JOURNAL HOME CME HOME THIS MONTH PAST ISSUES ETOC COLLECTIONS
AUTHORS REVIEWERS EDITORIAL BOARD FEEDBACK RSS HELP
A&A International Anesthesia Research Society
QUICK SEARCH:   [advanced]


     

Anesth Analg 2008; 107:1978-1980
© 2008 International Anesthesia Research Society
doi: 10.1213/ane.0b013e3181891201
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a colleague
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Google Scholar
Right arrow Articles by Robinson, M. B.
Right arrow Articles by Kurth, C. D.
PubMed
Right arrow PubMed Citation
Right arrow Articles by Robinson, M. B.
Right arrow Articles by Kurth, C. D.
Related Collections
Right arrow Obstetrics
Right arrow Complications

OBSTETRIC ANESTHESIOLOGY

Maternal Pulmonary Edema During Fetoscopic Surgery

Marnie B. Robinson, MD*, Timothy M. Crombleholme, MD{dagger}, and Charles D. Kurth, MD{ddagger}

From the *Departments of Anesthesiology and Surgery, {dagger}The Fetal Care Center of Cincinnati, and {ddagger}Divisions of Anesthesia, and Pediatric, Thoracic, and Fetal Surgery, Cincinnati Children’s Hospital and Medical Center, Cincinnati, Ohio.

Address correspondence and reprint requests to Charles D. Kurth, MD, 3333 Burnet Ave., ML-2001, Cincinnati, OH 45229. Address e-mail to dean.kurth{at}cchmc.org.

Abstract

Minimally invasive fetal surgery uses small endoscopes placed percutaneously through the mother’s abdominal wall in order to operate on a fetus, placenta or umbilical cord. We report a case of postoperative pulmonary edema in a mother who underwent minimally invasive fetal surgery for the treatment of twin reverse arterial perfusion sequence. The procedure involves ultrasound and fetoscopic guidance to interrupt umbilical vessel blood flow to one twin. Saline irrigation is used during the procedure to facilitate surgical exposure. We hypothesize that the pulmonary edema resulted from irrigating fluid (totaling net 8 L) absorbed IV through myometrial venous channels accessed by passage of the operating trocars.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2008 by the International Anesthesia Research Society.