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Case Reports
[Fetal anesthesia in cesarean section for patients with congenital diaphragmatic hernia].
- Junko Nishino, Yoshiki Nakajima, and Shigehito Sato.
- Department of Anesthesiology, University of Hamamatsu School of Medicine, Shizuoka 431-3192.
- Masui. 2003 Aug 1;52(8):900-2.
AbstractWe experienced two cases of anesthesia for cesarean section in patients with prenatally diagnosed congenital diaphragmatic hernia (CDH). Fentanyl/midazolam anesthesia was selected for fetal sedation at birth. The blood samples were obtained from the maternal vein, umbilical vein and umbilical artery for measuring blood drug concentrations during anesthesia. Midazolam concentrations in umbilical vein were 137 and 256 ng.ml-1. Spontaneous breathing and movement of the newborns were restrained in both cases and these sedations facilitated preoperative general management for newborns with CDH.
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