TỔNG QUAN VỀ GÂY MÊ HỒI SỨC TRONG PHẪU THUẬT - CAN THIỆP BÀO THAI

Abstract

Fetal surgery and intervention are making breakthrough strides for early treatment of abnormalities detected through prenatal diagnosis. This is a new specializaion in Vietnam requesting highly specialised of obstetric and paediatric anaesthesia, in which two high-risk patients are cared for simultaneously for the benefit of the developing fetuses. The question whether the fetus is capable of feeling pain is difficult to answer, but there are indications that nociceptive stimuli have a physiologic reaction. This nociceptive stimulation of the fetus also has the potential for longer-term effects on the developing central nervous system, so there is a need for fetal analgesic treatment. The impact of the methods of maternal anesthesia to a fetus is different and fetal anesthesia and analgesia depends on the type of fetal surgery and intervention being performed. The potential risks have to be balanced against the intended benefits of blocking the physiologic fetal responses to nociceptive stimulation in fetal anesthesia and analgesia.