Fetal anaesthesia for intrauterine treatment |
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Authors: | C. TASHIRO MD N. INAMORI MD H. TANIGAMI MD M. NISHIMURA MD K. FUKUMITSU MD I. SHIMIZU MD |
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Affiliation: | Department of Anesthesiology, Osaka Medical Center and Research Institute for Maternal and Child Health, Osaka, Japan;*Department of Obstetrics, Osaka Medical Center and Research Institute for Maternal and Child Health, Osaka, Japan |
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Abstract: | Fetal anaesthesia was performed 5 times in 1 patient to treat pleural effusions, obtain fetal blood sampling, provide albumin infusion, and establish and replace a pleuro-amniotic indwelling shunt catheter under ultrasound guidance. A maternal epidural catheter was placed and used for epidural anaesthesia for the first 4 anaesthetics. Fetal administration of pancuronium 0.15 mg·kg?1 via the umbilical vein or 0.25 mg·kg?1 intramuscularly was enough to produce immobilization without maternal effect. However, maternal pretreatment with intravenous diazepam and fentanyl was required for fetal sedation and analgesia, which was necessary for accurate and safe injection, and for suppression of fetal stress. |
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Keywords: | anaesthesia: fetal neuromuscular relaxants: pancuronium |
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