RT Book, Section A1 Dado, Lisa A. A2 Foley, Michael R. A2 Strong, Jr, Thomas H. A2 Garite, Thomas J. SR Print(0) ID 1152537740 T1 Anesthesia for the Complicated Obstetric Patient T2 Obstetric Intensive Care Manual, 5e YR 1 FD 1 PB McGraw-Hill Education PP New York, NY SN 9781259861758 LK obgyn.mhmedical.com/content.aspx?aid=1152537740 RD 2025/02/17 AB A thorough understanding of the nature of the parturient’s pain is the first aspect in providing optimal obstetric anesthetic care. Once the biology and pathophysiology of this special acute pain is discussed, the benefits of analgesia for this pain will appropriately follow. Pharmacology of local anesthetics and related drugs will be reviewed, with special emphasis on complications associated with their administration. A variety of techniques including epidural, subarachnoid, and other regional and analgesia techniques will be discussed with benefits and complications reviewed. General anesthesia (GA) for cesarean section delivery will be outlined. A variety of special consideration patients will be addressed, including: (1) the preeclamptic patient, (2) preterm birth patient on tocolytics, (3) human immunodeficiency virus (HIV)–positive mothers, (4) coagulopathies, (5) cardiac disease, and (6) pulmonary disease. Highlights from the updated report by the American Society of Anesthesiologists task force on Obstetric Anesthesia and Society for Obstetric Anesthesia Perinatology will be reviewed.