Cambridge University Press
9780521870825 - Obstetric Anesthesia and Uncommon Disorders - Edited by David R. Gambling, M. Joanne Douglas and Robert S. F. McKay
Frontmatter/Prelims

Obstetric Anesthesia and Uncommon Disorders, 2nd edition

This new edition of Obstetric Anesthesia and Uncommon Disorders provides a convenient resource for practitioners suddenly faced with a parturient who has an unusual medical or surgical condition.

The book considers the impact of a condition on pregnancy, labor and delivery, or the fetus and the impact of pregnancy on a condition, or the effect of therapy for the disorder on the fetus or neonate.

Case reports and experience from the world literature, and clinical advice from many specialists, have been drawn together by an international team of editors and contributors who are leading experts in the field. Clear, concise management guidelines and algorithms are provided, and each chapter is written from the viewpoint of the obstetric anesthesiologist.

Fully updated, with new chapters on Chronic pain in pregnancy and Malignancy and pregnancy, Obstetric Anesthesia and Uncommon Disorders continues to be an invaluable resource for any anesthesiologist involved in the clinical management of these complex patients.

Reviews of the first edition:

“very well written and comprehensive… and an excellent value-for-money textbook for all anesthesiologists interested in obstetric anesthesia.”

Anesthesiology

“… any practitioner of obstetric anesthesia will find occasion to refer to this useful and practical book.”

International Journal of Obstetric Anesthesia

“… covering conditions as diverse as cystic fibrosis, acute severe asthma, rheumatoid arthritis, and transplants… it is a must for every delivery suite.”

British Journal of Anaesthesia

DAVID R. GAMBLING is a Staff Anesthesiologist at Sharp Mary Birch Hospital for Women, San Diego and Associate Clincal Professor of Anesthesiology at University of California, San Diego, USA.

M. JOANNE DOUGLAS is the Clinical Professor of Anesthesiology, Pharmacology and Therapeutics at the University of British Columbia, Canada.

ROBERT S.F. McKAY is the Clinical Professor and Chair of the Department of Anesthesiology at the University of Kansas School of Medicine, Wichita, USA.

Obstetric Anesthesia and Uncommon Disorders

2nd edition

Edited by

David R. Gambling

M. Joanne Douglas

Robert S. F. McKay

CAMBRIDGE UNIVERSITY PRESS
Cambridge, New York, Melbourne, Madrid, Cape Town, Singapore, São Paulo

Cambridge University Press
The Edinburgh Building, Cambridge CB2 8RU, UK

Published in the United States of America by Cambridge University Press, New York

www.cambridge.org
Information on this title: www.cambridge.org/9780521870825

© Cambridge University Press 2008

This publication is in copyright. Subject to statutory exception
and to the provisions of relevant collective licensing agreements,
no reproduction of any part may take place without
the written permission of Cambridge University Press.

First edition © W. B. Saunders 1997

Second edition Published 2008

Printed in the United Kingdom at the University Press, Cambridge

A catalog record for this publication is available from the British Library

ISBN 978-0-521-87082-5 hardback

Cambridge University Press has no responsibility for the persistence or
accuracy of URLs for external or third-party internet websites referred to
in this publication, and does not guarantee that any content on such
websites is, or will remain, accurate or appropriate.

Every effort has been made in preparing this publication to provide accurate
and up-to-date information which is in accord with accepted standards and practice
at the time of publication. Although case histories are drawn from actual cases,
every effort has been made to disguise the identities of the individuals involved.
Nevertheless, the authors, editors and publishers can make no warranties that
the information contained herein is totally free from error, not least because
clinical standards are constantly changing through research and regulation.
The authors, editors and publishers therefore disclaim all liability for direct or
consequential damages resulting from the use of material contained in this publication.
Readers are strongly advised to pay careful attention to information provided
by the manufacturer of any drugs or equipment that they plan to use.

