Fetal anesthesia for twin-to-twin transfusion syndrome and fetal hydrothorax drainage: case report

  • María Belén Chango-Salas a. Hospital Carlos Andrade Marín. Quito, Ecuador. b. Universidad San Francisco de Quito. Quito, Ecuador.
  • Jenny Mabel Vanegas-Mendieta a. Hospital Carlos Andrade Marin, Quito, Ecuador. b. Universidad San Francisco de Quito, Quito, Ecuador.
  • Ana Vanessa Mena-López Hospital Carlos Andrade Marin, Quito, Ecuador.
Keywords: Fetofetal Transfusion, Anesthesia, Pain, Hydrothorax, Case reports

Abstract

Fetal surgery in utero is an alternative for treatable congenital malformations. Prognosis will improve with early correction. Once the surgical technique is planned, the anesthetist's knowledge of maternal and fetal physiology is crucial for the selection of the ideal anesthetic technique for each individual case, considering the type of surgical procedure and the expected degree of fetal stimulation. In this way, the optimal surgical field with maternal and fetal safety will be ensured. This article describes 1 case of twin-to-twin transfusion syndrome under spinal anesthesia and sedation, and a second case of hydrothorax drainage under sedation.

References

1. Matovelle C, Martínez F, Córdova F. Estudio descriptivo: Frecuencia de malformaciones congénitas en pacientes pediátricos del hospital "José Carrasco Arteaga". Rev Med HJCA 2015;7 3:5.

2. Fernando Vuletin S. Nuevos desafíos en cirugía fetal. Rev Chil Pediatr 2013;84 3:8.

3. Hoagland M, Debnath C. Anesthesia for fetal surgery. Pediatric Anesthesi 2017;27 4:31.

4. Vasco Ramírez M. Anesthesia for fetal surgery. Colombian Journal of Anesthesiology 2012;40 4:5.

5. Kha M. Tran . Anesthesia for fetal surgery. Semin Fetal Neonatal Med 2010;10 1:5.

6. Hans S, Bhavani S. Maternal Anesthesia for Fetal Surgery. Clin Perinatol 2013;40 3:14.

7. Kuczkowski K. Towards state-of-the-art anesthesia for fetal surgery: Obstacles and opportunities. Rev Esp Anestesiol Reanim 2013;60 1:4.

8. Bore J, Flores E, Bonetto R, Viceconte O. Anestesia fetal intrauterina. Rev Arg Anest 2001;59 5:4.

9. Gupta R, Kilby M, Cooper G. Fetal surgery and anaesthetic implications, Continuing Education in Anaesthesia. Crit Care Pain 2008;8 2:5.

10. Kumbhar V, Radhika M, Gundappa P, Simha J, Radhakrishnan P. Anaesthesia for foetoscopic Laser ablation- a retrospective study. Indian J Anaesth 2016;60 12:5.

11. Myersa L, Watchab M. Epidural versus General Anesthesia for Twin-Twin Transfusion Syndrome. Requiring Fetal Surgery. Fetal Diagn Ther 2004;19:6.

12. Fresneda M, Gómez L, Molina F, Romero Y, Padilla M. Hidrotórax fetal primario: experiencia propia y revisión de literatura. Diagnóstico prenatal 2012;23 4:7.

13. Eraslan S,Melekolu R, Çelik E. Extrauterine intrapartum treatment procedure in the unilateral advanced fetal hydrothorax case. Perinatal J 2015;23 1:5.

14. Yinon Y, Grisaru-Granovsky S, Chaddha V, Windrim R, Seaward P, Kelly E, et al. Perinatal outcome following fetal chest shunt insertion for pleural effusion. Ultrasound Obstet Gynecol 2010;36:7.
How to Cite
1.
Chango-Salas MB, Vanegas-Mendieta JM, Mena-López AV. Fetal anesthesia for twin-to-twin transfusion syndrome and fetal hydrothorax drainage: case report. Colomb. j. anesthesiol. [Internet]. 2019Apr.1 [cited 2020Sep.29];47(2):120 -123. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/285

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Published
2019-04-01
How to Cite
1.
Chango-Salas MB, Vanegas-Mendieta JM, Mena-López AV. Fetal anesthesia for twin-to-twin transfusion syndrome and fetal hydrothorax drainage: case report. Colomb. j. anesthesiol. [Internet]. 2019Apr.1 [cited 2020Sep.29];47(2):120 -123. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/285
Section
Case Report / Case Series