Evidence-Based Obstetric Anesthesia
Evidence-Based Medicine
1. Edition June 2005
256 Pages, Hardcover
Wiley & Sons Ltd
This is the first text to systematically review the evidence for
obstetric anesthesia and analgesia.
Evidence-based practice is now being embraced worldwide as a
requirement for all clinicians; in the everyday use of anesthesia
and analgesia for childbirth, anesthetists will find this synthesis
of the best evidence an invaluable resource to inform their
practice.
Contributions from anesthetic specialists trained in the skills
of systematic reviewing provide a comprehensive and practical guide
to best practice in normal and caesarean section childbirth.
This book, coming from one of the world's leading
obstetric centers and the cradle of evidence-based medicine, is a
much needed addition to the obstetric anesthesia literature.
Preface.
Acknowledgments.
Section 1: Analgesia for Normal Labor.
1 Consent for obstetric analgesia and anesthesia.
2 Epidural analgesia and the progress of labor.
3 Maintenance of epidural analgesia for labor--continuous
infusion or patient controlled.
4 The use of transcutaneous electrical nerve stimulation for
labor pain.
5 Is nitrous oxide an effective analgesic for labor? A
qualitative systematic review.
6 Choice of local anesthetic for labor and
delivery--bupivacaine, ropivacaine and levobupivacaine.
7 Intrathecal opioids in labor--do they increase the risk
of fetal bradycardia?.
8 Epidural catheter design and the incidence of
complications.
Section 2: Anesthesia for Cesarean Section.
9 The effect of increasing central blood volume to decrease the
incidence of hypotension following spinal anesthesia for cesarean
section.
10 The use of vasopressors for the prevention and treatment of
hypotension secondary to regional anesthesia for cesarean
section.
11 Is regional anesthesia safer than general anesthesia for
cesarean section?.
12 Prevention and treatment of side-effects of neuraxial
opioids.
13 Multimodal analgesia following cesarean section: use of
non-steroidal anti- inflammatory drugs combined with neuraxial
opioids.
Section 3: Complications of Obstetric Anesthesia.
14 The use of neuraxial anesthesia in parturients with
thrombocytopenia: what is an adequate platelet count?.
15 A rational approach to aspiration prophylaxis.
16 Postdural puncture headache.
17 Epidural analgesia and back pain.
18 Analgesia for external cephalic version.
19 Is there a difference between the obstetric and non-obstetric
airway?.
Appendix: Jadad scale for reporting randomized controlled
trials.
Index
and Women's College Health Sciences Center, University of Toronto,
Toronto, ON, Canada
M Joanne Douglas, Clinical Professor, Department of Anaesthesia,
University of British Columbia and British Columbia's Women's
Hospital, Vancouver, BC, Canada
