If you are an obstetrician whose patient has been admitted to ICU, you need to know how she is managed there. If you are an intensivist, you need to adapt to changes in physiology, alter techniques for the pregnant patient and keep the fetus from harm. This book addresses the challenges of managing critically ill obstetric patients by providing a truly multidisciplinary perspective. Almost every chapter is co-authored by both an intensivist/anesthesiologist and an obstetrician/maternal-fetal medicine expert to ensure that the clinical guidance reflects best practice in both specialties. Topics range from the purely medical to the organizational and the sociocultural, and each chapter is enhanced with color images, tables and algorithms. Written and edited by leading experts in anesthesiology, critical care medicine, maternal-fetal medicine, and obstetrics and gynecology, this is an important resource for anyone who deals with critically ill pregnant or postpartum patients. Marc van de Velde is Professor of Anesthesiology and Chair of the Department of Anesthesiology, Catholic University of Leuven and University Hospitals Leuven, Belgium. Helen Scholefield is Consultant Obstetrician and Clinical Director of Maternity Services, Liverpool Women's Hospital, UK. Lauren A. Plante is Director of Maternal-Fetal Medicine and Associate Professor, Departments of Obstetrics and Gynecology and Anesthesiology, Drexel University College of Medicine, Philadelphia, PA, USA. Table of Contents List of contributors; Preface; Part I. General Non-Medical Considerations: 1. The scope for maternal critical care: epidemiology Victoria M. Allen, Thomas F. Baskett and Kathryn M. Rowan; 2. Service organization: hospital and departmental Gerda G. Zeeman, Nadir Sharawi and Geraldine O'Sullivan; 3. Competency and personnel Helen Scholefield and Lauren A. Plante; 4. Planning for elective and emergency problems Clemens M. Ortner, Ruth Landau, Clare Fitzpatrick and Leanne Bricker; 5. Midwifery and nursing issues in the intensive care setting Wendy Pollock and Kate Morse; 6. Decisions related to the beginning and end of life Frank A. Chervenak and Laurence B. McCullough; 7. Support of the family and staff Renee D. Boss and Carl Waldman; 8. Recovery from intensive care and the next pregnancy Hennie Lombaard and Neil S. Seligman; 9. Maternal critical care in the developing world Fatima Paruk, Jack Moodley, Paul Westhead and Josaphat K. Byamugisha; Part II. General Medical Considerations: 10. Physiological changes of pregnancy Lisa E. Moore and Nigel Pereira; 11. Management of coagulopathy Lawrence C. Tsen and Dianne Plews; 12. Acute collapse and resuscitation Larry Leeman and Alexandre Mignon; 13. But what about the fetus? Lauren A. Plante and Alex Sia; 14. Pharmacology, pharmokinetics, and management of the patient after overdose Edward J. Hayes and Warwick D. Ngan Kee; 15. Shock Sreedhar Gaddapati and Marcel Vercauteren; 16. Brain death and sematic support Sarah Armstrong and Roshan Fernando; Part III. Special Critical Care Tools and Techniques: 17. Airway management Felicity Plaat and Alison MacArthur; 18. Mechanical ventilation Paul Marik, David Grooms and Malachy O. Columb; 19. Sedation and pain management Thierry Girard; 20. Nutrition Michael P. Casaer, Jean Cox and Sharon T. Phelan; 21. Monitoring the critically ill gravida Emily Gordon, Lauren A. Plante and Clifford S. Deutschman; 22. Imaging issues in maternal critical care Melina Pectasides, Filip Claus and Susanna I. Lee; Part IV. The Pregnant Patient with Coexisting Disease: 23. Cardiovascular disease Els Troost and Meredith Birsner; 24. Respiratory disease Stephen E. Lapinsky, Laura C. Price and Catherine Nelson-Piercy; 25. Thromboembolism Andra H. James and Ian A. Greer; 26. Neurologic disease and neurological catastrophes Cynthia A. Wong and Roland Devlieger; 27. Acute kidney injury in pregnancy and critical care emergencies Michelle Hladunewich and John Davison; 28. Cancer Kristel Van Calsteren and Frederic Amant; 29. Endocrine disease Patricia Peticca, Erin Keely and Tracey Johnston; 30. Acute abdomen Steve Lu, Nova Szoka, Ulrich J. Spreng and Vegard Dahl; 31. Sepsis Luis D. Pacheco and Joost J. Zwart; 32. Trauma Andrew Tang, Bellal Joseph, Charles Cox and Peter Rhee; 33. Malaria, bites and stings during pregnancy Carlo Missant; 34. Pregnancy and liver disease Chris Verslype and Michael P. Plevyak; 35. Autoimmune disease Karim Djekidel and Bob Silver; Part V. Serious Problems Related to Pregnancy: 36. Pre-eclampsia Leiv Arne Rosseland, Helen Ryan, Laura A. Magee and Peter von Dadelszen; 37. Acute fatty liver of pregnancy Linda Watkins and Mieke Soens; 38. Peripartum cardiomyopathy Michelle Walters, Marc Van de Velde, Steven Dymarkowski and Helen Scholefield; 39. Obstetric hemorrhage Sina Haeri, Vicki Clark and Michael A. Belfort; 40. Anaphylactoid syndrome of pregnancy (amniotic fluid embolus) Derek Tufnell, Giorgio Capogna and Silvia Stirparo; 41. Maternal complications of fetal surgery Jan Deprest and Kha M. Tran; Index.