Yanko F, Nathani H, Alden T, Valika T, Rastatter J, Alhajjat A, Ballard H A
Feinburg School of Medicine Northwestern University Chicago IL USA.
Department of Pediatric Anesthesiology Ann & Robert H. Lurie Children's Hospital of Chicago Chicago IL USA.
Anaesth Rep. 2023 Mar 16;11(1):e12219. doi: 10.1002/anr3.12219. eCollection 2023 Jan-Jun.
Airway obstruction diagnosed antenatally in the fetus due to congenital high airway obstruction syndrome or nasopharyngeal masses are the primary indications for performing an operation on placental support. Prenatally diagnosed nasopharyngeal masses pose the risk of total airway obstruction upon delivery. Placental support utilises uteroplacental blood flow to facilitate an airway intervention on the fetus while maintaining oxygenation. These interventions must be completed in under 20 min due to amniotic fluid loss and uterine contractions. This case report describes the anaesthetic management of a fetus with a nasal teratoma. In this report, we discuss the clinical indications and anaesthetic considerations of the operation on placental support procedure for nasopharyngeal masses.
由于先天性高气道梗阻综合征或鼻咽部肿物在产前诊断出的胎儿气道梗阻是进行胎盘支持下手术的主要指征。产前诊断出的鼻咽部肿物在分娩时存在完全气道梗阻的风险。胎盘支持利用子宫胎盘血流来促进对胎儿的气道干预，同时维持氧合。由于羊水流失和子宫收缩，这些干预必须在20分钟内完成。本病例报告描述了一名患有鼻畸胎瘤胎儿的麻醉管理。在本报告中，我们讨论了针对鼻咽部肿物进行胎盘支持手术的临床指征和麻醉注意事项。
