Tags

Type your tag names separated by a space and hit enter

Foetal surgery: Anaesthetic implications and strategic management.
Indian J Anaesth. 2018 Sep; 62(9):717-723.IJ

Abstract

Intrauterine surgery is being performed with increasing frequency. Correction of foetal anomalies in utero can result in normal growth of foetus and a healthier baby at delivery. Intrauterine surgery can also improve the survival of babies who would have otherwise died at delivery, or in the neonatal period. There are three commonly used approaches to correct foetal anomalies: open surgery, where the foetus is exposed through hysterotomy; percutaneous approach, where needle or foetoscope is inserted through the abdominal wall and the uterine wall; finally, ex utero intrapartum treatment (EXIT) surgery, where the intervention is performed on the baby before terminating the maternal umbilical support to the baby. Anaesthetic management of the mother and the foetus requires good understanding of maternal physiology, foetal physiology, and pharmacological and surgical implications to the foetus. Uterine relaxation is a critical requisite for open foetal procedures and EXIT procedures. General anaesthesia and/or regional anaesthesia can be used successfully depending on the nature of foetal intervention. Foetal surgery poses complications not only to the foetus but also to the mother. Therefore, the decision for undertaking foetal surgery should always consider the risk to the mother versus benefit to the foetus.

Authors+Show Affiliations

University of Maryland Medical Center, University of Maryland, Baltimore, Maryland, USA.University of Maryland Medical Center, University of Maryland, Baltimore, Maryland, USA.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

30237598

Citation

Kodali, Bhavani Shankar, and Shobana Bharadwaj. "Foetal Surgery: Anaesthetic Implications and Strategic Management." Indian Journal of Anaesthesia, vol. 62, no. 9, 2018, pp. 717-723.
Kodali BS, Bharadwaj S. Foetal surgery: Anaesthetic implications and strategic management. Indian J Anaesth. 2018;62(9):717-723.
Kodali, B. S., & Bharadwaj, S. (2018). Foetal surgery: Anaesthetic implications and strategic management. Indian Journal of Anaesthesia, 62(9), 717-723. https://doi.org/10.4103/ija.IJA_551_18
Kodali BS, Bharadwaj S. Foetal Surgery: Anaesthetic Implications and Strategic Management. Indian J Anaesth. 2018;62(9):717-723. PubMed PMID: 30237598.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Foetal surgery: Anaesthetic implications and strategic management. AU - Kodali,Bhavani Shankar, AU - Bharadwaj,Shobana, PY - 2018/9/22/entrez PY - 2018/9/22/pubmed PY - 2018/9/22/medline KW - Anaesthesia for foetal surgery KW - EXIT procedure KW - foetal surgery KW - foetoscopy KW - intrauterine surgery SP - 717 EP - 723 JF - Indian journal of anaesthesia JO - Indian J Anaesth VL - 62 IS - 9 N2 - Intrauterine surgery is being performed with increasing frequency. Correction of foetal anomalies in utero can result in normal growth of foetus and a healthier baby at delivery. Intrauterine surgery can also improve the survival of babies who would have otherwise died at delivery, or in the neonatal period. There are three commonly used approaches to correct foetal anomalies: open surgery, where the foetus is exposed through hysterotomy; percutaneous approach, where needle or foetoscope is inserted through the abdominal wall and the uterine wall; finally, ex utero intrapartum treatment (EXIT) surgery, where the intervention is performed on the baby before terminating the maternal umbilical support to the baby. Anaesthetic management of the mother and the foetus requires good understanding of maternal physiology, foetal physiology, and pharmacological and surgical implications to the foetus. Uterine relaxation is a critical requisite for open foetal procedures and EXIT procedures. General anaesthesia and/or regional anaesthesia can be used successfully depending on the nature of foetal intervention. Foetal surgery poses complications not only to the foetus but also to the mother. Therefore, the decision for undertaking foetal surgery should always consider the risk to the mother versus benefit to the foetus. SN - 0019-5049 UR - https://www.unboundmedicine.com/medline/citation/30237598/Foetal_surgery:_Anaesthetic_implications_and_strategic_management_ L2 - http://www.ijaweb.org/article.asp?issn=0019-5049;year=2018;volume=62;issue=9;spage=717;epage=723;aulast=Kodali DB - PRIME DP - Unbound Medicine ER -
Try the Free App:
Prime PubMed app for iOS iPhone iPad
Prime PubMed app for Android
Prime PubMed is provided
free to individuals by:
Unbound Medicine.