Successful Anesthesia Management of Postoperative Maternal Pulmonary Edema and Uterine Hyperactivity following Open Fetal Myelomeningocele Repair
Effective tocolysis is essential after fetal myelomeningocele repair and is associated with the development of pulmonary edema. The increased uterine activity in the immediate postoperative period is commonly treated with magnesium sulfate. However, other tocolytic agents such as nitroglycerine, nif...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2021/6679845 |
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| author | Denis Snegovskikh Konstantina Svokos Dmitri Souza Elizabeth Renaud Stephen R. Carr Mark C. Kendall Francois I. Luks |
| author_facet | Denis Snegovskikh Konstantina Svokos Dmitri Souza Elizabeth Renaud Stephen R. Carr Mark C. Kendall Francois I. Luks |
| author_sort | Denis Snegovskikh |
| collection | DOAJ |
| description | Effective tocolysis is essential after fetal myelomeningocele repair and is associated with the development of pulmonary edema. The increased uterine activity in the immediate postoperative period is commonly treated with magnesium sulfate. However, other tocolytic agents such as nitroglycerine, nifedipine, indomethacin, terbutaline, and atosiban (outside the US) have also been used to combat uterine contractility. The ideal tocolytic regimen which balances the risks and benefits of in-utero surgery has yet to be determined. In this case report, we describe a unique case of fetal myelomeningocele repair complicated by maternal pulmonary edema and increased uterine activity resistant to magnesium sulfate therapy. |
| format | Article |
| id | doaj-art-d238cfdd7a174b55bd00a67de9233a83 |
| institution | OA Journals |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-d238cfdd7a174b55bd00a67de9233a832025-08-20T02:19:43ZengWileyCase Reports in Anesthesiology2090-63822090-63902021-01-01202110.1155/2021/66798456679845Successful Anesthesia Management of Postoperative Maternal Pulmonary Edema and Uterine Hyperactivity following Open Fetal Myelomeningocele RepairDenis Snegovskikh0Konstantina Svokos1Dmitri Souza2Elizabeth Renaud3Stephen R. Carr4Mark C. Kendall5Francois I. Luks6Department of Anesthesiology, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, RI 02903, USADepartment of Neurosurgery, Rhode Island Hospital, Hasbro Children’s Hospital, The Warren Alpert Medical School of Brown University, Providence, RI 02903, USADepartment of Anesthesiology, Ohio University, Heritage College of Osteopathic Medicine, Athens, OH 45701, USADepartment of Pediatric Surgery, Hasbro Children’s Hospital, The Warren Alpert Medical School of Brown University, Providence, RI 02903, USADivision of Maternal-Fetal Medicine, Women and Infants Hospital of Rhode Island, The Warren Alpert Medical School of Brown University, Providence, RI 02903, USADepartment of Anesthesiology, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, RI 02903, USADivision of Pediatric Surgery, Hasbro Children’s Hospital, The Warren Alpert Medical School of Brown University, Providence, RI 02903, USAEffective tocolysis is essential after fetal myelomeningocele repair and is associated with the development of pulmonary edema. The increased uterine activity in the immediate postoperative period is commonly treated with magnesium sulfate. However, other tocolytic agents such as nitroglycerine, nifedipine, indomethacin, terbutaline, and atosiban (outside the US) have also been used to combat uterine contractility. The ideal tocolytic regimen which balances the risks and benefits of in-utero surgery has yet to be determined. In this case report, we describe a unique case of fetal myelomeningocele repair complicated by maternal pulmonary edema and increased uterine activity resistant to magnesium sulfate therapy.http://dx.doi.org/10.1155/2021/6679845 |
| spellingShingle | Denis Snegovskikh Konstantina Svokos Dmitri Souza Elizabeth Renaud Stephen R. Carr Mark C. Kendall Francois I. Luks Successful Anesthesia Management of Postoperative Maternal Pulmonary Edema and Uterine Hyperactivity following Open Fetal Myelomeningocele Repair Case Reports in Anesthesiology |
| title | Successful Anesthesia Management of Postoperative Maternal Pulmonary Edema and Uterine Hyperactivity following Open Fetal Myelomeningocele Repair |
| title_full | Successful Anesthesia Management of Postoperative Maternal Pulmonary Edema and Uterine Hyperactivity following Open Fetal Myelomeningocele Repair |
| title_fullStr | Successful Anesthesia Management of Postoperative Maternal Pulmonary Edema and Uterine Hyperactivity following Open Fetal Myelomeningocele Repair |
| title_full_unstemmed | Successful Anesthesia Management of Postoperative Maternal Pulmonary Edema and Uterine Hyperactivity following Open Fetal Myelomeningocele Repair |
| title_short | Successful Anesthesia Management of Postoperative Maternal Pulmonary Edema and Uterine Hyperactivity following Open Fetal Myelomeningocele Repair |
| title_sort | successful anesthesia management of postoperative maternal pulmonary edema and uterine hyperactivity following open fetal myelomeningocele repair |
| url | http://dx.doi.org/10.1155/2021/6679845 |
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