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Intrauterine Fetal Manipulation

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Anesthetic and Obstetric Management of High-Risk Pregnancy

Summary

Little is known about fetal anesthesia, and much is still to be learned. However, it is known that although inhaled anesthetics rapidly cross the placenta, fetal levels remain below maternal levels for a prolonged period of time.136,137 Fentanyl (10–20μ g/kg) and a muscle relaxant such as vecuronium (0.1 mg/kg)149 or pancuronium (0.1 mg/kg)128 can be given to provide additional anesthesia to the fetus.

Fetal surgery is a young and exciting field of medicine that involves many subspecialties. Although many hurdles are being conquered in terms of maternal and fetal obstetric, surgical, and anesthetic management, diagnostics, and monitoring, many hurdles still remain to allow these once-doomed fetuses another chance.

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Authors
  1. Linda A. Bulich
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  2. Russell W. Jennings
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Editor information

Editors and Affiliations

  1. Harvard Medical School, USA

    Sanjay Datta MD, FFARCS(ENG) (Professor Anesthesia and Director of Obstetric Anesthesia) & David L. Hepner MD (Assistant Professor of Anesthesia and Assistant Director) (Professor Anesthesia and Director of Obstetric Anesthesia) &  (Assistant Professor of Anesthesia and Assistant Director)

  2. Brigham and Women’s Hospital, Boston, Massachusetts, 20115, USA

    Sanjay Datta MD, FFARCS(ENG) (Professor Anesthesia and Director of Obstetric Anesthesia) (Professor Anesthesia and Director of Obstetric Anesthesia)

  3. Preadmitting Test Center, Brigham and Women’s Hospital, Boston, Massachusetts, 20115, USA

    David L. Hepner MD (Assistant Professor of Anesthesia and Assistant Director) (Assistant Professor of Anesthesia and Assistant Director)

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Bulich, L.A., Jennings, R.W. (2004). Intrauterine Fetal Manipulation. In: Datta, S., Hepner, D.L. (eds) Anesthetic and Obstetric Management of High-Risk Pregnancy. Springer, New York, NY. https://doi.org/10.1007/0-387-21572-7_4

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  • DOI: https://doi.org/10.1007/0-387-21572-7_4

  • Publisher Name: Springer, New York, NY

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