From early conception until the postpartum period, anaesthetists are required to provide pregnant women with the highest standard of anaesthetic care and pain relief whilst negotiating challenges such as concurrent systemic disease, infertility, and obesity as well as practising in accordance with new developments in fetal medicine surgery, pharmacology, and imaging. The Oxford Textbook of Obstetric Anaesthesia provides an up-to-date summary of the scientific basis, assessment for and provision of anaesthesia throughout pregnancy and labour.
This highly authoritative textbook is conceptually divided into nine sections, detailing maternal and fetal physiology, fetal and neonatal assessment and therapy, anaesthesia before and during pregnancy, labour and vaginal delivery, anaesthesia for caesarean delivery, anaesthetic and obstetric complications, as well as systemic disease. Individual chapters address topics such as simulation and ultrasound.
Authored by an international team of expert anaesthetists this textbook reflects current world-wide practice and guidelines. Designed for consultants and trainees in anaesthesia, the Oxford Textbook of Obstetric Anaesthesia is the definitive source of expert knowledge for anaesthetists in this subspecialty.
Table of Contents
1: Alistair McKenzie: Historic timeline of obstetric anaesthesia
2: Roulhac D Toledano: Physiological changes associated with pregnancy
3: Marie-Pierre Bonnet, Anne Alice Chantry: Placenta and utero-placental perfusion
4: Thierry Girard, Thomas Erb: Fetal and neonatal physiology
5: Karel Allegaert, Kristel van Calsteren: Maternal, fetal and neonatal pharmacokinectics
6: Yves Jacquemyn, Anneke Kwee: Antenatal and intrapartum fetal evaluation
7: Francesca Russo, Tim Van Mieghem, Jan Deprest: Fetal medicine, fetal anaesthesia and fetal surgery
8: Ewen D. Johnston, Julie-Clare Becher: Neonatal assessment and therapy
9: D De Neubourg, S Devroe: Fertility treatment in the modern age: possibilities and anaesthesia
10: Vegard Dahl, Ulrich J Spreng: Anaesthesia for non-obstetric surgery
11: Oliver Kraemer, Timothée Fraisse: Drugs in pregnancy and lactation
12: Roland Devlieger, Maria-Elisabeth Smet: Obstetric management of labour, delivery and vaginal birth after caesarean delivery (VBAC)
13: Grace McClune, David Hill: Non-pharmacological methods of pain relief and systemic analgesia in labour
14: E. Roofthooft, S. Devroe, M. Van de Velde: Initiation of neuraxial labour analgesia
15: Alex Tiong Heng Sia, Ban Leong Sng, Serene Leo: Maintenance of neuraxial labour analgesia
16: Giorgio Capogna: Labour analgesia: choice of local anaestethetics
17: Catherine Cromey, Susan Catling: Adjuvant drugs in neuraxial anaesthesia
18: Alternative regional techniques
19: Jessica Bauerle, MD, Mieke A Soens, MD: Prevention and management of breakthrough pain during neuraxial labour analgesia
20: Michelle Walters, Katherine Cheesman, Sarah Armstrong, Geraldine O>'Sullivan: Neuraxial anaesthesia for caesarean delivery
21: Tauqeer Husain, Roshan Fernando, Joanna Mavridou: Intra-operative management of inadequate neuraxial anaesthesia
22: David M Levy and Leva Saule: General anaesthesia for caesarean delivery
23: RA Dyer, MJ Arcache, E Langesaeter: The aetiology and management of hypotension during spinal anaesthesia for caesarean delivery
24: Sarah L Armstrong, Gary M Stocks: Postoperative analgesia after caesarean delivery
25: Patricia Lavand'homme, Fabienne Roelants: Persistent pain after caesarean delivery and vaginal birth
26: M.C. Mushambi, R. Pandey: Management of the difficult airway in the obstetric patient
27: Michael J Paech, Patchareya Nivatpumin: Postdural puncture headache (PDPH)
28: Vibeke Moen: Neurological complications of neuraxial blockade in pregnancy
29: Elizabeth Combeer, Rehana Iqbal, Steve Yentis: Medicolegal issues in obstetric anaesthesia
30: Philip Barclay, Helen Scholefield: High dependency and intensive care
