{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:44:48Z","timestamp":1747190688521,"version":"3.40.5"},"reference-count":14,"publisher":"Wiley","license":[{"start":{"date-parts":[[2021,3,5]],"date-time":"2021-03-05T00:00:00Z","timestamp":1614902400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Anesthesiology"],"published-print":{"date-parts":[[2021,3,5]]},"abstract":"<jats:p>Effective tocolysis is essential after fetal myelomeningocele repair and is associated with the development of pulmonary edema. The increased uterine activity in the immediate postoperative period is commonly treated with magnesium sulfate. However, other tocolytic agents such as nitroglycerine, nifedipine, indomethacin, terbutaline, and atosiban (outside the US) have also been used to combat uterine contractility. The ideal tocolytic regimen which balances the risks and benefits of in-utero surgery has yet to be determined. In this case report, we describe a unique case of fetal myelomeningocele repair complicated by maternal pulmonary edema and increased uterine activity resistant to magnesium sulfate therapy.<\/jats:p>","DOI":"10.1155\/2021\/6679845","type":"journal-article","created":{"date-parts":[[2021,3,5]],"date-time":"2021-03-05T19:35:55Z","timestamp":1614972955000},"page":"1-3","source":"Crossref","is-referenced-by-count":1,"title":["Successful Anesthesia Management of Postoperative Maternal Pulmonary Edema and Uterine Hyperactivity following Open Fetal Myelomeningocele Repair"],"prefix":"10.1155","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3671-7428","authenticated-orcid":true,"given":"Denis","family":"Snegovskikh","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, RI 02903, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2279-9453","authenticated-orcid":true,"given":"Konstantina","family":"Svokos","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Rhode Island Hospital, Hasbro Children\u2019s Hospital, The Warren Alpert Medical School of Brown University, Providence, RI 02903, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dmitri","family":"Souza","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Ohio University, Heritage College of Osteopathic Medicine, Athens, OH 45701, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7919-8229","authenticated-orcid":true,"given":"Elizabeth","family":"Renaud","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Hasbro Children\u2019s Hospital, The Warren Alpert Medical School of Brown University, Providence, RI 02903, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen R.","family":"Carr","sequence":"additional","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Women and Infants Hospital of Rhode Island, The Warren Alpert Medical School of Brown University, Providence, RI 02903, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5641-8674","authenticated-orcid":true,"given":"Mark C.","family":"Kendall","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, RI 02903, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4208-8691","authenticated-orcid":true,"given":"Francois I.","family":"Luks","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Hasbro Children\u2019s Hospital, The Warren Alpert Medical School of Brown University, Providence, RI 02903, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1002\/ddrr.88"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa1014379"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/j.siny.2017.08.004"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1097\/aln.0b013e318210483d"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2017.08.008"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/s1701-2163(16)30047-0"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-017-3440-z"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1159\/000365353"},{"key":"9","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.tacc.2016.01.002","article-title":"Advanced hemodynamic monitoring during fetal surgery","volume":"6","author":"K. 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