Anesthesiological provision of open fetal surgery

Fetal surgery is a rapidly growing feld of medicine. Anesthetic provision of fetal operations is developing together with progressing surgical techniques. The fundamentals of the physiology of a pregnant woman and a fetus are considered. The features of transplacental drug transfer are described. Th...

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Main Authors: A. V. Pyregov, K. A. Ostrik
Format: Article
Language:Russian
Published: New Terra Publishing House 2021-11-01
Series:Вестник анестезиологии и реаниматологии
Subjects:
Online Access:https://www.vair-journal.com/jour/article/view/583
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author A. V. Pyregov
K. A. Ostrik
author_facet A. V. Pyregov
K. A. Ostrik
author_sort A. V. Pyregov
collection DOAJ
description Fetal surgery is a rapidly growing feld of medicine. Anesthetic provision of fetal operations is developing together with progressing surgical techniques. The fundamentals of the physiology of a pregnant woman and a fetus are considered. The features of transplacental drug transfer are described. The mechanisms of uteroplacental and fetoplacental interactions have been analyzed. The contemporary data are presented that allow judging about the method of choice and approach to anesthesia in open fetal surgery. Reviewed scientifc information, including reviews of recent years and randomized trials The perspective of an anesthesiologist is shown, involved in open fetal surgery, including perioperative and intraoperative management of two high-risk patients, i.e. a pregnant woman and fetus undergoing surgical intervention at the same time. Postoperative management of patient data. The impossibility of carrying out such operations without the well-coordinated work of a large multidisciplinary team of specialists is noted.
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spelling doaj.art-351339621729475ebe2c9dccb2a0be482023-09-03T10:33:11ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532021-11-01185828710.21292/2078-5658-2021-18-5-82-88475Anesthesiological provision of open fetal surgeryA. V. Pyregov0K. A. Ostrik1Национальный медицинский исследовательский центр акушерства, гинекологии и перинатологии им. акад. В. И. КулаковаНациональный медицинский исследовательский центр акушерства, гинекологии и перинатологии им. акад. В. И. КулаковаFetal surgery is a rapidly growing feld of medicine. Anesthetic provision of fetal operations is developing together with progressing surgical techniques. The fundamentals of the physiology of a pregnant woman and a fetus are considered. The features of transplacental drug transfer are described. The mechanisms of uteroplacental and fetoplacental interactions have been analyzed. The contemporary data are presented that allow judging about the method of choice and approach to anesthesia in open fetal surgery. Reviewed scientifc information, including reviews of recent years and randomized trials The perspective of an anesthesiologist is shown, involved in open fetal surgery, including perioperative and intraoperative management of two high-risk patients, i.e. a pregnant woman and fetus undergoing surgical intervention at the same time. Postoperative management of patient data. The impossibility of carrying out such operations without the well-coordinated work of a large multidisciplinary team of specialists is noted.https://www.vair-journal.com/jour/article/view/583открытая хирургия плодаобщая анестезиятоколизанестезия плодафетальная медицинамультидисциплинарное взаимодействие
spellingShingle A. V. Pyregov
K. A. Ostrik
Anesthesiological provision of open fetal surgery
Вестник анестезиологии и реаниматологии
открытая хирургия плода
общая анестезия
токолиз
анестезия плода
фетальная медицина
мультидисциплинарное взаимодействие
title Anesthesiological provision of open fetal surgery
title_full Anesthesiological provision of open fetal surgery
title_fullStr Anesthesiological provision of open fetal surgery
title_full_unstemmed Anesthesiological provision of open fetal surgery
title_short Anesthesiological provision of open fetal surgery
title_sort anesthesiological provision of open fetal surgery
topic открытая хирургия плода
общая анестезия
токолиз
анестезия плода
фетальная медицина
мультидисциплинарное взаимодействие
url https://www.vair-journal.com/jour/article/view/583
work_keys_str_mv AT avpyregov anesthesiologicalprovisionofopenfetalsurgery
AT kaostrik anesthesiologicalprovisionofopenfetalsurgery