31: Sunil Halder and Steve Yentis: Maternal mortality and morbidity
32: W.Colin Duncan: Problems in early pregnancy
33: Keag O.E, Cooper E.S: Prematurity, multiple gestation and abnormal presentation
34: DN Lucas, Colleen D. Acosta, Marian Knight: Sepsis in obstetrics
35: Jane Norman, Vicki Clark: Obstetric haemorrhage
36: John A Anderson, Pierre-Antoine Laloë, Derek J Tuffnell: Hypertension in pregnancy
37: Salma Ballal and Ian A Greer: Thromboembolic disorders in pregnancy
38: John A Anderson, Pierre Laloë, Derek J Tuffnell: Amniotic fluid embolism (anaphylactoid syndrome of pregnancy)
39: Fiona C Denison, Alistair Milne: The obese parturient
40: D.P. Doba, E.E. Pickeringa, M.A. Gatzoulis: Anaesthesia for moderate to complex congenital heart disease in pregnancy
41: Linzi Peacock, Rachel Hignett: Acquired heart disease in pregnancy
42: Wendy H.L. Teoh: Respiratory disease
43: Chris Verslype, David Cassiman, Johan Verhaeghe: Liver disorders in pregnancy
44: Kate Wiles, Kate Bramham, Catherine Nelson-Piercy: Kidney disease in pregnancy
45: James Griffiths and Kate Drummond: Neurological disease and obstetric anaesthesia
46: James P.R. Brown, M. Joanne Douglas: Musculoskeletal disorders and pregnancy
47: Mirjana Kendrisic, Borislava Pujic: Endocrine and autommune disorders in pregnancy
48: Sapna Ladani, Beverley J. Hunt, Sue Pavord: Obstetric haematology
49: Roch Cantwell MB: Peripartum psychiatric disorders
50: Kristel Van Calsteren: Chronic maternal infections
51: R. Junkin, E.M. McGrady: Substance abuse
52: Ruth Landau, Clemens Ortner: Genetics and obstetric anaesthesia
53: Mark Wigginton, Miguel Garcia, Timothy J Draycott, Neil A Muchatuta: Simulation in obstetric anaesthesia
54: Sudhir Immani, John Loughrey: Ultrasound in obstetric anaesthesia
55: Gordon Yuill, Simon Millar: International outreach in obstetric anaesthesia
Edited by Vicki Clark, Clinical Lead in Obstetric Anaesthesia, Royal Infirmary, Edinburgh, Scotland, Marc Van de Velde, Professor of Anaesthesia, Catholic University Leuven and the Leuven University Hospitals, and Roshan Fernando, University College London Hospitals NHS Foundation Trust (UCLH), Consultant Anaesthetist, Honorary Senior Lecturer & Obstetric Anaesthesia Research Lead
Dr Vicki Clark was born in Guyana in the West Indies and graduated from Edinburgh University. She did her Anaesthetic training in both Glasgow and Edinburgh and was appointed as a Consultant Anaesthetist with special interest in Obstetric Anaesthesia in the Simpson Centre for Reproductive Health, the largest maternity unit in Scotland. She has been an elected member for two terms on the committee of the Obstetric Anaesthetists' Association. Dr Clark has an interest in teaching and training and has lectured extensively particularly on obstetric haemorrhage and cell salvage. Throughout her career she has served on several committees and charities promoting maternal health and been involved in workshops on obstetric anaesthesia in developing countries.
Professor Marc Van de Velde graduated from the Catholic University of Louvain in Belgium in 1991. He completed his residency in Anaesthesiology in 1996 at the University Hospitals of Louvain. In 2000, he received his PhD degree following research related to metabolic support of the stunned myocardium. From November 2010 onwards, he is Head of the Department Anesthesiology at the Catholic University Leuven and Full Professor at the Leuven University Hospitals. He was member of the Committee of the Obstetric Anaesthetists Association from 2003 - 2009 and is currently president of the European Society of Regional Anaesthesia and Pain Therapy (ESRA). He is chair of the Scientific Committee of the Annual ESRA Meetings in Ljubljana 2015 and Maastricht 2016. He is also Chair of the Scientific Subcommittee on Obstetric Anesthesia of the European Society of Anesthesiology (ESA).
