Luis D. Pacheco, MD, is Professor in the Department of Obstetrics and Gynecology and Anesthesiology and Division Chief of Obstetrics and Maternal Fetal Medicine, University of Texas Medical Branch, Galveston. He is board certified in critical care medicine.

Jeffrey P. Phelan, MD, is a Maternal-Fetal Medicine specialist and Obstetrician-Gynecologist in West Covina, California, and holds positions at multiple area hospitals. He has over 35 years of clinical experience in the practice of Maternal-Fetal Medicine and in the area of Critical Care OB. Of note, Dr. Phelan has served as an editor and author on all prior editions of Critical Care OB.

Torre L. Halscott MD, MS, is an Assistant Professor in the Department of Obstetrics and Gynecology and medical director of the Nelson Obsterical Clinic. Johns Hopkins University School of Medicine. He is board certified in critical care medicine.

Leslie A. Moroz MD, MS, is an Assistant Professor in the Department of Obstetrics and Gynecology, Yale School of Medicine. She is board certified in critical care medicine.

Arthur J. Vaught, MD, is an Associate Professor in the Department of Obstetrics and Gynecology and Surgery. He is the Director of Labor and Delivery and of the Advanced Obstetric Surgery Center. Johns Hopkins University, Baltimore, Maryland. He is board certified in critical care medicine.

Antonio F. Saad, Professor at the Department of Obstetrics and Gynecology Director of Perinatal Research Unit And MFM Fellowship, Inova Health, Inova Fairfax Medical Campus.

Amir A. Shamshirsaz, MD, is an Assistant Professor in the Department of Obstetrics and Gynecology and Medicine, Texas Children's Hospital/Pavillion for Women and Baylor St. Luke's Medical Center. He is board certified in critical care medicine.

