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Anesthetic Management in Fetoscopic Surgery and Incidence of Complications

NCT02434926 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 152

Last updated 2023-11-15

No results posted yet for this study

Summary

Fetoscopic surgery has been acknowledged to be a reliable procedure to correct several congenital anomalies e.g. shunt insertion in fetal bladder outlet obstruction, laser ablation of vessels in twin-twin transfusion syndrome (TTTS), balloon occlusion in congenital diaphragmatic hernia etc. The technique involves an introduction of small-caliber instruments into the amniotic cavity under ultrasound guidance. This procedure can be successfully done under either general anesthesia, regional anesthesia or local anesthesia with sedation. Each technique has both advantages and drawbacks.

Several complications related to anesthetic after fetoscopic surgery can occur. For instance, pulmonary edema which is caused by intravenous fluid loading, irrigation fluid absorption or fluid flow through myometrium venous channel. Besides, maternal hypotension intraoperatively can arise from spinal anesthesia.

The aim of the study is to report choice of anesthesia using in fetoscopic surgery in the tertiary care institute (Siriraj hospital) and incidence of complications which may relate to different anesthetic techniques.

Conditions

  • Fetoscopy
  • Anesthetic Complications
  • Pregnancy

Sponsors & Collaborators

  • Mahidol University

    lead OTHER

Principal Investigators

  • Patchareya Nivatpumin, M.D. · Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand

Eligibility

Sex
FEMALE
Healthy Volunteers
No

Timeline & Regulatory

Start
2015-05-31
Primary Completion
2016-01-31
Completion
2016-02-29

Countries

  • Thailand

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT02434926 on ClinicalTrials.gov