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TheScientificWorldJOURNAL
Volume 9, Pages 435-440
http://dx.doi.org/10.1100/tsw.2009.64
Case Study

Bilateral Fetal Hydrothorax Requiring Intrauterine Fetal Thoracoamniotic Shunts: Anesthetic Considerations and Management

1Department of Anesthesiology, Fetal Diagnosis and Treatment Center, Magee Women's Hospital, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
2Department of Obstetrics and Gynecology, Fetal Diagnosis and Treatment Center, Magee Women's Hospital, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA

Received 16 November 2008; Revised 3 June 2009; Accepted 3 June 2009

Academic Editor: John P. Williams

Copyright © 2009 John J. Hache et al.

Abstract

After prenatal diagnosis of bilateral fetal hydrothorax, ascites, and polyhydramnios, bilateral thoracoamniotic shunts were placed at 29 weeks gestation using an ultrasound-guided, minimally invasive technique. Anesthetic care was managed using intravenous sedation and local anesthesia infiltration. The anesthetic considerations for such procedures are discussed.