Notes on Contributors ix Foreword xvii Preface xix Part One Basic Critical Care Clinical and Surgical Principles 1 1 Epidemiology of Critical Illness in Pregnancy 3
Cande V. Ananth and John C. Smulian 2 Organizing an Obstetrical Critical Care Unit: Care without Walls 17
Lilly Y. Liu and Leslie Moroz 3 Critical Care Obstetric Nursing 33
Nan H. Troiano and Suzanne McMurtry Baird 4 Pregnancy-Induced Physiologic Alterations 49
Julian N. Robinson and Jeffrey P. Phelan 5 Maternal Blood Gas Physiology 77
Aaron B. Caughey 6 Fluid and Electrolyte Balance 95
William E. Scorza and Sharon Maynard 7 Interventional Radiology in Pregnancy 123
Arsalan Saleem, Sania Javed, Irfan Masood, and Eric M. Walser 8 Fetal Considerations in the Critically Ill Gravida 133
Jeffrey P. Phelan 9 Fetal Effects of Drugs Commonly Used in Critical Care 163
Anthony Kendle and Sarah Gloria Obic¿an 10 Maternal-Fetal Oxygenation 189
Alfred D. Fleming and Marsha Henn 11 Cardiopulmonary Resuscitation (CPR) in Pregnancy 199
Terri-Ann Bennett and Carolyn M. Zelop 12 Neonatal Resuscitation in the Critical Care Setting 209
Jay P. Goldsmith and Gilbert I. Martin 13 Ventilator Management in Critical Illness 233
Luis D. Pacheco and Antonio F. Saad 14 Vascular Access 267Eryn Hart, Gayle Olson, and Aristides P. Koutrouvelis 15 Nutritional Support 283
Bill Tang, Michael J. Tang, and Jeffrey P. Phelan 16 Acute Kidney Injury and Renal Replacement Therapy 291
Luis D. Pacheco and Chasey I. Omere 17 Cardiopulmonary Bypass 305
Erin G. Sreshta, Tris M. Miller, and Alexis L. McQuitty 18 ECMO in Obstetrics 323
Emily E. Naoum, Amir A. Shamshirsaz, and Luis D. Pacheco 19 Antibiotics, Antivirals, and Antifungals in Critical Care 335
Amir A. Shamshirsaz and Arthur J. Vaught 20 Noninvasive Monitoring in Critical Care 361
Sarah Rae Easter 21 Critical Care Drills in Obstetrics 381
Monica A. Lutgendorf and Shad H. Deering 22 Maternal-Fetal Transport in the High-Risk Pregnancy 397Joshua A. Makhoul, Albert P. Sarno, Jr., and John C. Smulian Part Two Acute Emergencies 411 23 Seizure and Status Epilepticus 413
Amir Arain and Michael W. Varner 24 Acute Spinal Cord Injury 423
Lisa R. Wenzel, Angela Vrooman, and Hunter Hammill 25 Severe Acute Asthma 443
Dharani K. Narendra and Nicola A. Hanania 26 Acute Respiratory Distress Syndrome in Pregnancy 455
Dharani K. Narendra, Munish Sharma, David Muigai, and Kalpalatha K. Guntupalli 27 The Acute Abdomen During Pregnancy 475
Ibrahim A. Hammad 28 Acute Pancreatitis 487
Anna S. Leung and Jeffrey P. Phelan 29 Pneumonia During Pregnancy (Bacterial and Viral) 503
M. Ashley Cain and Judette M. Louis 30 Acute Fatty Liver of Pregnancy 519
Ibrahim A. Hammad and T. Flint Porter 31 Disseminated Intravascular Coagulation 527
Martina Burn, Hillary Hosier, Nazli Hossain, and Michael J. Paidas 32 Endocrine Emergencies 541
Mary C. Tolcher, Heather S. Hoff, Kjersti M. Aagaard, and Jeffrey P. Phelan 33 Acute Psychiatric Conditions in Pregnancy: Critical Care Obstetrics 555
Kelly B. Zafman and Adina R. Kern-Goldberger 34 Diabetic Ketoacidosis 571
Mark A. Curran Part Three Shock in Pregnancy 585 35 Hypovolemic Shock 587
Jerasimos Ballas and Scott Roberts 36 Blood Component Therapy and Massive Transfusion 603
Shiu-Ki R. Hui, Kjersti M. Aagaard, and Jun Teruya 37 Etiology and Management of Hemorrhage (Includes Accreta) 627
Irene A. Stafford, Karin A. Fox, Michael A. Belfort, and Gary A. Dildy 38 Septic Shock 665
Sonya S. Abdel-Razeq 39 Cardiogenic Shock 697
Martha W. F. Rac and Mary C. Tolcher 40 Anaphylactic Shock in Pregnancy 707
Richard Burwick 41 Amniotic Fluid Embolism 719
Gary A. Dildy, Michael A. Belfort, and Steven L. Clark Part Four Medical/Surgical Management 737 42 Pregnancy-Related Stroke 739
Loralei L. Thornburg, Jamil ElFarra, and James N. Martin, Jr. 43 Cardiac Disease and Pregnancy 775
Abby Frederickson, Jordan D. Awerbach, Roxann Rokey, Michael A. Belfort, and Wayne J. Franklin 44 Anesthesia Considerations for the Critically Ill Gravida with Cardiac Disease 813
Yi Deng, Sanjna Tripathy, Lisa Mouzi Wofford, Vibha Mahendra, and Shoba Murugan 45 Thromboembolic Disease 831Martha Pritchett Mims and Arthur J. Vaught 46 Pulmonary Hypertension in Pregnancy 849
Mohammad Zaidan and Alexander G. Duarte 47 Sickle Cell Disease and Pregnancy 869
Mark M. Udden and Iberia Romina Sosa 48 Thrombotic Thrombocytopenic Purpura, Hemolytic-Uremic Syndrome, and HELLP 883
Kelty R. Baker 49 Complications of Preeclampsia 901
Mary C. Tolcher and Kjersti M. Aagaard 50 Systemic Lupus Erythematosus and Antiphospholipid Syndrome 939
Fawzi Saoud and Maged M. Costantine 51 Trauma in Pregnancy 959
Robert Rossi, Alfredo F. Gei, Arthur J. Vaught, and James W. Van Hook 52 Thermal and Electrical Injury 987
Cornelia R. Graves 53 Overdose, Poisoning, and Envenomation during Pregnancy 995
Alfredo F. Gei, Victor R. Suarez, Arthur J. Vaught, and James W. Van Hook 54 The Organ Transplant Patient in the Obstetric Critical Care Setting 1053
Calla Holmgren and James Scott 55 Fetal Surgery Procedures and Associated Maternal Complications 1065
Eyal Krispin, Amir A. Shamshirsaz, Ahmed A. Nass, and Alireza A. Shamshirsaz 56 Cancer in the Pregnant Patient 1075
Kristin Bixel, Kenneth H. Kim, and David M. O'Malley 57 Mass Casualties and the Obstetrical Patient 1093
Lisa M. Foglia and Peter E. Nielson 58 Biological, Chemical, and Radiological Exposures in Pregnancy 1099Lisa M. Foglia and Peter E. Nielson Part Five Ethical and Legal Considerations 1109 59 Ethics in the Obstetric Critical Care Setting 1111
Fidelma B. Rigby 60 Medical-Legal Considerations in Critical Care Obstetrics 1137Jeffrey P. Phelan Index 1161