Dr. Fernando graduated from the University College of Wales Medical School, Cardiff, South Wales, UK and completed his advanced anesthesia training at the Hammersmith and Queen Charlotte's Hospitals in London, becoming a consultant anaesthetist in 1994. Since 2008 he has worked for University College London Hospital where he now coordinates mainly clinical research in obstetric anaesthesia. He served as the Honorary Treasurer for the 2,500 member Obstetric Anaesthetists' Association (OAA) for 6 years, chaired its Scientific & Educational Meetings subcommittee for a further 6 years, and became OAA President in May 2014. He has also worked for 6 years as part of the Obstetric Anaesthesia subcommittee of the European Society of Anaesthesiology (ESA) and for 10 years as an examiner for the Royal College of Anaesthetists, finishing his duties in June 2013. He is currently serving a 4-year term on the Council of the Association of Anaesthetists of Great Britain & Ireland (AAGBI).
Contributors:
Colleen D. Acosta, Researcher, National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK
Karel Allegaert, Department of Development and Regeneration, KU Leuven, Belgium
John A. Anderson, Consultant in Obstetrics and Gynaecology, Bradford Royal Infirmary, Bradford, UK
Michelle J. Arcache, Specialist Anaesthesiologist, Department of Anaesthesia, University of Cape Town, Cape Town, South Africa
Sarah Armstrong, Consultant Anaesthetist, Frimley Health NHS Foundation Trust, Frimley, Surrey, UK
Salma Ballal, Liverpool Womens NHS Foundation Trust, Liverpool, UK
Philip Barclay, Consultant Anaesthetist, West Middlesex University Hospital, Chelsea and Westminster NHS Foundation Trust, London, UK
Jessica Bauerle, Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Womens Hospital, Boston, MA, USA
Julie-Clare Becher, Department of Neonatology, Simpson Centre for Reproductive Health, Royal Infirmary of Edinburgh, Edinburgh, UK
Marie-Pierre Bonnet, Anesthesia and Critical Care Department, Hôpital Cochin, Hôpitaux Universitaires Paris Centre, Assistance Publique-Hôpitaux de Paris, Paris; INSERM UMR1153, Obstetrical, Perinatal and Paediatric Epidemiology Research Team (Epopé), Center for Epidemiology and Statistics Sorbonne Paris Cité, Paris France
Kate Bramham, Clinical Research Fellow, Womens Health Academic Centre, Kings Health Partners, Kings College London, London, UK
James P. R. Brown, Consultant Anesthesiologist, Department of Anesthesiology, BC Womens Hospital, Vancouver, Canada; Clinical Assistant Professor, University of British Columbia, Vancouver, Canada
Roch Cantwell, Consultant Perinatal Psychiatrist, NHS Greater Glasgow and Clyde; Honorary Clinical Senior Lecturer, University of Glasgow, Glasgow, UK
Giorgio Capogna, Head of Department, Department of Anaesthesiology Città di Roma Hospital, Rome; Director, European School of Obstetric Anesthesia, Rome, Italy
David Cassiman, Professor of Medicine, Division of Gastroenterology and Hepatology, University Hospital Gasthuisberg, University of Leuven, Belgium
Susan Catling, Consultant Anaesthetist, Department of Anaesthesia, Singleton Hospital, Swansea, UK
Anne Alice Chantry, INSERM UMR1153, Obstetrical, Perinatal and Paediatric Epidemiology Research Team (Epopé), Center for Epidemiology and Statistics Sorbonne Paris Cité, Paris France; Baudelocque Midwives School, Paris Descartes University (Paris 5), Paris, France
Katherine Cheesman, Consultant Anaesthetist, Guys & St Thomas NHS Trust, London, UK
Vicki Clark, Consultant Anaesthetist, Simpson Centre for Reproductive Health, Royal Infirmary, Edinburgh, UK
Elizabeth Combeer, Consultant Anaesthetist, Frimley HealthNHS Foundation Trust, Frimley, Surrey, UK
E. Sarah Cooper, Consultant Obstetrician, Simpson Centre for Reproductive Health, Royal Infirmary of Edinburgh, Edinburgh, UK
Catherine Cromey, Consultant Anaesthetist, Department of Anaesthesia, Morriston Hospital, Swansea, UK
Vegard Dahl, Professor, Head of Department of Anaesthesia and Intensive Care, Akershus University Hospital, Loerenskog, Norway
