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Related Experiment Videos

Successful resuscitation during fetal surgery.

J L Graf1, B W Paek, C T Albanese

  • 1Department of Surgery, Fetal Treatment Center, University of California, San Francisco 94143-0570, USA.

Journal of Pediatric Surgery
|September 22, 2000
PubMed
Summary

Fetal surgery can cause bradycardia, but prompt resuscitation with chest compressions and medications like epinephrine can restore normal heart function. This case led to a new fetal surgery resuscitation protocol.

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Area of Science:

  • Fetal surgery
  • Perinatal cardiology
  • Teratology

Background:

  • Fetal surgery, including resection of sacrococcygeal teratomas, is a complex intervention.
  • Intraoperative complications such as fetal bradycardia can occur during these procedures.
  • Transfusion of packed red blood cells is sometimes required during fetal interventions.

Observation:

  • A 23-week-gestation fetus developed bradycardia after sacrococcygeal teratoma resection and transfusion.
  • Fetal resuscitation involved chest compressions, epinephrine, atropine, and sodium bicarbonate.
  • The fetus was maintained in a warm saline environment during resuscitation.

Findings:

  • After three rounds of resuscitation medications and interventions, the fetal heart rate normalized.

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  • Normal cardiac function was restored, preventing the need to withdraw support.
  • The successful resuscitation demonstrated the potential efficacy of the applied measures.

    • Implications:

    • The case highlights the critical need for established resuscitation protocols during fetal surgery.
    • Development of a standardized fetal surgery resuscitation protocol is crucial for managing intraoperative emergencies.
    • This protocol can improve outcomes for fetuses undergoing complex surgical procedures.