Anaesthetic drugs & techniques

Total intravenous anesthesia for open fetal myelomeningocele repair: a case series from a single-center in Peru (2017–2025)

Int J Obstet AnesthPublished Retrospective case series

Authors' conclusion

Total intravenous anesthesia combined with intravenous uterine relaxants was feasible for open fetal myelomeningocele repair in this case series.

Study context

Population
Open fetal myelomeningocele repairs, single centre in Peru, January 2017 to July 2025
Participants
25 participants
Outcome
Procedures completed under TIVA without volatile anesthetics
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

All procedures completed under TIVA without volatile anesthetics

25

Combined magnesium sulfate and nitroglycerin for uterine relaxation

60%

Observational data: associations, not effects.

Safety

Fetal bradycardia

Fetal bradycardia, cases
1
Fetal bradycardia, proportion
4%

Maternal pulmonary edema

Maternal pulmonary edema, cases
0

Original publication

Total intravenous anesthesia for open fetal myelomeningocele repair: a case series from a single-center in Peru (2017–2025). Int J Obstet Anesth. Published 29 August 2026. doi:10.1016/j.ijoa.2026.105276

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