Anesthetic management for fetal surgery: lessons from a single-center experience (2019–2023)
Authors' conclusion
Key improvements in hypotension management, adopting total intravenous anesthesia for complex surgeries, and optimized postoperative pain control have contributed to better maternal and fetal outcomes.
Study context
- Population
- Fetal procedures (fetoscopic laser photocoagulation, fetal endoluminal tracheal occlusion, bipolar cord coagulation, fetoscopic spina bifida repair), Rabin Medical Center, 2019–2023
- Participants
- 195 fetal procedures
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
- Spinal anaesthesia increasingly preferred for shorter procedures (laser photocoagulation, bipolar cord coagulation); GA used exclusively for spina bifida repair
- Intraoperative hypotension a significant issue; prophylactic phenylephrine infusions improved BP control
- Shift from volatile anaesthesia to TIVA in spina bifida repair resulted in fewer complications, incl. reduced bleeding
- Multimodal postoperative pain management improved pain scores
Observational data: associations, not effects.
Original publication
Anesthetic management for fetal surgery: lessons from a single-center experience (2019–2023). Int J Obstet Anesth. Published 9 October 2024. doi:10.
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