Autor: |
Segura, L.G., Arendt, K.W., Sviggum, H.P., Haider, C.R., Qureshi, M.Y., Weingarten, T.N., Johnson, J.N., Ruano, R |
Zdroj: |
International Journal of Obstetric Anesthesia; Nov2020, Vol. 44, p16-19, 4p |
Abstrakt: |
Continuous fetal hemodynamic monitoring during in-utero surgery is desirable, but it is often not feasible without intermittent interruption. We report the use of a fetal spiral electrode for continuous heart rate monitoring during fetal myelomeningocele repair. Fetal echocardiography and a fetal spiral electrode were used to monitor fetal heart rate during in-utero repair at 25 weeks' gestation. We observed good agreement between echocardiographic and spiral electrode heart rate measurements. Using the Bland-Altman approach, the mean (SD) difference between measurements was 1.8 (3.5) beats per minute with limits of agreement of -5.3 to 8.8 beats per minute. This case illuminates a potential role for a fetal spiral electrode as a real-time adjunct in fetal interventions. [ABSTRACT FROM AUTHOR] |
Databáze: |
Supplemental Index |
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