Nitroglycerin for fetal surgery: fetoscopy and ex utero intrapartum treatment procedure with malignant hyperthermia precautions.
We report the administration of two anesthetics to a patient potentially at risk for malignant hyperthermia undergoing fetal surgery and an ex utero intrapartum treatment procedure. Management of anesthesia and intraoperative uterine relaxation with i.v. nitroglycerin to avoid volatile anesthetics are discussed.
Rosen
Mark A
MA
Department of Anesthesia and Perioperative Care, University of California San Francisco, San Francisco, California.
Andreae
Michael H
MH
Cameron
Alison G
AG
D000328:Adult; D003250:Constriction; D005260:Female; D005332:Fetoscopy; D005333:Fetus / Q000601:surgery*; D006548:Hernia, Diaphragmatic / Q000601:surgery; D006801:Humans; D020883:Hysterotomy; D007231:Infant, Newborn; D008297:Male; D008305:Malignant Hyperthermia / Q000517:prevention & control*; D005996:Nitroglycerin / Q000627:therapeutic use*; D011247:Pregnancy; D014132:Trachea / Q000601:surgery; D014665:Vasodilator Agents / Q000627:therapeutic use*
D014665:Vasodilator Agents; D005996:Nitroglycerin