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Preface
Dedications
Contributors
1 Epidemiology of critical illness and outcomes in pregnancy 3
2 Organizing a critical care obstetric unit 13
3 Pregnancy-induced physiologic alterations 19
4 Maternal-fetal blood gas physiology 43
5 Fluid and electrolyte balance 60
6 Cardiopulmonary resuscitation 87
7 Neonatal resuscitation 104
8 Airway management in critical illness 121
9 Vascular access 146
10 Blood component replacement therapy 162
11 Hyperalimentation 184
12 Dialysis 191
13 Cardiopulmonary bypass 199
14 Noninvasive monitoring 211
15 Pulmonary artery catheterization 219
16 Seizures and status epilepticus 227
17 Acute spinal cord injury 233
18 Cerebrovascular accidents 240
19 Cardiac disease 252
20 Thromboembolic disease 275
21 Etiology and management of hemorrhage 298
22 Severe acute asthma 312
23 Systemic inflammatory response syndrome and acute respiratory distress syndrome 329
24 Pulmonary edema 346
25 The acute abdomen 354
26 Acute pancreatitis 361
27 Acute renal failure 372
28 Acute fatty liver of pregnancy 380
29 Sickle-cell crisis 386
30 Disseminated intravascular coagulopathy 394
31 Thrombotic microangiopathies 408
32 Endocrine emergencies 420
33 Complications of preeclampsia 436
34 Anaphylactoid syndrome of pregnancy (amniotic fluid embolism) 463
35 Systemic lupus erythematosus and the antiphospholipid syndrome 472
36 Trauma in pregnancy 484
37 Thermal and electrical injury 506
38 Overdose, poisoning, and envenomation 512
39 Hypovolemic and cardiac shock 553
40 Septic shock 562
41 Anaphylactic shock 581
42 Fetal considerations in the critically ill gravida 593
43 Fetal effects of drugs commonly used in critical care 612
44 Anesthesia for the critically ill parturient with cardiac disease and pregnancy-induced hypertension 620
45 The organ transplant obstetric patient 638
46 Ethics in the obstetric critical care setting 646
App. 1 Physiological tables and formulas 666
App. 2 Drugs, devices, and fluid therapy 674
Index 681