Chestnut's Obstetric Anesthesia: Principles and Practice. Fourth Edition.
Article Type: Book review
Subject: Books (Book reviews)
Author: Buettner, A.U.
Pub Date: 01/01/2010
Publication: Name: Anaesthesia and Intensive Care Publisher: Australian Society of Anaesthetists Audience: Academic Format: Magazine/Journal Subject: Health Copyright: COPYRIGHT 2010 Australian Society of Anaesthetists ISSN: 0310-057X
Issue: Date: Jan, 2010 Source Volume: 38 Source Issue: 1
Topic: NamedWork: Chestnut's Obstetric Anesthesia: Principles and Practice, 4th ed. (Nonfiction work)
Persons: Reviewee: Chestnut, D. H.; Polley, L. S.; Tsen, L. C.
Accession Number: 221657275
Full Text: Chestnut's Obstetric Anesthesia: Principles and Practice. Fourth Edition. D. H. Chestnut, L. S. Polley, L. C. Tsen, C. A. Wong; Mosby Elsevier; Distributor: Elsevier Australia - shop.elsevier. com.au, Tower 1, 475 Victoria Avenue, Chatswood, NSW 2067; $365.00; 220x280 mm; pp. 1222; ISBN 978-0-323-05541-3.

The first edition of this book was released in 1994. It has been updated every five years since and has become arguably one of the leading references in the field. This new fourth edition represents the most substantive revision to date.

For this edition, Dr Chestnut has enlisted three new editors and 32 new contributors out of the 76 in the text. His co-editors are Lawrence Tsen and Linda Polley, the current and immediate Past Presidents of the Society for Obstetric Anaesthesia and Perinatology, as well as Cynthia Wong, the obstetric anesthesia section editor for Anesthesia and Analgesia. The involvement of the new editorial team and the contributions from recognised authorities in their fields have ensured that this text remains up-to-date and relevant. His co-editors have rewritten the chapters on spinal and epidural anesthesia, anesthesia for caesarean section and hypertensive disorders. Two new chapters have been added on patient safety and maternal mortality.

As with previous editions the book is divided into 10 parts with 54 chapters. After an introduction to the history of obstetric anaesthesia, the opening chapters explore maternal and foetal physiology. These chapters are well detailed and would be helpful for trainees sitting the first part of the Fellow of the Australian and New Zealand College of Anaesthetists exam. Warwick Ngan Kee's chapter on uteroplacental blood flow is particularly well written and reflects the latest evidence on the effects of vasopressors.

Subsequent parts contain chapters on related topics such as anaesthesia before and during delivery, caesarean delivery, and anaesthetic and obstetric complications. The largest section deals with the parturient with systemic disease. These chapters provide an extremely useful overview of many of the conditions likely to be encountered by the practising obstetric anaesthetist.

Chapters are accompanied by clear illustrations and tables that make the overall style of the book very easy to read. At the end of each chapter is a summary of the key points. A useful complement to this new edition is the availability of access to the complete full text online including Medline links to all references. As the book is a lengthy tome at over 1200 pages, this is particularly welcome.

This book is an excellent resource for consultants and trainees alike and I would strongly recommend its purchase for individual clinicians as well as its inclusion in the library of any department practising obstetric anaesthesia.

A.U. Buettner

Melbourne, Victoria
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