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[Anesthetic management for cesarean section in a patient with hydrops foetalis]

Osamu Nishikido1, Takeshi Tateda, Osamu Tajiri

  • 1Department of Anesthesiology, St. Marianna University School of Medicine, Kawasaki 216-8511.

Masui. the Japanese Journal of Anesthesiology
|December 14, 2004
PubMed

In cases of hydrops foetalis, respiratory management is frequently required after delivery. We experienced 7 anesthetic managements for cesarean section in patients with hydrops foetalis. Spinal anesthesia was performed in 3 patients, because the transition of local anesthesia through the placenta was little. On the other hand, general anesthesia was performed in 4 patients because of babies requiring endotracheal intubation or fetal anesthesia immediately after a delivery. Before surgery, we discussed perioperative and anesthetic management among pediatricians, pediatric surgeons, and obstetricians in a conference. Since the anesthetic drugs used for the cesarean section have great influences on the fetus, the choice of anesthesia should be performed based on fetal conditions.

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