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Anesthetic management for percutaneous minimally invasive fetoscopic surgery of spina bifida aperta: a retrospective, descriptive report of clinical experience

Minimally invasive fetoscopic surgery for spina bifida aperta is a new therapeutic approach to preserve neurologic function by protecting exposed neural tissue. The anesthetic management is of paramount importance for the success of the procedure. Therefore, our protocol was developed with particula...

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Main Authors: Arens, Christoph (Author) , Koch, Christian (Author) , Veit, Mirko (Author) , Greenberg, Robert Steven (Author) , Lichtenstern, Christoph (Author) , Weigand, Markus A. (Author) , Khaleeva, Anastasiia (Author) , Schürg, Rainer (Author) , Kohl, Thomas (Author)
Format: Article (Journal)
Language:English
Published: July 1, 2017
In: Anesthesia & analgesia
Year: 2017, Volume: 125, Issue: 1, Pages: 219-222
ISSN:1526-7598
DOI:10.1213/ANE.0000000000001896
Online Access:Verlag, Volltext: https://journals.lww.com/anesthesia-analgesia/fulltext/2017/07000/Anesthetic_Management_for_Percutaneous_Minimally.35.aspx
Verlag, Volltext: http://dx.doi.org/10.1213/ANE.0000000000001896
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Author Notes:Christoph Arens, Christian Koch, Mirko Veit, Robert Steven Greenberg, Christoph Lichtenstern, Markus Alexander Weigand, Anastasiia Khaleeva, Rainer Schuerg, and Thomas Kohl
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Summary:Minimally invasive fetoscopic surgery for spina bifida aperta is a new therapeutic approach to preserve neurologic function by protecting exposed neural tissue. The anesthetic management is of paramount importance for the success of the procedure. Therefore, our protocol was developed with particular attention to safe and adequate maternal and fetal anesthesia, sufficient uterine relaxation as well as prevention of pulmonary edema, placental abruption, and spontaneous labor. As illustrated by this retrospective analysis of 61 cases, these goals can be reliably achieved. The clinical protocol is presented as a supplemental digital content to this manuscript (Supplemental Digital Content 1, http://links.lww.com/AA/B733).
Item Description:Gesehen am 25.07.2018
Physical Description:Online Resource
ISSN:1526-7598
DOI:10.1213/ANE.0000000000001896

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