胎儿脊髓脊膜膨出手术的麻醉
Anesthesia for myelomeningocele surgery in fetus.
作者信息
Devoto Juan Carlos, Alcalde Juan Luis, Otayza Felipe, Sepulveda Waldo
机构信息
Department of Anesthesiology, Fetal Surgery Program, Clínica las Condes, Lo fontecilla 441 Las Condes, 7591046, Santiago, Chile.
Department of Gynecology and Obstetrics, Fetal Surgery Program, Clínica Las Condes, Santiago, Chile.
出版信息
Childs Nerv Syst. 2017 Jul;33(7):1169-1175. doi: 10.1007/s00381-017-3437-7. Epub 2017 May 25.
BACKGROUND
Administering anesthesia for prenatal repair of myelomeningocele reveals several issues that are unique to this new form of treatment. This includes issues such as fetal well-being, surgical conditions and monitoring, among others. Exploring, analyzing, and understanding the different variables that are involved will help us reduce the high level of risk associated with this surgery.
OBJECTIVE
This review provides a systematic approach to the issues that are faced by anesthesiologists during fetal surgery.
背景
为脊髓脊膜膨出产前修复术实施麻醉揭示了这种新治疗形式所特有的几个问题。这包括胎儿健康、手术条件及监测等问题。探究、分析并理解其中涉及的不同变量将有助于我们降低与该手术相关的高风险水平。
目的
本综述为麻醉医生在胎儿手术期间面临的问题提供了一种系统的处理方法。
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