|Year : 2012 | Volume
| Issue : 2 | Page : 115-116
Obstetric Anesthesia and Analgesia- Practical Issues
Professor, Department of Anaesthesiology, All India Institute of Medical Sciences, New Delhi 10029, India
|Date of Web Publication||17-Dec-2012|
Professor, Department of Anaesthesiology, All India Institute of Medical Sciences, New Delhi 10029
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Trikha A. Obstetric Anesthesia and Analgesia- Practical Issues
. J Obstet Anaesth Crit Care 2012;2:115-6
Alex Sia, YK Chan, and Stephen Gatt. (Editors).
Published by Red Cell Series, under Sing Health Academy, Singapore Health services Pte Ltd, Singapore.
ISBN: 978-981-071475-8 (pbk)
This book on obstetric anesthesia and analgesia has information which is much more than the size and the number of pages it consists of. Its paperback format and size is such that it would fit easily into coat pockets and be a companion for anesthesiologists involved in care of the parturient. The text in this handbook is not like the one usually seen, but is more telegraphic and in a bulleted format in most chapters, which in my opinion is appropriate for handbooks as it avoids information which a reader is not looking for.
It aims to provide working information for both the experienced and occasional obstetric anesthetist, with contributions from 33 authors and the 3 editors themselves. All the authors have been able to give their own practice perspectives to commonly encountered problems in obstetric anesthesia practice. At times there is repetition of information that is invariably seen in books with chapters contributed by multiple authors.
The handbook has been sectioned into very convenient four major sections. The topics in this section are based more on practical issues rather than routine anatomy, physiology, and anesthesiology implication sections. Most of the chapters in the book end with a summary that mentions all the relevant information in a very concise manner.
The first section is on general considerations in a pregnant patient and deals with not only changes in a parturients' anatomy and physiology, but also pre-labor and pre-delivery management of both normal and high-risk parturients. I liked the chapter entitled "communication in labour room" by Allan M Cyna. The information in this is essential not only for obstetric anesthesiologist, but for all. Anesthesiologists are usually poor communicators, and this aspect is never taught during the anesthesia training period. The author rightly mentions in the summary that "communication needs to be recognized as a core clinical skill in the practice of anesthesia."
The second section deals comprehensively with regional anesthesia and analgesia. The section again has been divided into easy-to-refer titles keeping in mind more practical issues rather than theoretical concepts. The book contains comprehensive information regarding neuraxial blockade in a parturient which is one of the most useful information in terms of practical significance, especially for places which are resource starved. Management of inadequate/failed neuraxial blockade is described in simple and practical terms.
The third section of the book gives a thorough perspective about general anesthesia and related issues like difficult airway, failed intubation, and aspiration in a parturient undergoing operative delivery. The last section is devoted to medical disorders complicating pregnancy and complications occurring in a pregnant patient undergoing cesarean section.
The two chapters written by Stephen Gatt in the last section give a lot of practical tips. Especially, the chapter on obstetric hemorrhage has an annexure for massive transfusion, and the content needs to be laminated and put up in all obstetric units.
Another chapter which I think is very significant and unique in a handbook on obstetric anesthesia and analgesia is by JM Gomez on drug errors. Though this issue is very often discussed and stressed in the developed countries, it needs to be impressed upon for all operation and labor rooms. This chapter describes a modern approach to drug error prevention and reporting.
In conclusion, this is not a textbook with references - it was never meant to be one - but as long as the reader is looking for an updated practical guide to obstetric anesthesia, this book is interesting, informative, and useful.
I am not aware of the international cost of this book, but I would suggest that such handbooks should be available at highly discounted price to the anesthesiologists in the developing countries who are trying their best to bring down the maternal mortality rates.