title: Successful resuscitation during fetal surgery.
abstract: After in utero resection of a sacrococcygeal teratoma coupled with a transfusion of packed red blood cells, a 23-week-gestation fetus had bradycardia. Chest compressions were begun and epinephrine, atropine, and sodium bicarbonate were given, while the fetus remained bathed in warm saline. After 3 rounds of drugs, and just before withdrawing support, the fetal heart resumed beating and normal cardiac function. Based on to this case, the authors developed a resuscitation protocol for fetal surgery.
authors.affiliation: Department of Surgery, Fetal Treatment Center, University of California, San Francisco 94143-0570, USA.
authors.forename: J L
authors.initials: JL
authors.lastname: Graf
authors.forename: B W
authors.initials: BW
authors.lastname: Paek
authors.forename: C T
authors.initials: CT
authors.lastname: Albanese
authors.forename: J A
authors.initials: JA
authors.lastname: Farrell
authors.forename: J A
authors.initials: JA
authors.lastname: Kitterman
authors.forename: R W
authors.initials: RW
authors.lastname: Jennings
authors.forename: M R
authors.initials: MR
authors.lastname: Harrison
mesh_terms: D016887:Cardiopulmonary Resuscitation / Q000379:methods*; D003050:Coccyx; D004487:Edema / Q000150:complications; D005260:Female; D005315:Fetal Diseases / Q000601:surgery*; D006323:Heart Arrest / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007431:Intraoperative Complications / Q000628:therapy*; D012447:Sacrum; D013125:Spinal Neoplasms / Q000150:complications / Q000601:surgery; D013724:Teratoma / Q000150:complications / Q000601:surgery