• Paediatric anaesthesia · Mar 2021

    Review

    Error Traps in Anesthesia for Fetal Interventions.

    • Marla B Ferschl, Mark D Rollins, and Debnath Chatterjee.
    • Department of Anesthesia and Perioperative Care, University of California San Francisco, San Francisco, CA, USA.
    • Paediatr Anaesth. 2021 Mar 1; 31 (3): 275-281.

    AbstractA wide range of fetal interventions are being performed worldwide to save the fetus's life, prevent permanent fetal organ damage, and allow a successful transition to extrauterine life. However, these are invasive procedures and can be associated with serious complications. This article focuses on promoting a culture of safety by highlighting five common error traps while anesthetizing patients for fetal interventions. They include failure to preserve uteroplacental perfusion and gas exchange, failure to achieve adequate uterine relaxation prior to hysterotomy, failure to monitor the fetus and prepare for fetal/neonatal resuscitation, failure to prepare for maternal hemorrhage, and failure to promptly treat uterine atony. Practical tips for avoiding these serious complications will also be discussed.© 2021 John Wiley & Sons Ltd.

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