Supplementing desflurane with intravenous anesthesia reduces fetal cardiac dysfunction during open fetal surgery

Paediatric Anaesthesia

Volumn 20, Issue 8, 2010, Pages 748-756

  Boat, Anne ^a   Mahmoud, Mohamed ^a   Michelfelder, Erik C ^a   Lin, Erica ^a   Ngamprasertwong, Pornswan ^a   Schnell, Beverly ^a   Kurth, Charles D ^a   Crombleholme, Timothy M ^a   Sadhasivam, Senthilkumar ^a  

^a CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER   (United States)

Author keywords

fetal anesthesia; fetal bradycardia; fetal cardiac function; uterine relaxation

Indexed keywords

ADRENALIN; ALBUMIN; ANESTHETIC AGENT; ATROPINE; BICARBONATE; CALCIUM; DESFLURANE; DOBUTAMINE; EPHEDRINE; HYPERTENSIVE AGENT; PROPOFOL; REMIFENTANIL;

ADULT; ANESTHESIA INDUCTION; ARTICLE; BLOOD TRANSFUSION; BRADYCARDIA; CARDIOVASCULAR DISEASE; CLINICAL ARTICLE; CONTROLLED STUDY; DEMOGRAPHY; DISEASE SEVERITY; DRUG BLOOD LEVEL; DRUG DOSE REDUCTION; DRUG MEGADOSE; DRUG SAFETY; ECHOCARDIOGRAPHY; FEMALE; FETAL CARDIOVASCULAR DEPRESSION; FETUS; FETUS BRADYCARDIA; FETUS DISEASE; FETUS HYPOXIA; FETUS SURGERY; GENERAL ANESTHESIA; GESTATIONAL AGE; HEART HEMODYNAMICS; HEART LEFT VENTRICLE FAILURE; HEART LEFT VENTRICULAR SYSTOLIC DYSFUNCTION; HUMAN; HYPOTENSION; HYSTEROTOMY; INCIDENCE; INHALATION ANESTHESIA; INTRAOPERATIVE PERIOD; INTRAPARTUM CARE; INTRAVENOUS ANESTHESIA; MATERNAL BLOOD; MATERNAL HYPOTENSION; MAXIMUM ALLOWABLE CONCENTRATION; MEAN ARTERIAL PRESSURE; MEDICAL RECORD REVIEW; PRIORITY JOURNAL; RESUSCITATION; SURGICAL TECHNIQUE; TOCOLYSIS; UTERUS RELAXATION;

ADULT; ANESTHESIA, GENERAL; ANESTHESIA, INTRAVENOUS; ANESTHETICS, INHALATION; ANESTHETICS, INTRAVENOUS; ECHOCARDIOGRAPHY; FEMALE; FETAL DISEASES; FETUS; GESTATIONAL AGE; HEART DISEASES; HEART VALVE DISEASES; HEMODYNAMICS; HUMANS; INTRAOPERATIVE COMPLICATIONS; ISOFLURANE; MONITORING, INTRAOPERATIVE; PIPERIDINES; PREGNANCY; PROPOFOL; TREATMENT OUTCOME; UTERUS;

EID: 77955181986     PISSN: 11555645     EISSN: 14609592     Source Type: Journal    
DOI: 10.1111/j.1460-9592.2010.03350.x     Document Type: Article

References (19)

1. McNamara H, Johnson N. The effect of uterine contractions on fetal oxygen saturation. Br J Obstet Gynaecol 1995 102 : 644 647.
2. Yoo KY, Lee JC, Yoon MH et al. The effects of volatile anesthetics on spontaneous contractility of isolated human pregnant uterine muscle: a comparison among sevoflurane, desflurane, isoflurane, and halothane. Anesth Analg 2006 103 : 443 447.
3. Rychik J, Tian Z, Cohen MS et al. Acute cardiovascular effects of fetal surgery in the human. Circulation 2004 110 : 1549 1556.
4. Palahniuk RJ, Shnider SM. Maternal and fetal cardiovascular and acid-base changes during halothane and isoflurane anesthesia in the pregnant ewe. Anesthesiology 1974 41 : 462 472.
5. Biehl DR, Yarnell R, Wade JG et al. The uptake of isoflurane by the foetal lamb in utero: effect on regional blood flow. Can Anaesth Soc J 1983 30 : 581 586.
6. Eger EI II. New inhaled anesthetics. Anesthesiology 1994 80 : 906 922.
7. Rolbin SH, Hew EM, Bernstein A. Uterine relaxation can be life saving. Can J Anaesth 1991 38 : 939 940.
8. Thind AS, Turner RJ. In vitro effects of propofol on gravid human myometrium. Anaesth Intensive Care 2008 36 : 802 806.
9. Kayacan N, Ertugrul F, Arici G et al. In vitro effects of opioids on pregnant uterine muscle. Adv Ther 2007 24 : 368 375.
10. Gembruch U, Smrcek JM. The prevalence and clinical significance of tricuspid valve regurgitation in normally grown fetuses and those with intrauterine growth retardation. Ultrasound Obstet Gynecol 1997 9 : 374 382.
11. Richey KA, McNamara JA Jr., Wilmot JJ et al. Arch dimensional changes in children with idiopathic short stature treated with recombinant growth hormone: a five-year study. Angle Orthod 1995 65 : 293 300.
12. Loepke AW, Istaphanous GK, McAuliffe JJ III. et al. The effects of neonatal isoflurane exposure in mice on brain cell viability, adult behavior, learning, and memory. Anesth Analg 2009 108 : 90 104.
13. DiMaggio C, Sun LS, Kakavouli A et al. A retrospective cohort study of the association of anesthesia and hernia repair surgery with behavioral and developmental disorders in young children. J Neurosurg Anesthesiol 2009 21 : 286 291.
14. Kalkman CJ, Peelen L, Moons KG et al. Behavior and development in children and age at the time of first anesthetic exposure. Anesthesiology 2009 110 : 805 812.
15. Wilder RT, Flick RP, Sprung J et al. Early exposure to anesthesia and learning disabilities in a population-based birth cohort. Anesthesiology 2009 110 : 796 804.
16. Jevtovic-Todorovic V, Olney JW. PRO: anesthesia-induced developmental neuroapoptosis: status of the evidence. Anesth Analg 2008 106 : 1659 1663.
17. Loepke AW, McGowan FX Jr., Soriano SG. CON: the toxic effects of anesthetics in the developing brain: the clinical perspective. Anesth Analg 2008 106 : 1664 1669.
18. Istaphanous G, Ward C, Loepke A. The impact of the perioperative period on neurocognitive development, with a focus on pharmacological concerns. Best Pract Res Clin Anaesthesiol 2010 In Press. DOI:.
19. Wang S, Peretich K, Zhao Y et al. Anesthesia-induced neurodegeneration in fetal rat brains. Pediatr Res 2009 66 : 435 440.