Titlebook: Obstetric Anesthesia; A Case-Based and Vis Thomas L. Archer Book 2020 Springer Nature Switzerland AG 2020 case approach.hand-held echocardi

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Prolapsed Umbilical Cordlvis. Amniotic fluid gushes out of her vagina and something else comes out as well—the umbilical cord! (L-1) The nurse dons sterile gloves and puts her right hand into the patient’s vagina to feel for the fetal head. She feels the umbilical cord pulsating against her right wrist as her finger tips t

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Morbidly Obese Preeclamptic Patient with Difficult IV Access for Urgent Cesarean Deliveryfor superimposed preeclampsia with uncontrolled hypertension (L-1). She has gained weight dramatically in the last few days and her face and entire body are swollen (L-2). Her admission blood pressures (BPs) are in the range of 180–190/100–110 and in Clinic she had a headache which was relieved by o

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Patient with Known Placenta Previa and Accreta for Elective Cesarean Hysterectomysarean hysterectomy at 34 weeks EGA for placenta previa and accreta (L-1). The placenta appears to be invading the patient’s bladder, right rectus abdominis muscle, and possibly the colon. In general, the patient is in excellent health (L-2) and her two prior cesarean deliveries were performed under

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ne nation, the United States, emerged as the dominant power politically, economically, and militarily in the twentieth century while Haiti, founded with great hope and expectation, as the world’s first black republic in 1804, has languished in the last century as the poorest country in the Western H

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) and according to several estimates they are responsible for up to 70 percent of the homicides in these small nations (see, e.g., Tobar, 2007). At the beginning of 2012, the homicide rates in El Salvador and Guatemala were on par with or greater than those during the civil wars that were suffered b

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Thomas L. Archer,David J. Elkin,Michael K. Fujinakatheir sequel in old age the gender pension gap. Entering the world of pensions may well signal a step backwards as far as women‘s independence is concerned, particularly in countries where women have earned economic independence in employment and are now being confronted by institutional frameworks