Bilateral fetal hydrothorax requiring intrauterine fetal thoracoamniotic shunts: anesthetic considerations and management.
After prenatal diagnosis of bilateral fetal hydrothorax, ascites, and polyhydramnios, bilateral thoracoamniotic shunts were placed at 29 weeks gestation using an ultrasound-guided, minimally invasive technique. Anesthetic care was managed using intravenous sedation and local anesthesia infiltration. The anesthetic considerations for such procedures are discussed.
Hache
John J
JJ
Department of Anesthesiology, Magee Women's Hospital, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. johnhache@gmail.com
Emery
Stephen P
SP
Vallejo
Manuel C
MC
D000328:Adult; D000777:Anesthetics / Q000008:administration & dosage; D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis* / Q000601:surgery; D005865:Gestational Age; D006801:Humans; D006876:Hydrothorax / Q000175:diagnosis* / Q000601:surgery; D011247:Pregnancy; D013907:Thoracostomy; D016216:Ultrasonography, Prenatal / Q000379:methods*
D000777:Anesthetics