[Anesthetic management for cesarean section in a patient with hydrops foetalis].
In cases of hydrops foetalis, respiratory management is frequently required after delivery. We experienced 7 anesthetic managements for cesarean section in patients with hydrops foetalis. Spinal anesthesia was performed in 3 patients, because the transition of local anesthesia through the placenta was little. On the other hand, general anesthesia was performed in 4 patients because of babies requiring endotracheal intubation or fetal anesthesia immediately after a delivery. Before surgery, we discussed perioperative and anesthetic management among pediatricians, pediatric surgeons, and obstetricians in a conference. Since the anesthetic drugs used for the cesarean section have great influences on the fetus, the choice of anesthesia should be performed based on fetal conditions.
Nishikido
Osamu
O
Department of Anesthesiology, St. Marianna University School of Medicine, Kawasaki 216-8511.
Tateda
Takeshi
T
Tajiri
Osamu
O
Kanazawa
Masashi
M
Honda
Yasuko
Y
Sasano
June
J
D000328:Adult; D000768:Anesthesia, General; D000773:Anesthesia, Obstetrical / Q000379:methods*; D000775:Anesthesia, Spinal; D002585:Cesarean Section; D005260:Female; D006801:Humans; D015160:Hydrops Fetalis; D011247:Pregnancy; D011379:Prognosis