Diane De Neubourg, Leuven University Fertility Centre, Department of Obstetrics and Gynaecology, University Hospitals Leuven, Leuven, Belgium
Fiona C. Denison, Reader in Maternal and Fetal Health and Consultant Obstetrician, MRC Centre for Reproductive Health, University of Edinburgh, Queen's Medical Research Institute, Edinburgh, UK
Jan Deprest, Department of Obstetrics and Gynecology, Fetal Medicine Unit, University Hospitals Leuven, Leuven, Belgium
Roland Devlieger, Department of Obstetrics and Gynaecology, University Hospitals Leuven, Leuven, Belgium
Sarah Devroe, Department of Anaesthesiology, University Hospitals Leuven, Leuven; Department of Cardiovascular Sciences, Section Anesthesiology, Obstetric Anesthesia, KU Leuven and UZ Leuven, Leuven, Belgium
Daryl P. Dob, Consultant Anaesthetist, Magill Department of Anaesthesia, Chelsea and Westminster Hospital, London, UK
M. Joanne Douglas, Professor Emeritus, Department of Anesthesiology, Pharmacology and Therapeutics, University of British Columbia and BC Womens Hospital, Vancouver, Canada
Timothy J. Draycott, Professor, Department of Women's Health, Southmead Hospital, Bristol, UK
Kate Drummond, Department of Neurosurgery, The Royal Melbourne Hospital; Department of Surgery, University of Melbourne; Melbourne Brain Centre at The Royal Melbourne Hospital, Melbourne, Australia
W. Colin Duncan, Senior Lecturer in Reproductive Medicine, University of Edinburgh; Consultant Gynaecologist, Simpson Centre for Reproductive Health, Royal Infirmary, Edinburgh, UK
Robert A. Dyer, Professor and Second Chair, Department of Anaesthesia, University of Cape Town, Cape Town, South Africa
Thomas Erb, Professor of Anaesthesia, Departement of Anaesthesia, University Children's Hospital beider Basel, Basel, Switzerland
Roshan Fernando, Consultant Anaesthetist and Honorary Senior Lecturer, Department of Anaesthesia, University College London Hospitals NHS Foundation Trust, London, UK
Timothée Fraisse, Pharmaceutical Medicine Specialist, MFGI, Lyon, France
Miguel Garcia, Specialist Registrar in Anaesthesia, Department of Anaesthesia, University Hospitals Bristol, Bristol, UK
Michael A. Gatzoulis, Professor of Cardiology, Department of Cardiology, Royal Brompton Hospital and National Heart and Lung Institute, Imperial College, London, UK
Thierry Girard, Professor of Anaesthesia, Department of Anesthesiology, Operative Intensive Care, Preclinical Emergency Medicine and Pain Management, University Hospital Basel, Switzerland
Ian A. Greer, Vice-President, The University of Manchester; Dean, Faculty of Medical and Human Sciences, The University of Manchester; Director, Manchester Academic Health Science Centre (MAHSC), Manchester, UK
James Griffiths, Department of Anaesthesia, Royal Womens Hospital, Melbourne; Department of Pharmacology and Therapeutics, University of Melbourne, Melbourne, Australia
Sunil Halder, Consultant Anaesthetist, Nuffield Department of Anaesthesia, John Radcliffe Hospital, Oxford University NHS Foundation Trust Hospitals, Oxford, UK
Rachel Hignett, Consultant Anaesthetist, Simpson Centre for Reproductive Health, Royal Infirmary of Edinburgh, Edinburgh, UK
David Hill, Consultant Anaesthetist, Ulster Hospital, Belfast, UK
Beverley J. Hunt, Professor of Thrombosis & Haemostasis, Kings College and Consultant in Departments of Haematology, Pathology and Rheumatology, Guys & St Thomas NHS Foundation Trust, London, UK
Tauqeer Husain, Department of Anaesthesia & Perioperative Medicine, University College Hospital, London, UK
Sudhir Immani, Consultant Anaesthetist, Obstetric Anaesthesia Clinical lead, University Hospital Waterford, Republic of Ireland
Rehana Iqbal, Consultant Anaesthetist, Lecturer in Medical Ethics & Law, St. Georges University Hospitals NHS Foundation, London, UK
Yves Jacquemyn, Gynaecologist, Antwerp University Hospital, Belgium
Ewen D. Johnston, Department of Neonatology, Simpson Centre for Reproductive Health, Royal Infirmary of Edinburgh, Edinburgh, UK