CONTENTS

PLATES

CONTRIBUTORS

Ravishankar Agaram, MBBS, MD (Anes), FRCA
Specialist Registrar
Department of Anaesthetics
Glasgow Royal Infirmary
Glasgow, UK

Penny Ballem, BSc, MSc, MD, FRCPC
Clinical Professor
Department of Medicine
School of Hematology
Faculty of Medicine
University of British Columbia 
Vancouver, BC, Canada

Brendan Carvalho, MB, BCh, FRCA
Department of Anesthesia
Stanford University School of Medicine
Stanford, CA, USA

Sheila E. Cohen, MB, ChB, FRCA
Professor of Anesthesia and of Obstetrics and Gynecology
Department of Anesthesia
Stanford University School of Medicine
Stanford, CA, USA

Chantal Crochetiere, MD, FRCPC
Assistant Professor
University of Montréal
Department of Anesthesiology
Sainte-Justine Hospital
Chemin Côte-Ste-Catherine
Montréal QC, Canada

Edward T. Crosby, MD, FRCPC
Department of Anesthesiology
Ottawa Hospital – General Campus
Ottawa, Ontario, Canada

M. Joanne Douglas, MD, FRCPC
Department of Anesthesia
BC Women’s Hospital
Vancouver, Canada

Andrea J. Fuller, MD
Northern Colorado Anesthesia Professional Consultants
Staff Physician
Fort Collins, CO, USA

David R. Gambling, MB, BS, FRCPC
Clinical Associate Professor
Department Anesthesiology, University of California, San Diego
San Diego, CA, USA
Staff Anesthesiologist, Sharp Mary Birch Hospital for Women

Caroline Grange, MBBS
Consultant Anaesthetist
Nuffield Department of Anaesthetics
The John Radcliffe Hospital
Oxford, UK

Stephen Halpern, MD, MSc, FRCPC
Professor, Department of Anesthesia
University of Toronto
Director of Obstetrical Anesthesia
Sunnybrook and Women’s College Health Sciences Centre
Toronto, Ontario, Canada

Victor F. Huckell, MD
Clinical Professor of Medicine
University of British Columbia
Vancouver, BC, Canada

Ethan Jackson, MD
Clinical Assistant Professor of Cardiothoracic Anesthesia
Director of Intraoperative Transesophageal Echocardiography,
and Division Chief of Adult Congenital Cardiothoracic Anesthesia
Stanford University Medical Center and
Lucille Packard Children’s Hospital at Stanford University.
Stanford, CA, USA

Hector J. Lacassie, MD
Associate Professor
Anesthesiology Department
Pontificia Universidad Católica de Chile and
Visiting Associate, Duke University Medical Center
Durham, NC, USA

Gabriela Rocha Lauretti, MD, PhD
Professora Associada (Anestesiologista)
Universidade de São Paulo
Faculdade de Medicina de Ribeirão Preto
Av. Bandeirantes
Ribeirão Preto-SP, Brasil

J. Martinez-Tica, MD
Associate Professor
Department of Anesthesiology
University of Texas Medical Branch
Galveston, TX, USA

Robert S. F. McKay, MD
Clinical Professor and Chair
Department of Anesthesiology
University of Kansas School of Medicine – Wichita
Wichita, KS, USA

J. M. Mhyre, MD
Robert Wood Johnson Clinical Scholar
Lecturer, Department of Anesthesiology
Division of Obstetrical Anesthesiology

Holly A. Muir, MD
Vice Chair Clinical Operations Department of Anesthesiology
Chief, Division of Women’s Anesthesia
Duke University Medical Center
Durham, North Carolina, USA

M. J. Paech, MB
School of Medicine and Pharmacology
The University of Western Australia
Department of Anaesthesia and Pain Medicine
King Edward Memorial Hospital for Women
Subiaco, Western Australia

Timothy J. G. Pavy, MBBS, FANZCA, FRCA, FFPMANZCA, DA, DIP, MID, COG
Staff Specialist Anaesthetist and Head of Department
Department of Anaesthesia and Pain Medicine
King Edward Memorial Hospital
Subiaco, Western Australia

John Philip, MD,
Associate Professor
Department of Anesthesiology and Pain Management
University of Texas Southwestern Medical Center
Dallas, TX, USA

