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Current Anesthesiology Reports

Erschienen in:

22.03.2023 | Obstetric Anesthesia (LR Leffert, Section Editor)

Sedating Pregnant Patients for Minimally Invasive Fetal Interventions

verfasst von: Claire Naus, Caitlin Sutton

Erschienen in: Current Anesthesiology Reports | Ausgabe 2/2023

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Abstract

Purpose of Review

This article discusses sedation in pregnant patients undergoing minimally invasive fetal interventions. It includes a review of the goals of sedation in this population, relevant existing guidelines, physiological considerations unique to pregnant patients undergoing sedation, and a brief discussion of perioperative management using pharmacologic and nonpharmacologic anxiolysis.

Recent Findings

Sedation is used by most fetal therapy centers performing minimally invasive fetal interventions in combination with local or neuraxial anesthesia. Existing guidelines recommend no more than a moderate plane of sedation for pregnant patients. The impact of individual medications on the pregnant patient, fetus, and operating conditions including uterine contractility are areas of investigation relevant to fetal interventions.

Summary

While most fetal centers use sedation for pregnant patients undergoing minimally invasive fetal surgery, no single regimen has been identified as optimal. Vigilance in maintaining a minimal-moderate level of sedation is essential for mitigating risks when sedating pregnant patients.

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Titel: Sedating Pregnant Patients for Minimally Invasive Fetal Interventions
verfasst von: Claire Naus
Caitlin Sutton
Publikationsdatum: 22.03.2023
Verlag: Springer US
Erschienen in: Current Anesthesiology Reports / Ausgabe 2/2023
Elektronische ISSN: 2167-6275
DOI: https://doi.org/10.1007/s40140-023-00551-7

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