Maternal – Fetal Interventions

In this episode, Dr. Mark Rollins and Dr. Chatterjee, two leading experts in anesthesia for maternal-fetal intervention, share their knowledge with us. Specifically, we discussed fetal benefits and preoperative, intraoperative, and postoperative management for this delicate procedure in which two patients are undergoing surgical intervention under our care. Should we provide analgesia directly or indirectly to the fetus? How can we achieve the tenet goal of excellent uterine relaxation without compromising placental perfusion? Is the use of Sugammadex warranted for midgestation fetal interventions? These and much more were discussed during this Podcast. Anesthesia for Maternal-Fetal Interventions: A Consensus Statement https://pubmed.ncbi.nlm.nih.gov/33048913/ Survey of Fetal Therapy Centers in the North American Fetal Therapy Network. https://pubmed.ncbi.nlm.nih.gov/33827094/ Sugammadex Administration in Pregnant Women and Women of Reproductive Potential: A Narrative Review https://pubmed.ncbi.nlm.nih.gov/31283616/ Society for Obstetric Anesthesia and Perinatology Statement on Sugammadex during pregnancy and lactation https://www.soap.org/assets/docs/SOAP_Statement_Sugammadex_During_Pregnancy_Lactation_APPROVED.pdf Sugammadex Use for Reversal in Nonobstetric Surgery During Pregnancy: A Reexamination of the Evidence https://pubmed.ncbi.nlm.nih.gov/37205805/ A Randomized Trial of Prenatal versus Postnatal Repair of Myelomeningocele (MOMs trial) https://pubmed.ncbi.nlm.nih.gov/21306277/