Fetal anesthesia for twin-to-twin transfusion syndrome and fetal hydrothorax drainage: case report

Abstract Fetal surgery in utero is an alternative for treatable congenital malformations. Prognosis will improve with early correction. Once the surgical technique is planned, the anesthetist's knowledge of maternal and fetal physiology is crucial for the selection of the ideal anesthetic techn...

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Bibliographic Details
Published in:Colombian journal of anesthesiology (Inglâes) 2019-04, Vol.47 (2), p.120-123
Main Authors: Chango-Salas, María Belén, Vanegas-Mendieta, Jenny Mabel, Mena-López, Ana Vanessa
Format: Article
Language:eng ; por
Subjects:
ANESTHESIOLOGY
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Summary:Abstract Fetal surgery in utero is an alternative for treatable congenital malformations. Prognosis will improve with early correction. Once the surgical technique is planned, the anesthetist's knowledge of maternal and fetal physiology is crucial for the selection of the ideal anesthetic technique for each individual case, considering the type of surgical procedure and the expected degree of fetal stimulation. In this way, the optimal surgical field with maternal and fetal safety will be ensured. This article describes 1 case of twin-to-twin transfusion syndrome under spinal anesthesia and sedation, and a second case of hydrothorax drainage under sedation.
ISSN:2256-2087
0120-3347
DOI:10.1097/CJ9.0000000000000097