| Success rate and challenges of fetal anesthesia for ultrasound guided fetal intervention by maternal opioid and benzodiazepine administration. | |
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MedLine Citation:
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PMID: 22928538 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Abstract Objective: The safe and effective methods of fetal anesthesia/analgesia during ultrasound guided direct fetal procedure is yet to be determined. The authors investigated whether maternal diazepam/fentanyl administration meets this purpose. Methods: The medical/anesthesia records were retrospectively reviewed in cases between 2001 to 2010 at a tertiary perinatal center. Success rate as well as maternal and fetal complications were analyzed. Results: Among the 150 procedures in 118 fetuses, diazepam 10mg and fentanyl 200μg sufficiently prevented fetal movement upon the procedure in 56% of the procedures. Supplemetal anesthetic agents such as nitrous oxide and propofol were needed in other cases. No serious maternal complication was noted, while fetal cardiac arrest/severe bradycardia was noted in 3 fetuses, one of which was successfully resuscitated by intracardiac adrenalin injection. Conclusions: Maternal diiazepam/fentanyl administration offered adequate fetal condition without significant maternal complications. Since these procedures are performed to treat severe fetal conditions, preparation for fetal resuscitation is also important. |
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Authors:
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Yuki Ohashi; Katsuo Terui; Kazumi Tamura; Motshi Tanaka; Kazunori Baba |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-8-29 |
Journal Detail:
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Title: The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians Volume: - ISSN: 1476-4954 ISO Abbreviation: J. Matern. Fetal. Neonatal. Med. Publication Date: 2012 Aug |
Date Detail:
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Created Date: 2012-8-29 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101136916 Medline TA: J Matern Fetal Neonatal Med Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Department of Anesthesiology, Kyorin University School of Medicine, Tokyo, Japan. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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