Twin Twin Transfusion Syndrome: What are the ... - March of Dimes

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Positioning g and Set Up p
Twin-Twin Transfusion Syndrome Anesthetic Options • Local with IV sedation • Posterior placentas only • Psychologically prepared • Calm and cooperative disposition • English speaking • Epidural with IV sedation • Standard approach • General anesthesthetic • Reserved for those with contraindications to regional or local anesthesia
Page 1: Twin Twin Transfusion Syndrome: Wha
Page 4 and 5: Fetal Care Center of Cincinnati TWI
Page 6 and 7: Quintero Staging of TTTS Stage I: D
Page 8 and 9: TTTS DIAGNOSIS OF EXCLUSION •15%
Page 10 and 11: Twin-Twin Transfusion Syndrome TTTS
Page 12 and 13: Treatments for Twin-Twin Transfusio
Page 14 and 15: Twin-Twin Transfusion Syndrome •
Page 16 and 17: SEPTOSTOMY • Single amnioreductio
Page 18 and 19: DETECTING PROGRESSION OF TTTS •UL
Page 20 and 21: Twin-Twin Transfusion Syndrome Non-
Page 22 and 23: Twin-Twin Transfusion Syndrome Sequ
Page 24 and 25: Twin-Twin Transfusion Syndrome Sele
Page 28 and 29: Twin-Twin Transfusion Syndrome •
Page 30 and 31: Choice of Laser Used in Fetoscopic
Page 32 and 33: Obscured Fetoscopic View • Mounta
Page 34 and 35: Intraoperative Complications • La
Page 36 and 37: PPost-operative t ti Course C • A
Page 38 and 39: Acute Cardiac Changes in TTTS Quint
Page 40 and 41: NIH Sponsored TTTS Trial LLogistic
Page 42 and 43: SFLP 100 90 80 70 60 50 40 30 20 10
Page 44 and 45: TTTS Cardiomyopathy •Fetal F lh h
Page 46 and 47: Fetal Care Center of Cincinnati Cin
Page 48 and 49: Echocardiographic Features of TTTS
Page 50 and 51: Assessing Recipient TTTS Cardiomyop
Page 52 and 53: Fetal Care Center of Cincinnati TTT
Page 54 and 55: Shift in Stage Distribution Compari
Page 56 and 57: Echocardiographic Upstaging of Stag
Page 59 and 60: Trial of Amnioreduction vs Selectiv
Page 61 and 62: Twin-Twin Transfusion Syndrome Sele
Page 63 and 64: Overall Survival and Survival of On
Page 65 and 66: AIMS • Incidence of complications
Page 67 and 68: Methods Complications (maternal and
Page 69 and 70: SFLP Result Serious complication or
Page 71 and 72: 10% 40% Complication 29% 21% Early
Page 73 and 74: Impact of Complications on Survival
Page 75 and 76: Pathophysiology of Recipient •Vol
Page 77 and 78:
• • Nifedipine 20 mg q 6 h Pre-
Page 79 and 80:
Challenges g in TTTS • Define the
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Twin Twin Transfusion Syndrome: What are the ... - March of Dimes

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