This article reviews the anesthetic considerations for maternal-fetal surgery (MFS), a growing subspecialty that treats fetal anomalies in utero through minimally invasive procedures, open fetal surgeries, and EXIT (ex utero intrapartum treatment) procedures. Certified Registered Nurse Anesthetists (CRNAs) must manage both the mother and fetus, requiring knowledge of pregnancy physiology, fetal circulation, drug transfer across the placenta, and the need for uterine relaxation. The article highlights ethical challenges, preoperative planning, fetal monitoring, and the importance of tailored anesthetic approaches to optimize outcomes and ensure the safety of both patients during these complex interventions.
Learning Outcomes:
- Characterize three major anesthetic considerations for patients undergoing maternal-fetal surgery (MFS).
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This program has been prior approved by the American Association of Nurse Anesthesiology for 1.00 Class A CE credits; Code Number 1045778; Expiration Date 6/2/2026.