Multimodal general anesthesia approach for Ex Utero Intrapartum Therapy (EXIT) procedures: two case reports.
Adult
Analgesics, Opioid
/ administration & dosage
Anesthesia, General
/ methods
Anesthesia, Obstetrical
/ methods
Craniofacial Abnormalities
/ diagnostic imaging
Fatal Outcome
Female
Humans
Infant, Newborn
Lymphatic Abnormalities
/ diagnostic imaging
Male
Nitroglycerin
/ administration & dosage
Pregnancy
Remifentanil
/ administration & dosage
Ultrasonography, Prenatal
/ methods
Uterus
/ drug effects
Vasodilator Agents
/ administration & dosage
Ex Utero Intrapartum Therapy
General anesthesia
Regional anesthesia
Transversus abdominis plane block
Journal
International journal of obstetric anesthesia
ISSN: 1532-3374
Titre abrégé: Int J Obstet Anesth
Pays: Netherlands
ID NLM: 9200430
Informations de publication
Date de publication:
05 2019
05 2019
Historique:
received:
11
01
2018
revised:
03
08
2018
accepted:
26
08
2018
pubmed:
24
9
2018
medline:
21
1
2020
entrez:
24
9
2018
Statut:
ppublish
Résumé
High-dose volatile anesthesia is the most common method of achieving uterine relaxation for Ex Utero Intrapartum Therapy (EXIT) procedures. Other methods employ nitroglycerin for additional uterine relaxation with or without remifentanil for additional fetal analgesia. We report a combination approach including one minimum alveolar concentration of volatile anesthetic plus nitroglycerin and remifentanil infusions, to provide timely uterine relaxation under general anesthesia for both mother and fetus, during two EXIT procedures.
Identifiants
pubmed: 30243809
pii: S0959-289X(17)30497-1
doi: 10.1016/j.ijoa.2018.08.009
pii:
doi:
Substances chimiques
Analgesics, Opioid
0
Vasodilator Agents
0
Nitroglycerin
G59M7S0WS3
Remifentanil
P10582JYYK
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
142-145Informations de copyright
Copyright © 2018 Elsevier Ltd. All rights reserved.