Anesthesia for fetal surgery

  • Mauricio Vasco Ramírez a. Anesthesia, Intensive Care and Resuscitation Specialist, Universidad Pontifica Bolivariana, Medellín, Colombia. b. Coordinator of the Committee for Obstetric Anesthesia, Sociedad Colombiana de Anestesiología y Reanimación (S.CA.R.E.), Anesthesiologist. c. Clínicas Colsanitas, Bogotá, Colombia
Keywords: Anesthesia, Fetus, Pain, Pregnancy

Abstract

Introduction: Fetal surgery is making huge strides in medicine due to the breakthroughs in prenatal medicine that have opened a window into early diagnosis of abnormalities which may be subject to prenatal interventions. Fetal interventional procedures range from minimally invasive surgery on the fetus, the placenta or membranes, to open techniques requiring laparotomy and maternal hysterectomy

Objective: A narrative review of anesthetic techniques used in fetal surgery. For that purpose, a non-systematic review of medical databases publications including MEDLINE, SciELO and EMBASE, was undertaken usingthe terms "anesthesia and fetal surgery" and restricted to the following types of publications: "Practice Guideline, Randomized Controlled Trial, Review".

Results:Minimally invasive procedures may be performed under local anesthesia or neuraxial techniques, with appropriate sedation of the mother, analgesia/anesthesia and fetal immobilization. The development of anesthetic techniques in this area should focus on minimizing maternal risk and preserving a normal neural development of the fetus.

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How to Cite
1.
Vasco Ramírez M. Anesthesia for fetal surgery. Colomb. J. Anesthesiol. [Internet]. 2012 Oct. 1 [cited 2024 Feb. 28];40(4):268–272. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/770

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Published
2012-10-01
How to Cite
1.
Vasco Ramírez M. Anesthesia for fetal surgery. Colomb. J. Anesthesiol. [Internet]. 2012 Oct. 1 [cited 2024 Feb. 28];40(4):268–272. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/770
Section
Narrative review

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