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- Monica A Hoagland and Debnath Chatterjee.
- Department of Anesthesiology, Children's Hospital Colorado, Colorado Fetal Care Center, University of Colorado School of Medicine, Aurora, CO, USA.
- Paediatr Anaesth. 2017 Apr 1; 27 (4): 346-357.
AbstractFetal therapy is an exciting and growing field of medicine. Advances in prenatal imaging and continued innovations in surgical and anesthetic techniques have resulted in a wide range of fetal interventions including minimally invasive, open mid-gestation, and ex-utero intrapartum treatment procedures. The potential for maternal morbidity is significant and must be carefully weighed against claimed benefits to the fetus. Appropriate patient selection is critical, and a multidisciplinary team-based approach is strongly recommended. The anesthetic management should focus on maintaining uteroplacental circulation, achieving profound uterine relaxation, optimizing surgical conditions, monitoring fetal hemodynamics, and minimizing maternal and fetal risk.© 2017 John Wiley & Sons Ltd.
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