Obstetric, Thoracic and Cardiac Anesthesia, Handbook and iPod

Obstetric, Thoracic and Cardiac Anesthesia

Handbook and iPod

By Robert R. Gaiser, MD, Professor of Anesthesia and Pharmacology, Director of Education and Obstetric Anesthesia, University of Pennsylvania School of Medicine, Philadelphia, PA, USA; E. Andrew Ochroch, MD, Assistant Professor of Anesthesia, University of Pennsylvania School of Medicine, Philadelphia, PA, USA and Stuart Weiss, MD, PhD, Associate Professor of Anesthesia, University of Pennsylvania School of Medicine, Philadelphia, PA, USA


Section I. Physiologic Changes in Pregnancy

1. Cardiovascular Changes in Pregnancy
2. Aortocaval Compression in Pregnancy
3. Respiratory Changes in Pregnancy
4. Gastrointestinal, Hematologic and Renal Changes in Pregnancy
5. Central Nervous System Changes in Pregnancy

Section II. Anatomy

6. Spinal Anatomy
7. Uterus and Uterine Blood Flow

Section III. Pharmacology

8. Local Anesthetics
9. Opioids
10. Phenylephrine
11. Ephedrine
12. Labetalol
13. Pitocin (Oxytocin Injection, Synthetic)
14. Magnesium Sulfate
15. Methylergonovine
16. Carboprost (Hemabate, Prostaglandin F2-Alpha)
17. Hydralazine
18. Cytotec (Misoprostol)
19. Nitroglycerin
20. Beta-Adrenergic Agonists
21. Nifedipine
22. Indomethacin

Section IV. The Fetus

23. The Placenta and Placental Transfer of Medications
24. Fetal Heart Tracings: Variability and Heart Rate
25. Fetal Heart Tracings: Decelerations
26. In Utero Resuscitation
27. Fetal Surgery

Section V. Equipment for Obstetric Anesthesia

28. Epidural Needles, Catheters and Techniques
29. Spinal Needles
30. Equipment for Airway Management

Section VI. Labor and Its Management

31. The Stages of Labor and Innervation
32. Dystocia
33. Lamaze Childbirth Method
34. Paracervical and Pudendal Nerve Blocks
35. Intravenous Patient-Controlled Analgesia
36. Epidural Analgesia for Labor
37. The Test Dose
38. Combined Spinal-Epidural Anesthesia
39. Continuous Spinal Anesthesia

Section VII. Cesarean Section

40. Cesarean Section: Technique and Indications
41. Spinal Anesthesia for Cesarean Section
42. Epidural Anesthesia for Cesarean Section
43. General Anesthesia for Cesarean Section
44. Postoperative Pain Management

Section VIII. Obstetric Challenges

45. Breech Presentation
46. Multiple Gestation
47. Preterm Labor
48. Nonreassuring Fetal Heart Rate
49. Placental Abruption
50. Placenta Previa
51. Preeclampsia and Eclampsia
52. Uterine Atony
53. Uterine Rupture
54. Vaginal Birth After Cesarean Delivery
55. Amniotic Fluid Embolism
56. Thromboembolism and Air Embolism
57. Cocaine Abuse
58. Diabetes Mellitus
59. Cardiovascular Disease
60. Morbid Obesity
61. Human Immunodeficiency Virus Infection
62. Cardiac Arrest

Section IX. Anesthetic Challenges

63. The Anticoagulated Patient
64. The Febrile Patient
65. Multiple Sclerosis and Pregnancy
66. Thrombocytopenia
67. Back Pain and Epidural Analgesia
68. Aspiration
69. Unable To Intubate

Section X. Complications of Neuraxial Techniques

70. Hypotension
71. Post-Dural Puncture Headache
72. Nerve Injury
73. Epidural Analgesia and Maternal Temperature Regulation
74. Effect of Epidural Analgesia on Progress of Labor