Ross Junkin, Consultant Anaesthetist, Department of Anaesthesia, University Hospital Crosshouse, Kilmarnock, UK
Oonagh Keag, Registrar in Obstetrics & Gynaecology, Simpson Centre for Reproductive Health, Royal Infirmary of Edinburgh
Mirjana Kendrisic, Department of Anaesthesia and Intensive Therapy, General Hospital Sremska Mitrovica, Sremska Mitrovica, Serbia
Marian Knight, Research Professor in Public Health, National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK
Oliver Kraemer, Obstetrics and Gynaecology, Clinica Santa Chiara, Locarno, Switzerland
Anneke Kwee, Gynaecologist, University Medical Center Utrecht, The Netherlands
Sapna Ladani, Specialist Training Registrar in Haematology and Honorary Clinical Lecturer, University Hospitals of Leicester, Leicester, UK
Pierre-Antoine Laloë, Consultant in Anaesthetics, Calderdale Royal Hospital, Halifax, UK
Ruth Landau, Professor of Anesthesiology, Associate Director of Obstetric Anesthesia, Columbia University Medical Center; Director of the Center for Precision Medicine, Department of Anesthesiology, Columbia University College of Physicians & Surgeons, New York, USA
Eldrid Langesaeter, Department of Anesthesiology, Division of Emergencies and Critical Care, and National Resource Centre for Womens Health, Oslo University Hospital, Oslo, Norway
Patricia Lavandhomme, Department of Anaesthesiology, St Luc Hospital University Catholic of Louvain Medical School, Brussels, Belgium
Serene Leo, Consultant, KK Womens and Childrens Hospital, Singapore
David M. Levy, Consultant Anaesthetist, Nottingham University Hospitals NHS Trust, Nottingham, UK
York-Mui Liu, Research Fellow in Obstetric Anaesthesia, Department of Anaesthesia, University College London Hospital, London, UK
John Loughrey, Consultant Anaesthetist, The Rotunda Hospital, Dublin, Ireland
Nuala Lucas, Consultant Anaesthetist, Northwick Park Hospital, Harrow, Middlesex, UK
Ioanna Mavridou, Consultant Anaesthetist, Department of Anaesthesia, University College London Hospital, London, UK
Grace McClune, Consultant Anaesthetist, Royal Infirmary, Little France, Edinburgh, UK
Elizabeth M. McGrady, Consultant Anaesthetist, Department of Anaesthesia, Glasgow Royal Infirmary and Princess Royal Maternity Unit
Alistair G. McKenzie, Consultant Anaesthetist, Simpson Centre for Reproductive Health, Royal Infirmary of Edinburgh, Edinburgh, UK
Simon Millar, Consultant Anaesthetist, Department of Anaesthesia, Royal Alexandra Hospital, Paisley, UK
Alistair Milne, Consultant Anaesthetist, Department of Anaesthesia, Royal Infirmary, Little France, Edinburgh, UK
Vibeke Moen, Consultant Anaesthetist, Department of Anaesthesia and Intensive Care, Kalmar County Hospital, Kalmar, Sweden
Wint Mon, Research Fellow in Obstetric Anaesthesia, Department of Anaesthesia, University College London Hospital, London, UK
Neil A. Muchatuta, Consultant Anaesthetist, Department of Anaesthesia, St Michael's Hospital, University Hospitals Bristol, Bristol, UK
Mary C. Mushambi, Consultant Anaesthetist, Leicester Royal Infirmary, Leicester, UK
Catherine Nelson-Piercy, Professor of Obstetric Medicine, Womens Health Academic Centre, Kings Health Partners, London; Consultant Obstetric Physician, Guys and St. Thomas NHS Foundation Trust and Imperial College Healthcare NHS Trust, London, UK
Patchareya Nivatpumin, Assistant Professor, Department of Anesthesiology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
Jane E. Norman, Professor of Maternal and Fetal Health, University of Edinburgh; Director of the Tommys Centre for Maternal and Fetal Health, Edinburgh, UK
Geraldine OSullivan, Previously Consultant Anaesthetist, Guys & St. Thomas NHS Trust Hospital, London, UK
Clemens Ortner, Assistant Professor, Department of Anesthesiology and Pain Medicine, University of Washington Medical Center, Seattle, WA, USA
Michael J. Paech, Winthrop Professor and Chair of Obstetric Anaesthesia Pharmacology, Pharmacy and Anaesthesiology Unit, School of Medicine and Pharmacology, The University of Western Australia, Perth, Australia
