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Remifentanil for fetal immobilization and analgesia during the ex utero intrapartum treatment procedure under combined spinal-epidural anaesthesia.

Publication ,  Journal Article
Fink, RJ; Allen, TK; Habib, AS
Published in: Br J Anaesth
June 2011

Remifentanil undergoes extensive placental transfer and has been used to provide fetal immobilization and anaesthesia for in utero fetal endoscopic interventions. We report three cases of the ex utero intrapartum treatment performed under neuraxial anaesthesia where the maternal administration of remifentanil was used to provide fetal immobilization and analgesia. Fetal pathology included goiter and arthrogryposis, with one case requiring a tracheostomy. The longest time on placental circulation was 21 min. No clinically significant maternal sedation or respiratory depression was observed. In all cases, remifentanil provided adequate fetal immobilization and obviated the need to administer other analgesics or neuromuscular blocking agents. Remifentanil is a useful adjunct for ex utero fetal procedures.

Duke Scholars

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Published In

Br J Anaesth

DOI

EISSN

1471-6771

Publication Date

June 2011

Volume

106

Issue

6

Start / End Page

851 / 855

Location

England

Related Subject Headings

  • Young Adult
  • Remifentanil
  • Pregnancy
  • Piperidines
  • Peripartum Period
  • Immobilization
  • Hypnotics and Sedatives
  • Humans
  • Goiter
  • Fetal Therapies
 

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Fink, R. J., Allen, T. K., & Habib, A. S. (2011). Remifentanil for fetal immobilization and analgesia during the ex utero intrapartum treatment procedure under combined spinal-epidural anaesthesia. Br J Anaesth, 106(6), 851–855. https://doi.org/10.1093/bja/aer097
Fink, R. J., T. K. Allen, and A. S. Habib. “Remifentanil for fetal immobilization and analgesia during the ex utero intrapartum treatment procedure under combined spinal-epidural anaesthesia.Br J Anaesth 106, no. 6 (June 2011): 851–55. https://doi.org/10.1093/bja/aer097.
Fink, R. J., et al. “Remifentanil for fetal immobilization and analgesia during the ex utero intrapartum treatment procedure under combined spinal-epidural anaesthesia.Br J Anaesth, vol. 106, no. 6, June 2011, pp. 851–55. Pubmed, doi:10.1093/bja/aer097.
Journal cover image

Published In

Br J Anaesth

DOI

EISSN

1471-6771

Publication Date

June 2011

Volume

106

Issue

6

Start / End Page

851 / 855

Location

England

Related Subject Headings

  • Young Adult
  • Remifentanil
  • Pregnancy
  • Piperidines
  • Peripartum Period
  • Immobilization
  • Hypnotics and Sedatives
  • Humans
  • Goiter
  • Fetal Therapies