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Fetal anaesthesia for intrauterine treatment
Author(s) -
TASHIRO C.,
INAMORI N.,
TANIGAMI H.,
NISHIMURA M.,
FUKUMITSU K.,
SHIMIZU I.
Publication year - 1993
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/j.1460-9592.1993.tb00033.x
Subject(s) - medicine , anesthesia , fetus , fentanyl , sedation , fetal surgery , umbilical vein , surgery , pregnancy , in utero , biochemistry , genetics , chemistry , in vitro , biology
Summary Fetal anaesthesia was performed 5 times in 1 patient to treat pleural effusions, obtain fetal blood sampling, provide albumin infusion, and establish and replace a pleuro‐amniotic indwelling shunt catheter under ultrasound guidance. A maternal epidural catheter was placed and used for epidural anaesthesia for the first 4 anaesthetics. Fetal administration of pancuronium 0.15 mg·kg −1 via the umbilical vein or 0.25 mg·kg −1 intramuscularly was enough to produce immobilization without maternal effect. However, maternal pretreatment with intravenous diazepam and fentanyl was required for fetal sedation and analgesia, which was necessary for accurate and safe injection, and for suppression of fetal stress.