{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:17:47Z","timestamp":1787840267250,"version":"build-2784847793"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>Twin pregnancy with monochorionic placenta may be associated with arteriovenous vascular anastomosis of the placental vessels resulting in twin-to-twin transfusion syndrome (TTTS) and twin reversed arterial perfusion syndrome (TRAP). Foetoscopic LASER ablation (FLA) is the treatment of choice in reducing foetal mortality related to this.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective review of medical records of 41 FLA procedures for TTTS and TRAP were analysed for anaesthetic management. Thirty-four patients received subarachnoid block, three combined spinal-epidural block, three general anaesthesia and one local anaesthesia with sedation. Nitroglycerine 5 mg patch was used for tocolysis 1 h before the procedure and continued for 24\u201348 h postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Bupivacaine was used in 34 patients, and ropivacaine in three patients. Mean dose of bupivacaine 0.5% was 2.43 \u00b1 0.32 ml and ropivacaine 0.75% was 2.85 \u00b1 0.19 ml. The mean duration of surgery was 117.07 \u00b1 28 min. Mild hypotension occurred in all patients under spinal anaesthesia and was treated with vasopressors. The foetal outcome among all 41 patients were 13 delivered live twins, 15 had a single live baby with intrauterine death of other twin baby. In 12 patients, both babies were intrauterine death. One patient was lost for follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Foetoscopic procedures can be done under central neuraxial block, however occasionally general anaesthesia may be required.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/0019-5049.195486","type":"journal-article","created":{"date-parts":[[2016,12,22]],"date-time":"2016-12-22T04:48:39Z","timestamp":1482382119000},"page":"931-935","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Anaesthesia for foetoscopic Laser ablation- a retrospective study"],"prefix":"10.4103","volume":"60","author":[{"given":"Vaishali","family":"Kumbhar","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, Manipal Hospital, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Radhika","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Manipal Hospital, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parameswara","family":"Gundappa","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Manipal Hospital, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jayashree","family":"Simha","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Manipal Hospital, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prathima","family":"Radhakrishnan","sequence":"additional","affiliation":[{"name":"Department of Fetal Medicine, Manipal Hospital, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20251205","first-page":"554","article-title":"Anaesthesia for fetal surgeries","volume":"53","author":"Saxena","year":"2009","journal-title":"Indian J Anaesth"},{"key":"R2-20251205","doi-asserted-by":"crossref","first-page":"54","DOI":"10.2174\/1875181401204010054","article-title":"Fetoscopic laser photocoagulation for the treatment of Twin - Twin Transfusion syndrome in monochorionic twin pregnancies","volume":"4","author":"Murakoshi","year":"2012","journal-title":"Open Med Devices J"},{"key":"R3-20251205","first-page":"130","author":"Myers","year":"2005","journal-title":"Twin reversed arterial perfusion syndrome. 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Abstract 91; Society for Obstretic Anaesthesia and Perinatology","author":"Loukas","year":"2011"},{"key":"R12-20251205","doi-asserted-by":"crossref","DOI":"10.1155\/2013\/709059","article-title":"Maternal hypotension during fetoscopic surgery: Incidence and its impact on fetal survival outcomes","author":"Ngamprasertwong","year":"2013","journal-title":"Scientific World Journal 2013"},{"key":"R13-20251205","doi-asserted-by":"crossref","first-page":"1394","DOI":"10.1097\/00000539-200012000-00017","article-title":"Anesthesia for fetoscopic fetal surgery: Twin reverse arterial perfusion sequence and twin-twin transfusions syndrome","volume":"91","author":"Galinkin","year":"2000","journal-title":"Anesth Analg"}],"container-title":["Indian Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01762628-201660120-00008","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:19:02Z","timestamp":1787836742000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01762628-201660120-00008"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,12]]},"references-count":11,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2016]]}},"URL":"https:\/\/doi.org\/10.4103\/0019-5049.195486","relation":{},"ISSN":["0019-5049","0976-2817"],"issn-type":[{"value":"0019-5049","type":"print"},{"value":"0976-2817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,12]]}}}