Section XI. The Neonate

75. Neonatal Assessment
76. Neonatal Adaptation
77. Neonatal Resuscitation

Section XII. Other Topics

78. Surgery During Pregnancy
79. Maternal Mortality
80. Informed Consent


81. Nose
82. Sinuses
83. Mouth and Pharynx
84. Muscles of the Larynx
85. Lung
86. Radiology of Airway:
87. Development of the Airway
88. Pathology of the Pediatric Airway (non-trauma)
89. Pathology of the Adult Airway (non-trauma)
90. Gas Laws
91. Airway Pharmacology
92. Neuroendocrine Response to Intubation
93. Airway Effect of Endotracheal Intubation
94. Difficult Intubation
95. American Society of Anesthesiologists Difficult Airway Algorithm
96. Regional Anesthesia and Potential Difficult Airway
97. Indications for Awake Intubation
98. Preparation for Awake Intubation
99. Contents of a Difficult Airway Cart
100. Topicalization for Awake intubation
101. Aspiration
102. Oxygen Delivery Systems
103. Simple Non-Instrumental Airway Maneuvers
104. Non-Intubation Airway Management
105. Mask Induction
106. Indications for Tracheal Intubation
107. Basic Equipment for Tracheal Intubation
108. Airway Axes and Position for Direct Laryngoscopy
109. Direct Laryngoscopy with a Macintosh Blade
110. Direct Laryngoscopy with a Miller Blade
111. Improving Laryngeal View
112. Nasotracheal Intubation
113. Ensuring Placement of Tracheal Tube in Trachea
114. Proper Tube Placement and Security
115. Indications for Fiberoptic Intubation
116. Anatomy of a Bronchoscope
117. Difficult Airway Cart Contents
118. Orotracheal Fiberoptic Intubation
119. Nasotracheal Intubation
120. Alternate Techniques For Bronchoscopic Intubation
121. Retrograde Wire Intubation
122. Illuminating Stylette/ Lightwand
123. Laryngeal Mask Airway
124. Fiberoptic Intubating Devices
125. Combitube
126. Transtracheal Jet Ventilation via Needle Cricothyroidotomy
127. Percutaneous Cricothyrotomy
128. Adverse Outcomes in Airway Management
129. Airway Surgery
130. Laser Airway Surgery
131. Pediatric Airway
132. Pediatric Airway Anomalies by Anatomic Location
133. Pediatric Difficult Airway
134. High-Risk Extubation
135. Endotracheal Tube Exchange


136. Pulmonary Physiology
137. Effect of Anesthesia and Paralysis
138. Preoperative Preparation
139. Lung Isolation
140. Single Lung Ventilation
141. Thoracic Incisions
142. Anesthesia for Bronchoscopy
143. Anesthesia for Mediastinoscopy
144. Resection of Large Mediastinal Tumors
145. Thymectomy for Myasthenia Gravis
146. Esophageal Surgery
147. Video-Assisted Thoracic Surgery
148. Lobectomy, Segmentectomy, and Bilobectomy
149. Pneumonectomy
150. Postoperative Complications
151. Chest Trauma
152. Pediatric Thoracic Anesthesia
153. Lung Volume Reduction Surgery
154. Common Perioperative Complications
155. Pain Management after Thoracic Surgery
156. History and Evolution of Thoracic Anesthesia


Section XIII. Normal Cardiac and Mediastinal Anatomy

157. Normal Anatomy of the Mediastinum
158. Normal Anatomy of the Aorta and Coronary Arteries
159. Normal Anatomy of the Pericardium
160. Normal Anatomy of the Right Heart
161. Normal Anatomy of the Left Heart
162. Conducting System of the Heart

Section XIV. Cardiovascular Abnormalities: Clinical and Anesthetic Considerations

163. Infective Endocarditis: Clinical Presentation and Diagnostic Evaluation
164. Infective Endocarditis: Therapeutic and Anesthetic Considerations
165. Constrictive Cardiomyopathy: Clinical Presentation and Diagnostic Evaluation
166. Constrictive Cardiomyopathy: Therapeutic and Anesthetic Considerations
167. Restrictive Cardiomyopathy: Clinical Presentation and Diagnostic Evaluation
168. Restrictive Cardiomyopathy: Therapeutic and Anesthetic Considerations
169. Pulmonary Hypertension: Clinical Presentation and Diagnostic Evaluation
170. Pulmonary Hypertension: Therapeutic and Anesthetic Considerations
171. Mitral Stenosis: Clinical Presentation and Diagnostic Evaluation
172. Mitral Stenosis: Therapeutic and Anesthetic Considerations
173. Aortic Stenosis: Clinical Presentation and Diagnostic Evaluation
174. Aortic Stenosis: Therapeutic and Anesthetic Considerations
175. Aortic Regurgitation: Clinical Presentation and Diagnostic Evaluation
176. Aortic Regurgitation: Therapeutic and Anesthetic Considerations
177. Type A Aortic Dissection: Clinical Presentation and Diagnostic Evaluation
178. Type A Aortic Dissection: Therapeutic and Anesthetic Considerations
179. Type B Aortic Dissection: Clinical Presentation and Diagnostic Evaluation
180. Type B Aortic Dissection: Therapeutic and Anesthetic Considerations
181. Aortic Transection: Clinical Presentation and Diagnostic Evaluation
182. Aortic Transection: Therapeutic and Anesthetic Considerations

Section XV. Cardiac Emergencies

183. Emergent Coronary Artery Bypass Surgery
184. Acute Mitral Regurgitation, Papillary Muscle Rupture, and Flailed Leaflet
185. Pulmonary Embolism
186. Postoperative Hemorrhage
187. Pericardial Tamponade
188. Blunt Trauma: RV contusion
189. Penetrating Trauma
190. Acute Ventricular Septal Defect

Section XVI. Perioperative Assessment of Cardiac Abnormalities

191. Perioperative Assessment of Coronary Artery Disease and Global Systolic Function
192. Perioperative Assessment of Pulmonary Embolism
193. Perioperative Assessment of Aortic Stenosis
194. Perioperative Assessment of Aortic Regurgitation
195. Perioperative Assessment of Mitral Stenosis
196. Perioperative Assessment of Mitral Regurgitation
197. Perioperative Assessment of Aortic Dissection
198. Perioperative Assessment of Other Cardiac Abnormalities