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Pediatric Anesthesiology Review pp 169–176Cite as

Fetal Surgery

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Abstract

Fetal surgery presents the anesthesiologist with a unique set of challenges depending on the surgical approach – be it during gestation or at the time of delivery. Anesthesia must be provided for the mother to eliminate pain and optimize muscle relaxation for uterine incision and fetal exposure. In addition anesthesia is required for the fetus/partially born patient to account for pain and stress that accompany any invasive procedure. Consideration must be given to the physiological changes that occur to a woman during pregnancy and the specific issues that are presented by fetal development at various stages. The different approaches to anesthesia for these procedures are presented along with the possible complications.

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Suggested Readings

  • Chatterjee D, Galinkin JL. Chapter 33. Fetal medicine and anesthesia for fetal surgery. In: Holzman RS, Mancuso TJ, Polaner DM, editors. A practical approach to pediatric anesthesia. 2nd ed. Philadelphia: Lippincott Wolters Kluwer; 2015.

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  • Gupta R, Kilby M, Cooper G. Fetal surgery and anaesthetic implications. Contin Educ Anesth. 2008;8(2):71–75.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, Perioperative, and Pain Medicine, Boston Children’s Hospital, Boston, MA, USA

    Joseph P. Cravero MD, FAAP

  2. Harvard Medical School, Boston, MA, USA

    Joseph P. Cravero MD, FAAP

Authors
  1. Joseph P. Cravero MD, FAAP
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Corresponding author

Correspondence to Joseph P. Cravero MD, FAAP .

Editor information

Editors and Affiliations

  1. Senior Associate in Perioperative Anesthesia, Boston Children’s Hospital, Boston, Massachusetts, USA

    Robert S. Holzman

  2. Senior Associate in Perioperative Anesthesia Critical Care Medicine and Pain Medicine, Boston Children’s Hospital, Boston, Massachusetts, USA

    Thomas J. Mancuso

  3. Senior Associate in Perioperative Anesthesia and Pain Medicine, Boston Children’s Hospital, Boston, Massachusetts, USA

    Joseph P. Cravero

  4. Senior Associate in Cardiac Anesthesia, Chief Division of Cardiac Anesthesia, Boston Children’s Hospital, Boston, Massachusetts, USA

    James A. DiNardo

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© 2017 Springer International Publishing AG

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Cravero, J.P. (2017). Fetal Surgery. In: Holzman, R., Mancuso, T., Cravero, J., DiNardo, J. (eds) Pediatric Anesthesiology Review. Springer, Cham. https://doi.org/10.1007/978-3-319-48448-8_10

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  • DOI: https://doi.org/10.1007/978-3-319-48448-8_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-48447-1

  • Online ISBN: 978-3-319-48448-8

  • eBook Packages: MedicineMedicine (R0)

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