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Successful Anesthesia Management of Postoperative Maternal Pulmonary Edema and Uterine Hyperactivity following Open Fetal Myelomeningocele Repair.
Snegovskikh, Denis; Svokos, Konstantina; Souza, Dmitri; Renaud, Elizabeth; Carr, Stephen R; Kendall, Mark C; Luks, Francois I.
Afiliación
  • Snegovskikh D; Department of Anesthesiology, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, RI 02903, USA.
  • Svokos K; Department of Neurosurgery, Rhode Island Hospital, Hasbro Children's Hospital, The Warren Alpert Medical School of Brown University, Providence, RI 02903, USA.
  • Souza D; Department of Anesthesiology, Ohio University, Heritage College of Osteopathic Medicine, Athens, OH 45701, USA.
  • Renaud E; Department of Pediatric Surgery, Hasbro Children's Hospital, The Warren Alpert Medical School of Brown University, Providence, RI 02903, USA.
  • Carr SR; Division of Maternal-Fetal Medicine, Women and Infants Hospital of Rhode Island, The Warren Alpert Medical School of Brown University, Providence, RI 02903, USA.
  • Kendall MC; Department of Anesthesiology, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, RI 02903, USA.
  • Luks FI; Division of Pediatric Surgery, Hasbro Children's Hospital, The Warren Alpert Medical School of Brown University, Providence, RI 02903, USA.
Case Rep Anesthesiol ; 2021: 6679845, 2021.
Article en En | MEDLINE | ID: mdl-33747571
Effective tocolysis is essential after fetal myelomeningocele repair and is associated with the development of pulmonary edema. The increased uterine activity in the immediate postoperative period is commonly treated with magnesium sulfate. However, other tocolytic agents such as nitroglycerine, nifedipine, indomethacin, terbutaline, and atosiban (outside the US) have also been used to combat uterine contractility. The ideal tocolytic regimen which balances the risks and benefits of in-utero surgery has yet to be determined. In this case report, we describe a unique case of fetal myelomeningocele repair complicated by maternal pulmonary edema and increased uterine activity resistant to magnesium sulfate therapy.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Case Rep Anesthesiol Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Case Rep Anesthesiol Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos