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Anaesth Intensive Care · Oct 2002
Review Case ReportsAirway management on placental support (AMPS)--the anaesthetic perspective.
- D W Collins, C S Downs, S G Katz, S P Gatt, C Marsland, N Abrahams, and R J Turner.
- Department of Anaesthesia, Sydney Children's Hospital Randwick, NSW, Australia.
- Anaesth Intensive Care. 2002 Oct 1; 30 (5): 647-59.
AbstractNeonatal airway obstruction has been reported to have a high mortality. Antenatal diagnosis of this condition is now possible. Anaesthetic and surgical techniques have been developed that allow neonatal airway obstruction to be managed at delivery, while the fetus remains oxygenated via the placental circulation. Three case studies are presented, and the anaesthetic issues for mother and fetus/neonate are discussed with reference to previously published cases of airway management on placental support. In particular, techniques for uterine relaxation and maintenance of placental circulation are explored. The history of these procedures and issues of planning and logistics are also discussed.
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