Abstract
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.
Original language | English (US) |
---|---|
Pages (from-to) | 16-19 |
Number of pages | 4 |
Journal | International Journal of Obstetric Anesthesia |
Volume | 44 |
DOIs | |
State | Published - Nov 2020 |
Keywords
- Fetal anesthesia
- Fetal spiral electrode
- Fetal surgery
ASJC Scopus subject areas
- Obstetrics and Gynecology
- Anesthesiology and Pain Medicine