Recent advancements in fetal anesthesia.

IF 2.3 3区 医学 Q2 ANESTHESIOLOGY
Megan Dewey, Preeta George
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引用次数: 0

Abstract

Purpose of review: Fetal surgery has evolved into a transformative field, offering hope for the management of complex prenatal conditions. The purpose of this review is two-fold: to provide a brief overview of fetal anesthetic considerations, and to examine recent advancements which have significantly improved maternal safety and expanded the scope of treatable fetal anomalies.

Recent findings: Enhanced imaging technologies, such as high-resolution ultrasound and fetal MRI, have enabled precise diagnoses and surgical planning to improve outcomes. Innovations in techniques, expanded indications for fetal surgery, and adoption of maternal anesthesia protocols have all helped to minimize complications and enhance recovery. Placental research shows no immune response or pathology from fetal surgery, suggesting it does not contribute to preterm delivery.

Summary: Advancements in fetal intervention collectively underscore the field's commitment to delivering optimal outcomes for both mother and child while paving the way for future breakthroughs in prenatal care.

回顾的目的:胎儿手术已发展成为一个变革性的领域,为处理复杂的产前疾病带来了希望。本综述的目的有二:一是简要概述胎儿麻醉的注意事项,二是研究近期的进展,这些进展大大提高了孕产妇的安全性,扩大了可治疗胎儿异常的范围:最新研究结果:高分辨率超声波和胎儿核磁共振成像等先进成像技术实现了精确诊断和手术规划,从而改善了手术效果。技术的创新、胎儿手术适应症的扩大以及孕产妇麻醉方案的采用,都有助于最大限度地减少并发症和促进恢复。胎盘研究表明,胎儿手术不会引起免疫反应或病理变化,这表明胎儿手术不会导致早产。总结:胎儿干预方面的进步共同强调了该领域致力于为母婴提供最佳治疗效果的承诺,同时也为未来产前护理的突破性进展铺平了道路。
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来源期刊
CiteScore
4.90
自引率
8.00%
发文量
207
审稿时长
12 months
期刊介绍: ​​​​​​​​Published bimonthly and offering a unique and wide ranging perspective on the key developments in the field, each issue of Current Opinion in Anesthesiology features hand-picked review articles from our team of expert editors. With fifteen disciplines published across the year – including cardiovascular anesthesiology, neuroanesthesia and pain medicine – every issue also contains annotated references detailing the merits of the most important papers.
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