Critical Care Obstetrics-7판

Critical Care Obstetrics

Improve medical outcomes for both mothers and children with this essential guide

For the first time in decades, maternal mortality rates are climbing in the United States. Factors
including lack of access to prenatal care, un- or underinsured populations, rising rates of cardiovascular
disease, and more combine to make pregnancy and childbirth more dangerous prospects. In this environment,
the study of critical care obstetrics has never been more essential.

Critical Care Obstetrics, Seventh Edition a fully updated guide to the medical management of serious
conditions in pregnancy and childbirth. Beginning with basic principles, it surveys the potential serious
complications occurring in pregnancy and delivery and the techniques and procedures for maximizing patient
outcomes for both pregnant people and fetuses. This clear, accessible text promises to continue the
essential work of earlier editions.

Readers of the seventh edition of Critical Care Obstetrics will also find:

Detailed protocols for implementing life-saving treatments in emergencies
New chapters on topics including ECMO, antibiotics, and pneumonia
Authorship by internationally renowned experts in emergency obstetrics
Critical Care Obstetrics is ideal for working clinical obstetricians and for trainees in obstetrics and
gynecology.


목차

Notes on Contributors ix

Foreword xvii

Preface xix

Part One Basic Critical Care Clinical and Surgical Principles 1

1 Epidemiology of Critical Illness in Pregnancy 3

2 Organizing an Obstetrical Critical Care Unit: Care without Walls 17

3 Critical Care Obstetric Nursing 33

4 Pregnancy-Induced Physiologic Alterations 49

5 Maternal Blood Gas Physiology 77

6 Fluid and Electrolyte Balance 95

7 Interventional Radiology in Pregnancy 123

8 Fetal Considerations in the Critically Ill Gravida 133

9 Fetal Effects of Drugs Commonly Used in Critical Care 163

10 Maternal–Fetal Oxygenation 189

11 Cardiopulmonary Resuscitation (CPR) in Pregnancy 199

12 Neonatal Resuscitation in the Critical Care Setting 209

13 Ventilator Management in Critical Illness 233

14 Vascular Access 267

15 Nutritional Support 283

16 Acute Kidney Injury and Renal Replacement Therapy 291

17 Cardiopulmonary Bypass 305

18 ECMO in Obstetrics 323

19 Antibiotics, Antivirals, and Antifungals in Critical Care 335

20 Noninvasive Monitoring in Critical Care 361

21 Critical Care Drills in Obstetrics 381

22 Maternal–Fetal Transport in the High-Risk Pregnancy 397


Part Two Acute Emergencies 411

23 Seizure and Status Epilepticus 413

24 Acute Spinal Cord Injury 423

25 Severe Acute Asthma 443

26 Acute Respiratory Distress Syndrome in Pregnancy 455

27 The Acute Abdomen During Pregnancy 475

28 Acute Pancreatitis 487

29 Pneumonia During Pregnancy (Bacterial and Viral) 503

30 Acute Fatty Liver of Pregnancy 519

31 Disseminated Intravascular Coagulation 527

32 Endocrine Emergencies 541

33 Acute Psychiatric Conditions in Pregnancy: Critical Care Obstetrics 555

34 Diabetic Ketoacidosis 571



Part Three Shock in Pregnancy 585

35 Hypovolemic Shock 587

36 Blood Component Therapy and Massive Transfusion 603

37 Etiology and Management of Hemorrhage (Includes Accreta) 627

38 Septic Shock 665

39 Cardiogenic Shock 697

40 Anaphylactic Shock in Pregnancy 707

41 Amniotic Fluid Embolism 719


Part Four Medical/Surgical Management 737

42 Pregnancy-Related Stroke 739

43 Cardiac Disease and Pregnancy 775

44 Anesthesia Considerations for the Critically Ill Gravida with Cardiac Disease 813

45 Thromboembolic Disease 831

46 Pulmonary Hypertension in Pregnancy 849

47 Sickle Cell Disease and Pregnancy 869

48 Thrombotic Thrombocytopenic Purpura, Hemolytic–Uremic Syndrome, and HELLP 883

49 Complications of Preeclampsia 901

50 Systemic Lupus Erythematosus and Antiphospholipid Syndrome 939

51 Trauma in Pregnancy 959

52 Thermal and Electrical Injury 987

53 Overdose, Poisoning, and Envenomation during Pregnancy 995

54 The Organ Transplant Patient in the Obstetric Critical Care Setting 1053

55 Fetal Surgery Procedures and Associated Maternal Complications 1065

56 Cancer in the Pregnant Patient 1075

57 Mass Casualties and the Obstetrical Patient 1093

58 Biological, Chemical, and Radiological Exposures in Pregnancy 1099


Part Five Ethical and Legal Considerations 1109

59 Ethics in the Obstetric Critical Care Setting 1111

60 Medical–Legal Considerations in Critical Care Obstetrics 1137

Index 1161