Citations 2
Anesthesia for Maternal–Fetal Interventions: A Consensus Statement From the American Society of Anesthesiologists Committees on Obstetric and Pediatric Anesthesiology and the North American Fetal Therapy Network
Chatterjee, Debnath , Moldenhauer, Julie S. , Olutoye, Olutoyin A. , Parikh, Jagroop M., Tran, Kha M. , Zaretsky, Michael V. , Zhou, Jie , Rollins, Mark D. , Arendt, Katherine W.
Anesthesia & Analgesia | October 13, 2020 | Volume: 132 | Issue: 4 | Pages: 1164-1173
Maternal–fetal surgery is a rapidly evolving specialty, and significant progress has been made over the last 3 decades. A wide range of maternal–fetal interventions are being performed at different stages of pregnancy across multiple fetal therapy centers worldwide, and the anesthetic technique has evolved over the years. The American Society of Anesthesiologists (ASA) recognizes the important role of the anesthesiologist in the multidisciplinary approach to these maternal–fetal interventions and convened a collaborative workgroup with representatives from the ASA Committees of Obstetric and Pediatric Anesthesia and the Board of Directors of the North American Fetal Therapy Network. This consensus statement describes the comprehensive preoperative evaluation, intraoperative anesthetic management, and postoperative care for the different types of maternal–fetal interventions.
Prenatal management of fetal intrapericardial teratoma: a systematic review
Nassr, Ahmed A. , Morris, Shaine A. , Ayres, Nancy A., Espinoza, Jimmy , Erfani, Hadi , Olutoye, Olutoyin A. , Sexson, Sara K., Fraser, Charles D. , Belfort, Michael A. , Shamshirsaz, Alireza A. , Morris, Shaine A , Shamshirsaz, Alireza A , Shazly, Sherif A. , Olutoye, Oluyinka O. , Espinoza, J
Prenatal Diagnosis | July 10, 2017 | Volume: 37 | Issue: 9 | Pages: 849-863
Abstract Objectives The purpose of this systematic review is to provide a comprehensive overview on the clinical course, perinatal outcome, and effectiveness of prenatal management options for pericardial teratoma. Methods A comprehensive search including Ovid MEDLINE, Ovid EMBASE, and Scopus was conducted from inception to September 2016. All studies that reported the prenatal course of pericardial teratoma in singleton or twin gestations were considered eligible. Standardized forms were used for data abstraction by two independent reviewers. Results Out of 217 screened abstracts, 59 studies reporting 67 fetuses with pericardial teratoma were included. Twenty‐three singleton fetuses and 3 fetuses in twin gestations underwent prenatal treatment, and 20 (76.9%) of them were hydropic at the time of intervention. Of those, 15/20 (75%) had a favorable outcome. In the non‐intervention group ( n = 41), 26 (63.4%) developed hydrops, and out of those, 8 (30.8%) had a favorable outcome. Conclusion Prenatal fluid drainage and other prenatal techniques have been utilized in the treatment of intrapericardial teratoma. While most fetuses tolerated pericardiocentesis, the neonatal benefit of this procedure is still uncertain, and outcomes of other interventions had variable success. Prenatal intervention for pericardial teratoma may be an option in specialized units but, given the maternal and fetal risks, needs careful consideration. © 2017 John Wiley & Sons, Ltd.