CA2
Terminal Objectives
At the end of your CA2 year you should be able to:
(Chapter Notations are from Chestnut: Obstetric Anesthesia)
1. Describe the clinical symptoms and management of post spinal headache. Ch 32, p
564-574
2. Know the indications for and be able to perform an epidural blood patch. Ch 32, p
564-574
3. Evaluate a patient with a postpartum neuropathy to determine sensory and motor
nerve involvement and describe the appropriate steps to take to determine etiology.
Be familiar with the common nerve palsies associated with the labor and delivery
process and be able to differentiate these from those potentially associated with
regional anesthesia. Ch 33, p 579-597
4. Describe the relationship between epidural block and postpartum backache. Ch 21, p
341
5. Describe the pathophysiology of preeclampsia, outline the preoperative evaluation of
a patient with preeclampsia and develop an anesthetic plan that encompasses the
particular anesthetic concerns with these patients. Ch 44, p 794-827
6. Know the pharmacokinetics of the commonly used tocolytic agents and management
of their detrimental side effects. Ch 34, p 609-610; p 614-625
7. Describe the anesthetic management of a patient for preterm delivery, which includes
consideration of maternal and fetal issues. Ch 34, p 605-625
8. Describe the anesthetic management of both vaginal and operative delivery for a
patient with multiple gestation that includes a discussion of the management of the
potential anesthetic and obstetrical complications. Ch 35, p 639-644
9. Describe the obstetrical and anesthetic concerns for a patient presenting with a breech
presentation. Be familiar with the anesthetic management of the trapped ‘after coming
head.’ Ch 35, p 632-639
10. List the causes of antepartum and postpartum hemorrhage and the anesthetic and
obstetrical management. Be able to identify patients at risk for obstetrical
hemorrhage. Ch 37, p 662-680
11. Describe the clinical signs and symptoms of amniotic fluid embolus and be able to
describe the features that distinguish this from other causes of embolism. Ch 38, p
683-693
12. Review a fetal heart rate tracing (FHT) and differentiate and prioritize abnormal fetal
tracings. Ch 6, p 81-83
13. Develop an anesthetic plan for fetal distress based on FHT. Ch 26, p 447-457