L. S. Polley, MD
Associate Professor of Anesthesiology
Director, Obstetric Anesthesiology
University of Michigan Health System
F3900 Mott Children’s Hospital
Ann Arbor, MI, USA

Roanne Preston, MD, FRCPC
Department of Anesthesia
BC Women’s Hospital
Vancouver, BC, Canada

Emily F. Ratner, MD, DABMA
Associate Professor
Co-Director, Division of Medical Acupuncture
Department of Anesthesia
Stanford University School of Medicine
Stanford, CA, USA

Felicity Reynolds, MB BS, MD, FRCA, FRCOG ad eundem
Emeritus Professor of Obstetric Anaesthesia
St Thomas’s Hospital
London, UK

Kerri M. Robertson, MD
Associate Clinical Professor
Chief, GVTCCM Division
Chief, Liver Transplantation
Department of Anesthesiology
Duke University Medical Center
Durham, NC, USA

John E. Schlicher, MD, FAAD
Private Practice Dermatologist
Beatrice Keller Clinic
Sun City West, AZ, USA

K. Scott, BM, FRCA
Specialist Registrar in Anaesthesia
Oxford Radcliffe Hospitals NHS Trust
Oxford, UK

Bhadresh Shah, MB, BS, MD
Fellow in Obstetrical Anesthesia
Sunnybrook and Women’s College Health Sciences Centre
Toronto, Ontario, Canada

Shiv K. Sharma, MD, FRCA, Professor
Department of Anesthesiology and Pain Management
Obstetric Division
University of Texas Southwestern Medical Center
Dallas, TX, USA

Michael Smith, MD
Chief Resident in Anesthesiology
Department of Anesthesiology
University of Kansas School of Medicine – Wichita
Wichita, KS, USA

Jean E. Swenerton, MD, FRCPC
Clinical Associate Professor
Division of Obstetric Anesthesia
Faculty of Medicine
The University of British Columbia
Canada

R. B. Vadhera, MD, FRCA, FFARCSI
Director, OB Anesthesia
Department of Anesthesiology
University of Texas Medical Branch
Galveston, TX, USA

PREFACE TO THE SECOND EDITION

It has been almost ten years since the first edition of Obstetric Anesthesia and Uncommon Disorders was published. Over the past few years colleagues have asked the editors when they could expect to see a new edition. We had some hesitation, not least of which was because we felt that many practioners could find most of this information for themselves using the internet or subspecialty journals. Upon reflection, we recognized that there is no substitute for a textbook that contains information gathered and carefully reviewed by a number of devoted specialists. Hence, spurred on by those requests for a second edition it was decided to create a revision that provides more recent references and reflects some of the changes in obstetric anesthesia practice that have occurred over the past ten years. With the assistance of a third editor, Robert S. F. McKay, we recruited some outstanding new contributors from around the world and created a second edition that we trust the reader will find useful. We have continued to use chapters based on body systems and diseases. We have consolidated some chapters, split others, and added two new chapters, namely ‘Chronic pain in pregnancy’ and ‘Malignancy and pregnancy’. There are now 23 chapters each illustrated with figures, tables, and photographs, and each chapter is accompanied by a comprehensive list of updated references.

We thank our new publishers, Cambridge University Press, for giving us the opportunity to produce this revision, and we would like to thank each and every contributor for their hard work and commitment to this project.

Finally, we want to thank our families for their patience while we spent hours, too numerous to count, fine tuning each chapter.

This book is dedicated to my wife Kimberley and children Carwyn, Jake, and Samantha.

David R. Gambling

This book is dedicated to my family: my mother, Bill, Matthew, Sheila, Erin, and Mark, who fill my life with joy.

M. Joanne Douglas

We dedicate this book to the many anesthesiologists who work long hours to provide safe care to mothers and babies, and to their families who make the sacrifices that allow their loved one to provide this care. Thank you Susan, Lindsey, and Katie.

Robert S. F. McKay

To the memory of Dr Clive Meintjies a wonderful friend, mentor and doctor.

© Cambridge University Press