Obstetric Anesthesiology

  • Debbie Chandler
  • Ray Paschall
  • Leslie Robichaux
  • Burton Beakley
  • Elyse M. Cornett
  • Alan David Kaye
Chapter

Abstract

Obstetric anesthesiology has evolved over the past century to include an emphasis on regional anesthesia techniques over general anesthetics related to concerns over airway changes associated with pregnancy. In addition, in recent years, there has been a focus on the development of safer medications and newer treatments for systemic local anesthetic toxicity. In this regard, a better understanding of physiological changes of pregnancy has led to improvement in positioning and monitoring techniques in obstetric anesthesia practice. Finally, the utilization of a transverse abdominis plane or TAP block, a peripheral nerve block designed to anesthetize the nerves supplying the anterior abdominal wall, can be an excellent adjuvant for postoperative analgesia after cesarean section. This chapter focuses on clinical practice of anesthesia with emphasis on regional anesthesia techniques, potential complications, and evolving strategies to ensure safety in the management of a pregnant patient at delivery.

Keywords

Obstetrics Anesthesiology Pregnancy Labor Labor pain Cesarean Epidural 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Debbie Chandler
    • 1
  • Ray Paschall
    • 2
  • Leslie Robichaux
    • 3
  • Burton Beakley
    • 4
  • Elyse M. Cornett
    • 3
  • Alan David Kaye
    • 5
  1. 1.Perioperative Services, Pediatric Anesthesia, Department of AnesthesiologyLouisiana State University Health Sciences Center—ShreveportShreveportUSA
  2. 2.Division of Obstetric Anesthesiology, Department of AnesthesiologyVanderbilt University Medical CenterNashvilleUSA
  3. 3.Department of AnesthesiologyLouisiana State University Health Sciences Center—ShreveportShreveportUSA
  4. 4.Department of AnesthesiaTulane UniversityNew OrleansUSA
  5. 5.Department of AnesthesiologyLouisiana State University School of MedicineNew OrleansUSA

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