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Review Case Reports
Fetal surgery and general anesthesia: a case report and review.
- M D Johnson, D J Birnbach, C Burchman, M F Greene, S Datta, and G W Ostheimer.
- Department of Anesthesia, Brigham and Women's Hospital, Boston, MA 02115.
- J Clin Anesth. 1989 Jan 1;1(5):363-7.
AbstractFetal surgery, in utero, is now a viable option for some congenital conditions due to recent advances in ultrasound and microsurgical technology. Previous reports of anesthesia for such procedures have focused on spinal or epidural conduction techniques. General endotracheal anesthesia may have several advantages in this setting. In addition to maternal anesthesia, general anesthesia can provide fetal neuromuscular block (without direct fetal injection of blocking agents) and uterine relaxation. It may also blunt fetal response to surgical stimulation.
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