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  • Book
    Valerie A. Dobiesz, Kathleen A. Kerrigan.
    Summary: "Manual of Emergency Medicine Obstetrics provides a practical overview of all trimesters in a convenient manual format. Nearly two dozen expert contributors representing both emergency medicine and obstetrics offer evidence-based treatment and management guidelines for virtually any situation you may encounter, providing a unique emergency medicine perspective on best practices for high-risk, high-stress obstetric situations in the ED"--Publisher's description.

    Contents:
    Section I: General overview in pregnancy. Physiologic changes in pregnancy
    Drug therapy in pregnancy
    Venous thromboembolism in pregnancy
    Airway management in pregnancy
    Trauma in pregnancy
    Management of common medical comorbidities during pregnancy
    Management of common surgical conditions during pregnancy
    Ultrasound in obstetric emergencies
    Section II: EMS management of obstetric emergencies. Active labor and out-of-hospital delivery
    Prehospital management of obstetric bleeding
    Section III: Early pregnancy (<weeks). Nausea and vomiting of pregnancy
    Vaginal bleeding in the first trimester of pregnancy
    Ectopic pregnancy
    Gestational trophoblastic disease
    Section IV: Later pregnancy (>weeks). Preparation for precipitous delivery
    Hypertensive disorders in pregnancy
    Peripartum cardiomyopathy
    Preterm labor
    Prelabor rupture of membranes
    Placental abnormalities
    Section V: Delivery. Normal vaginal deliveries
    Breech deliveries
    Twin deliveries
    Emergency hysterotomy
    Umbilical cord abnormalities
    Shoulder dystocia
    Section VI: Emergencies after delivery. Postpartum hemorrhage
    Uterine inversion and uterine rupture
    Amniotic fluid embolism
    Postpartum infections
    This section is expanded section vii: care of the mother and newborn
    Resuscitation of the newborn.
    Digital Access LWW Health Library 2021
  • Article
    Del Pizzo A.
    Can Anaesth Soc J. 1978 Sep;25(5):392-7.
    In a randomized double-blind trial a total of 50 consenting patients scheduled for elective surgical operations were given multiple intravenous doses of butorphanol tartrate or morphine sulphate in combination with other agents to evaluate and compare the efficacy of these drugs in balanced anaesthesia. Equipotent doses of butorphanol tartrate (mean dose 2.0 mg) or morphine sulphate (10 mg) and thiopentone were employed as induction agents followed by the standardized use of muscle relaxants to facilitate tracheal intubation. Butorphanol tartrate or morphine sulphate were then employed during maintenance of anaesthesia in repeated intravenous doses, averaging butorphanol 4.6 mg and morphine 22.8 mg per patient. Evaluation of anaesthesia showed that induction and course were smooth in 96 per cent of the patients receiving butorphanol tartrate and in 84 per cent of patients receiving morphine sulphate. The analgesic action of butorphanol appeared in every respect to approximate that of morphine sulphate, with negligible side-effects. The data demonstrate that butorphanol is a useful analgesic for use in a balanced anaesthesia technique with a low side-effect incidence.
    Digital Access Access Options