Technical aspects of intravascular intrauterine transfusions: lessons learned from thirty-three procedures.
Our technique for performing intravascular transfusions is described and four failed attempts are presented. The appropriate choice of needle, insertion site, and premedication are discussed. A rationale for intravenous fetal muscle blockade in selected cases is presented and a transfusion setup designed to minimize movement of the needle hub is described. Finally, the judicious use of intraperitoneal transfusions in some cases is suggested.
D001805:Blood Transfusion, Intrauterine / Q000379:methods*; D004899:Erythroblastosis, Fetal / Q000209:etiology / Q000628:therapy*; D005078:Exchange Transfusion, Whole Blood; D005260:Female; D005324:Fetal Movement; D006801:Humans; D009339:Needles; D011247:Pregnancy; D011292:Premedication; D012203:Rh Isoimmunization / Q000150:complications; D014463:Ultrasonography