High dependency facilities are now an essential component of modern obstetric practice. The acutely ill parturient is now cared for by a multidisciplinary team within this specialised area. A patient does not present with a diagnosis but with an array of signs and symptoms which the staff caring for her must be able to detect, investigate and act upon. This handbook aims to assist obstetricians, midwives, nurses and anaesthetists involved with the maternity high dependency unit in three ways: to providean understanding of why these units are now a necessity to enhance safe obstetric care; to help obstetric units develop their own high dependency unit; and most importantly to assist with the treatment of clinical problems that occur in the ill parturient. It is not intended to be an exhaustive tome on the minutiae of obstetric pathology and medicine. However, we hope it will act as a practical bedside guide to help to achieve our goal of safer maternal care--Provided by publisher. Concise practical guidance to managing an Obstetric High Dependency unitObstetric high-dependency care is an emerging clinical area that requires close team work from obstetricians, midwives, nurses, and anaesthetists. Advances in the understanding of material disease and its management have decreased material mortality and morbidity. Central to this progress is the High Dependency Unit and its team who care for the ill parturient. This book is aimed at all medical, nursing and midwifery staff working in this field.The team and clinical environment is the starting point for the Handbook of Obstetric High Dependency Care. The book discusses the structure and requirements of a unit, both clinically and in terms of equipment, protocols and management aims. The main sections cover the investigation, diagnosis and management of clinical disease resulting from pregnancy and Incidental to it.The Handbook of Obstetric High Dependency Care equips you to quickly and effectively respond to problems found in the obstetric population, it fulfils a role both as textbook and handy bedside reference. Concise practical guidance to managing an Obstetric High Dependency unit The team and clinical environment is the starting point for the Handbook of Obstetric High Dependency Care. The book discusses the structure and requirements of a unit, both clinically and in terms of equipment, protocols and management aims. The main sections cover the investigation, diagnosis and management of clinical disease resulting from pregnancy and incidental to it.
Recenzijos
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Preface |
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xv | |
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Chapter 1 Morbidity and mortality in the parturient |
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1 | (12) |
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Chapter 2 The maternity high dependency unit |
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13 | (14) |
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27 | (20) |
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Chapter 3 Emergency management of the obstetric patient - general principles |
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29 | (12) |
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Chapter 4 Maternal and neonatal resuscitation |
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41 | (6) |
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Part II Clinical problems |
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47 | (124) |
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49 | (4) |
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Chapter 6 The collapsed patient |
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53 | (6) |
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59 | (4) |
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Chapter 8 The breathless patient |
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63 | (6) |
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Chapter 9 The wheezy mother |
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69 | (2) |
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Chapter 10 Low oxygen saturation and oxygen therapy |
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71 | (6) |
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Chapter 11 Understanding arterial blood gases |
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77 | (4) |
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Chapter 12 The abnormal chest X-ray |
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81 | (2) |
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83 | (4) |
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Chapter 14 Abnormal heart rate, rhythm or ECG findings |
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87 | (8) |
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Chapter 15 High blood pressure |
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95 | (6) |
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Chapter 16 Low blood pressure |
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101 | (6) |
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Chapter 17 Bleeding and transfusion |
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107 | (8) |
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Chapter 18 Rashes and itching |
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115 | (2) |
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Chapter 19 Temperature and infection |
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117 | (8) |
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Chapter 20 Abdominal pain and jaundice |
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125 | (6) |
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Chapter 21 Management of pain on the MHDU |
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131 | (6) |
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Chapter 22 Immobility and thromboembolic disease |
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137 | (6) |
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Chapter 23 Abnormal urine output and renal function |
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143 | (8) |
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151 | (4) |
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Chapter 25 Abnormal blood results |
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155 | (8) |
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163 | (4) |
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Chapter 27 Local anaesthetic toxicity |
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167 | (4) |
Selected bibliography |
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171 | (1) |
Index |
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172 | |
David Vaughan, MBBS FRCA, Northwick Park Hospital, Harrow, Middlesex, UK Neville Robinson, MB Ch B FRCA Northwick Park Hospital, Harrow, Middlesex, UK
Nuala Lucas, MBBS FRCA Northwick Park Hospital, Harrow, Middlesex, UK
Sabaratnam Arulkumaran, MD, PhD, DCH, FRCS,FRCOG, FAMS, St. George's Hospital, London, UK