Anesthesia for fetal surgery

Summary Fetal therapy is an exciting and growing field of medicine. Advances in prenatal imaging and continued innovations in surgical and anesthetic techniques have resulted in a wide range of fetal interventions including minimally invasive, open mid‐gestation, and ex‐utero intrapartum treatment p...

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Bibliographic Details
Published in:Pediatric anesthesia 2017-04, Vol.27 (4), p.346-357
Main Authors: Hoagland, Monica A., Chatterjee, Debnath, Thomas, Mark
Format: Article
Language:English
Subjects:
Anesthesia - methods
ex‐utero intrapartum treatment
Female
Fetal Diseases - surgery
fetal heart rate
fetal monitoring
fetal resuscitation
fetal therapy
Fetus - surgery
Humans
hydrops fetalis
Pregnancy
Prenatal Diagnosis
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Summary:Summary Fetal therapy is an exciting and growing field of medicine. Advances in prenatal imaging and continued innovations in surgical and anesthetic techniques have resulted in a wide range of fetal interventions including minimally invasive, open mid‐gestation, and ex‐utero intrapartum treatment procedures. The potential for maternal morbidity is significant and must be carefully weighed against claimed benefits to the fetus. Appropriate patient selection is critical, and a multidisciplinary team‐based approach is strongly recommended. The anesthetic management should focus on maintaining uteroplacental circulation, achieving profound uterine relaxation, optimizing surgical conditions, monitoring fetal hemodynamics, and minimizing maternal and fetal risk.
ISSN:1155-5645
1460-9592
DOI:10.1111/pan.13109