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FETAL ANAESTHESIA: IS THIS NECESSARY FOR FETOSCOPIC THERAPY?

Part of: Bespoke shallow archive Weizmann

Published online by Cambridge University Press:  12 January 2010

MARC VAN DE VELDE ,
FREDERIK DE BUCK ,
TIM VAN MIEGHEM ,
LEONARDO GUCCIARDO ,
PHILIP DE KONINCK  and
JAN DEPREST
MARC VAN DE VELDE*
Affiliation:
Department of Anaesthesiology, University Hospitals Gasthuisberg, Katholieke Universiteit Leuven, Belgium.
FREDERIK DE BUCK
Affiliation:
Department of Anaesthesiology, University Hospitals Gasthuisberg, Katholieke Universiteit Leuven, Belgium.
TIM VAN MIEGHEM
Affiliation:
Department of Obstetrics and Gynaecology, University Hospitals Gasthuisberg, Katholieke Universiteit Leuven, Belgium.
LEONARDO GUCCIARDO
Affiliation:
Department of Obstetrics and Gynaecology, University Hospitals Gasthuisberg, Katholieke Universiteit Leuven, Belgium.
PHILIP DE KONINCK
Affiliation:
Department of Obstetrics and Gynaecology, University Hospitals Gasthuisberg, Katholieke Universiteit Leuven, Belgium.
JAN DEPREST
Affiliation:
Department of Obstetrics and Gynaecology, University Hospitals Gasthuisberg, Katholieke Universiteit Leuven, Belgium.
*
Marc Van De Velde, Director Obstetric Anaesthesia and Extra Muros Anaesthesia, Associate Professor of Anaesthesia, Department of Anaesthesiology, University Hospitals Gasthuisberg, Herestraat 49, B – 3000 Leuven, Belgium. Email: [email protected]
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Extract

Since Robinson and Gregory demonstrated the need to administer analgesia to preterm infants and the safety of such anaesthestic techniques in this specific patient population, pain in neonates and adequate analgesia have drawn more and more attention. Thanks to the outstanding work by Anand et al, it became increasingly clear that premature infants experience stress during invasive procedures and that as a consequence long-term neurodevelopmental status may be affected. Fetuses also demonstrate a stress response. Fetal analgesia can be administered efficiently, eliminating the fetal stress response. However, it remains unclear whether this results in improved neurodevelopment and improved long term outcome.

Type
Research Article
Information
Fetal and Maternal Medicine Review , Volume 21 , Issue 1 , February 2010 , pp. 24 - 35
Copyright
Copyright © Cambridge University Press 2010

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