaesthesia","authors":"S. Berg","doi":"10.1093/MED/9780198719410.003.0034","DOIUrl":"https://doi.org/10.1093/MED/9780198719410.003.0034","url":null,"abstract":"This chapter discusses the anaesthetic management of the neonate, infant and child. It begins with a description of neonatal physiology, then discusses fluid management, anaesthetic equipment and the conduct of anaesthesia in children, including postoperative analgesia. Regional anaesthetic techniques in children are discussed, including caudal, epidural, spinal and regional nerve blocks. Surgical procedures covered include repair of diaphragmatic hernia; gastroschisis/exomphalos; tracheo-oesophageal fistula (TOF); patent ductus arteriosus (PDA); pyloric stenosis; intussusception; herniotomy; circumcision; hypospadias repair; orchidopexy; cleft lip and palate; congenital talipes equinovarus (CTEV); femoral osteotomy, and inhaled foreign body. It includes a discussion of paediatric sedation, paediatric medical problems, paediatric advanced life support, resuscitation of the neonate, the collapsed septic child, stabilisation of the critically ill child, and paediatric drug doses and equipment.","PeriodicalId":143488,"journal":{"name":"Oxford Handbook of Anaesthesia","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129247377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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