320. Analgesia, Anaesthesia And Pregnancy

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320. Analgesia, Anaesthesia And Pregnancy

320. Analgesia, Anaesthesia And Pregnancy

 

 

CATEGORY: Medical & Medicine – 500 Courses

COURSE NUMBER: 320

FEES: 555/- INR only

CERTIFICATE VALIDITY: Lifetime

CERTIFICATES DELIVERY: In 48 hours

BOOKS/ MANUALS: Pages

Syllabus

Preface xi

Section 1 – Preconception and conception
1 Assisted conception 1
2 Ovarian hyperstimulation syndrome 3
3 Anaesthesia before conception or confirmation of pregnancy 5
Section 2 – Pregnancy
I – Procedures in early/mid-pregnancy
4 Ectopic pregnancy 7
5 Evacuation of retained products of conception 9
6 Termination of pregnancy 11
7 Cervical suture (cerclage) 12
8 Incidental surgery in the pregnant patient 14
9 Intrauterine surgery 16
II – Normal pregnancy and delivery
10 Anatomy of the spine and peripheral nerves 19
11 Physiology of pregnancy 27
12 Antenatal care 31
13 Aortocaval compression 34
14 Gastric function and feeding in labour 35
15 Drugs and pregnancy 37
16 Placental transfer of drugs 40
17 Prescription and administration of drugs by midwives 42
18 Local anaesthetics 44
19 Normal labour 46
20 Intrapartum fetal monitoring 51
21 Pain of labour 54
22 Epidural analgesia for labour 56
23 Epidural test doses 61
24 Combined spinal–epidural analgesia and anaesthesia 64
25 Spinal analgesia 67
26 Spinal and epidural opioids 69
27 Inhalational analgesic drugs 72
28 Systemic analgesic drugs 74
29 Non-pharmacological analgesia 76

III – Operative delivery and third stage
30 Instrumental delivery 81
31 Caesarean section 83
32 Spinal anaesthesia for caesarean section 88
33 Epidural anaesthesia for caesarean section 91
34 General anaesthesia for caesarean section 95
35 Cricoid pressure 99
36 Failed and difficult intubation 101
37 Awake intubation 105
38 Removal of retained placenta and perineal suturing 106
39 Postoperative analgesia 108

IV – Anaesthetic problems
40 Bloody tap 113
41 Dural puncture 114
42 Postdural puncture headache 116
43 Epidural blood patch 119
44 Extensive regional blocks 121
45 Inadequate regional analgesia in labour 124
46 Backache 127
47 Horner’s syndrome and cranial nerve palsy 128
48 Peripheral nerve lesions following regional anaesthesia 130
49 Spinal cord lesions following regional anaesthesia 133
50 Arachnoiditis 135
51 Cauda equina syndrome 137
52 Opioid-induced pruritus 138
53 Shivering 139
54 Aspiration of gastric contents 140
55 Awareness 144
56 Air embolism 147
V – Problems confined to obstetrics
57 Induction and augmentation of labour 149
58 Oxytocic and tocolytic drugs 151
59 Premature labour, delivery and rupture of membranes 154
60 Malpresentations and malpositions 156
61 External cephalic version 158
62 Multiple pregnancy 160
63 Trial of scar 161
64 Under-age pregnancy and advanced maternal age 163
65 Placenta praevia 165
66 Placental abruption 168
67 Prolapsed cord 170
68 Fetal distress 172

69 Shoulder dystocia 174
70 Intrauterine death 176
71 Uterine inversion 178
72 Major obstetric haemorrhage 179
73 Postpartum haemorrhage 182
74 Collapse on labour ward 185
75 Maternal cardiopulmonary resuscitation 186
76 Amniotic fluid embolism 189
77 Cholestasis of pregnancy (obstetric cholestasis) 190
78 Acute fatty liver of pregnancy 192
79 HELLP syndrome 194
80 Hypertension, pre-eclampsia and eclampsia 196
81 Magnesium sulphate 202
82 Hyperemesis gravidarum 205
83 Maternal mortality 207
VI – Problems not confined to obstetrics
84 Allergic reactions 211
85 Cardiovascular disease 213
86 Arrhythmias 216
87 Pulmonary oedema 218
88 Cardiomyopathy 220
89 Coarctation of the aorta 223
90 Prosthetic heart valves 225
91 Congenital heart disease 227
92 Pulmonary hypertension and Eisenmenger’s syndrome 230
93 Ischaemic heart disease 233
94 Endocrine disease 235
95 Diabetes mellitus 236
96 Anaemia and polycythaemia 240
97 Deep-vein thrombosis and pulmonary embolism 241
98 Thrombophilia 244
99 Coagulopathy 246
100 Von Willebrand’s disease and haemophilia 248
101 Disseminated intravascular coagulation 251
102 Thrombocytopenia 253
103 Lymphoma and leukaemia 256
104 Haemoglobinopathies 258
105 Connective tissue disorders 261
106 Rheumatoid arthritis 264
107 Cervical spine disorders 266
108 Kyphoscoliosis 267
109 Low back pain 269
110 Neurological disease 272
111 Meningitis 274
112 Acute post-infective peripheral neuropathy (Guillain–Barré syndrome) 276

113 Past history of neurological trauma 277
114 Benign intracranial hypertension 279
115 Intracranial tumour 280
116 Cerebrovascular accident 282
117 Epilepsy 285
118 Convulsions 286
119 Migraine 288
120 Multiple sclerosis 289
121 Myasthenia gravis 291
122 Spina bifida 293
123 Respiratory disease 295
124 Asthma 296
125 Cystic fibrosis 298
126 Pulmonary fibrosis 299
127 Sarcoidosis 300
128 Acute lung injury (acute respiratory distress syndrome) 302
129 Pneumonia 303
130 Sepsis 307
131 Hepatitis 310
132 Herpes simplex infection 312
133 HIV infection 314
134 Malaria in pregnancy 316
135 Pyrexia during labour 318
136 Migrants/disadvantaged women 320
137 Psychiatric disease 322
138 Substance abuse 325
139 Obesity 328
140 Renal failure 331
141 Steroid therapy 333
142 Trauma in pregnancy 335
143 Malignant disease 336
144 Transplantation 338
145 Critical care in pregnancy 341
146 Invasive monitoring 343
VII – The neonate
147 Neonatal assessment 347
148 Neonatal physiology and pharmacology 350
149 Neonatal resuscitation 352
150 Perinatal mortality 355
Section 3 – Puerperium and after
151 Drugs and breastfeeding 359
152 Follow-up 361
153 Maternal satisfaction 363

Section 4 – Organisational aspects
154 Antenatal education 365
155 Audit 367
156 Labour ward organisation 369
157 Midwifery training 371
158 Consent 372
159 Medicolegal aspects 376
160 Record keeping 379
161 Minimum standards, guidelines and protocols 381
162 Risk management 384
163 Post-crisis management 386
164 Research on labour ward 388
165 Obstetric anaesthetic organisations 390
166 Vital statistics 392
167 Historical aspects of obstetric analgesia and anaesthesia 394

Index 397

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