The Importance of Fetoplacental Doppler Velocimetry for Fetal Surveillance During General Anesthesia for Non-obstetric Surgery

Fetal heart rate monitoring during general anesthesia for non-obstetric surgery at viable gestational ages is recommended to evaluate fetal well-being during the intervention. Alteration induced by anesthetic drugs could mimic fetal acute hypoxia, leading to pointless Cesarean sections. We report a...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-01, Vol.16 (1), p.e52382
Main Authors: Tartaglia, Silvio, Zanfini, Bruno A, Gueli Alletti, Salvatore, Draisci, Gaetano, Lanzone, Antonio
Format: Article
Language:English
Subjects:
Case reports
Cesarean section
Emergency medical care
Emergency Medicine
Fetal monitoring
Fetuses
General anesthesia
Gestational age
Heart rate
Hematoma
Hypoxia
Obstetrics
Obstetrics/Gynecology
Surgery
Surveillance
Ultrasonic imaging
Well being
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Description
Summary:Fetal heart rate monitoring during general anesthesia for non-obstetric surgery at viable gestational ages is recommended to evaluate fetal well-being during the intervention. Alteration induced by anesthetic drugs could mimic fetal acute hypoxia, leading to pointless Cesarean sections. We report a case of a pregnant woman in the third trimester undergoing neurosurgical surgery. The continuous heart rate registration showed a non-reassuring pattern, potentially inducing the multidisciplinary team to expedite the delivery. The seriate fetoplacental Doppler evaluations were reassuring about normal fetal conditions, suggesting that ultrasound surveillance could be more reliable than intraoperative heart rate monitoring.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.52382