Document Detail


Fetal endoscopic surgery: indications and anaesthetic management.
MedLine Citation:
PMID:  15171502     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Fetal intervention for certain life-threatening conditions has progressed from being primarily experimental in nature to the standard of care in certain circumstances. While surgical techniques have advanced over the past few years, the anaesthetic goals for these interventions have remained the same; namely, minimizing maternal and fetal risk as well as maximizing the chances of a successful fetal intervention and optimize the conditions necessary to carry the fetus to term gestation. Fetal endoscopic techniques allow access to the fetus without the need for a hysterotomy incision, thus improving the chances of controlled post-operative tocolysis and term gestation after fetal intervention. This procedure, however, is not without associated risks to both fetus and mother. This chapter will address the fetal diseases that may benefit from fetoscopic intervention, the rationale behind why maternal and fetal anaesthesia is required, the various anaesthetics used for these cases and specific considerations of both maternal and fetal physiology that aid in the determination of the best anaesthetic technique for individual cases. Methods of intra-operative fetal monitoring and fetal resuscitation will also be discussed.
Authors:
Laura B Myers; Linda A Bulich; Philip Hess; Nicola M Miller
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Best practice & research. Clinical anaesthesiology     Volume:  18     ISSN:  1521-6896     ISO Abbreviation:  Best Pract Res Clin Anaesthesiol     Publication Date:  2004 Jun 
Date Detail:
Created Date:  2004-06-02     Completed Date:  2004-10-14     Revised Date:  2011-04-28    
Medline Journal Info:
Nlm Unique ID:  101121446     Medline TA:  Best Pract Res Clin Anaesthesiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  231-58     Citation Subset:  IM    
Affiliation:
Department of Anaesthesia, Perioperative and Pain Medicine, Harvard Medical School, Bader 3, Children's Hospital Boston, 300 Longwood Ave, Boston, MA 02115, USA. laura.myers@tch.harvard.edu
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MeSH Terms
Descriptor/Qualifier:
Analgesia / methods
Anesthesia / methods*
Anesthesia, Obstetrical / methods
Cardiovascular Abnormalities / embryology,  surgery
Endoscopy*
Female
Fetofetal Transfusion / surgery
Fetus / surgery*
Humans
Hydronephrosis / embryology,  surgery
Monitoring, Intraoperative
Obstetric Labor, Premature / prevention & control
Oxygen / blood
Postoperative Complications / prevention & control
Pregnancy
Pregnancy Complications / prevention & control
Resuscitation / methods
Chemical
Reg. No./Substance:
7782-44-7/Oxygen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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