Outi Palomäki, Senior Consultant in Obstetrics and Gynaecology, Tampere University Hospital, Finland
Rajesh Pandey, Consultant Anaesthetist, Leicester General Hospital, Leicester, UK
Sue Pavord, Consultant Haematologist and Senior Lecturer in Medical Education, University Hospitals of Leicester, Leicester, UK
Linzi Peacock, Consultant Anaesthetist, Simpson Centre for Reproductive Health, Royal Infirmary of Edinburgh, Edinburgh, UK
Elspeth E. Pickering, Consultant Anaesthetist, Magill Department of Anaesthesia, Chelsea and Westminster Hospital, London, UK
Borislava Pujic, Department of Anaesthesia, Gynaecology & Obstetrics, University Hospital, Clinical Centre of Vojvodina, Novi Sad, Serbia
Fabienne Roelants, Department of Anaesthesiology, St Luc Hospital University Catholic of Louvain Medical School, Brussels, Belgium
Eva Roofthooft, Department of Anesthesiology, ZNA Middelheim and Paola Childrens Hospital, Ziekenhuis Netwerk Antwerpen, Antwerp, Belgium
Francesca Russo, Department of Obstetrics and Gynecology, Fetal Medicine Unit, University Hospitals Leuven, Leuven, Belgium
Ieva Saule, Anaesthetist, East Midlands School of Anaesthesia, Nottingham, UK
Helen Scholefield, Consultant Obstetrician, Liverpool Women's NHS Foundation Trust, Liverpool, UK
Alex Tiong Heng Sia, Professor and Chairman of Medical Board, KK Womens and Childrens Hospital and Duke-NUS Graduate Medical School, Singapore
Maria-Elisabeth Smet, Department of Obstetrics and Gynaecology, University Hospitals Leuven, Leuven, Belgium
Ban Leong Sng, Adjunct Assistant Professor and Senior Consultant, KK Womens and Childrens Hospital and Duke-NUS Graduate Medical School, Singapore
Mieke A. Soens, Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Womens Hospital, Boston, MA, USA
Ulrich J. Spreng, Head of Department of Anaesthesia and Intensive Care, Baerum Hospital, Vestre Viken HT, Baerum, Norway
Gary M. Stocks, Consultant Anaesthetist, Queen Charlotte's Hospital, Du Cane Road, London, UK
Wendy H. L. Teoh, Adjunct Assistant Professor, Duke-NUS Graduate Medical School Singapore; Senior Consultant, Department of Womens Anesthesia, KK Womens & Childrens Hospital, Singapore
Roulhac D. Toledano, Assistant Clinical Professor of Anaesthesiology, SUNY-Downstate Medical Center; Director of Obstetric Anesthesia, NYU Lutheran Medical Center, NY, USA
Derek J. Tuffnell, Consultant in Obstetrics and Gynaecology, Bradford Royal Infirmary, Bradford, UK
Kristel Van Calsteren, Department of Development and Regeneration, KU Leuven; Obstetrics and Gynecology, University Hospitals Leuven, Leuven, Belgium
Marc Van de Velde, Professor of Anesthesiology, Department of Cardiovascular Sciences, KU Leuven; Chair, Department of Anesthesiology, UZ Leuven, Leuven, Belgium
Tim Van Mieghem, Consultant in Obstetrics and Gynecology, Department of Obstetrics and Gynecology, Fetal Medicine Unit, University Hospitals Leuven, Leuven, Belgium
Johan Verhaeghe, Professor of Medicine, Department of Maternal Care, University Hospital Gasthuisberg, Leuven, Belgium
Chris Verslype, Professor of Medicine, Department of Hepatology, University Hospital Gasthuisberg, Leuven, Belgium
Petri Volmanen, Chief Physician, Programme for Patient safety, Institute of Health and Welfare, Helsinki, Finland
Michelle Walters, Consultant Anaesthetist, William Harvey Hospital, East Kent Hospitals University Foundation NHS Trust, Ashford, UK
Mark Wigginton, Consultant Paediatric Anaesthetist, Leeds Children's Hospital, Leeds Teaching Hospitals NHS Trust, Leeds, UK
Kate Wiles, NIHR Doctoral Research Fellow in Obstetric Nephrology, Kings College, London, UK; Guys and St. Thomas NHS Foundation Trust, London, UK
Steve Yentis, Consultant Anaesthetist, Chelsea and Westminster Hospital, London; Honorary Reader, Imperial College London, London, UK
Gordon Yuill, Consultant Obstetric Anaesthetist, Department of Anaesthesia, Stepping Hill Hospital, Stockport, UK
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