학술논문

Anesthesia for fetal surgery.
Document Type
Article
Source
Pediatric Anesthesia. Apr2017, Vol. 27 Issue 4, p346-357. 12p.
Subject
*UTILIZATION of prenatal care
*FETAL surgery
*ANESTHESIA
*PATIENT selection
*ENDOSCOPES
*THERAPEUTICS
Language
ISSN
1155-5645
Abstract
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. [ABSTRACT FROM AUTHOR]