Advanced hemodynamic monitoring during fetal surgery

Saracoglu, AYTEN; Saracoglu, Kemal; Schuerg, Rainer; Kafali, Haluk

doi:10.1016/j.tacc.2016.01.002

Advanced hemodynamic monitoring during fetal surgery

Atıf İçin Kopyala

Saracoglu A., Saracoglu K. T., Schuerg R., Kafali H.

TRENDS IN ANAESTHESIA AND CRITICAL CARE, cilt.6, ss.3-5, 2016 (ESCI)

Yayın Türü: Makale / Derleme
Cilt numarası: 6
Basım Tarihi: 2016
Doi Numarası: 10.1016/j.tacc.2016.01.002
Dergi Adı: TRENDS IN ANAESTHESIA AND CRITICAL CARE
Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus
Sayfa Sayıları: ss.3-5
Marmara Üniversitesi Adresli: Hayır

Özet

Fetal surgery is performed in several different fetal diagnosis centers with increasing frequency. Continuous tocolytic medication and effects of inhaled anesthetics on parasympathetic reflex vasodilation constitute a challenge for uteroplacental blood perfusion. The stability of pulmonary gas exchange and maternal hemodynamics is important. Otherwise maternal pulmonary oedema may easily occur according to an increase in pulmonary vascular permeability and extravascular lung water. Fluid management is required to ensure the continuity of the uteroplacental circulation and has to be performed very carefully. Hemodynamic monitoring parameters show us the principles of fluid management and allow us to draw a road map. In this review we aimed to present a summary concerning advanced hemodynamic monitoring during fetal surgery. (C) 2016 Elsevier Ltd. All rights reserved.