Download Anaesthesia for Obstetrics and Gynaecology: Fundamentals of by Robin Russell PDF

By Robin Russell

This newest contribution to the FAAM sequence presents a complete and recent dialogue of anaesthetic administration in being pregnant, in the course of supply, and in sufferers present process gynaecological surgical procedure. With authoritative contributions from overseas specialists it's a useful reference for all anaesthetists and professional clinicians.

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Extra resources for Anaesthesia for Obstetrics and Gynaecology: Fundamentals of Anaesthesia and Acute Medicine

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Effect of normal and preeclamptic pregnancies on the oxyhemoglobin dissociation curve. Anesthesiology 1986;65:426-7. 28 Deckardt R, Fembacher I’M, Schneider KTM, Graeff H. Maternal arterial oxygen saturation during labor and delivery: pain-dependent alterations and effects on the newborn. Obstet Gynecol 1987;70:21-5. 29 Porter JS, Bonello E, Reynolds F. The effect of epidural opioids on maternal oxygenation during labour and delivery. Anaesthesia 1996;51:899-903. 30 Bassey 00. Pregnancy heartburn in Nigerians and Caucasians with theories about aetiology based on manometric recordings from the oesophagus and stomach.

Since only unionised drug diffuses in significant quantity, the degree of ionisation will in part determine this gradient. T h e degree of ionisation of a drug depends on the p H gradient across the placenta and on the pKa value of the drug. T h e more acid the environment, the more ionised weak bases become. 1 p H unit. When the unionised portion of a weak base passes across the placenta from mother to fetus a greater proportion of the drug becomes ionised and therefore “trapped” in the fetus.

Anesthesiology 1979;51:532-7. 91 Mazze RI, Fujinaga M, Rice S, er al. Reproductive and teratogenic effects of nitrous oxide, halothane, isoflurane and enflurane in Sprague-Dawley rats. Anesrhesiology 1986;64:339-44. 92 Tannenbaum TN, Goldberg RJ. Exposure to anaesthetic gases and reproductive outcome. A review of epidemiologic literature. J Occup Med 1985;27:659-68. 93 Burrings JE, Hennekens CH, Mayrent SL, Rosner B, Greenberg ER, Colton T. Health experiences of operating room personnel. Anesrhesiology 1985;62:325-30.

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