What they didn't teach you in laser school - Part 1
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What they didn't teach you in laser school - Part 1
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Welcome to "What they didn't teach you in laser school"! This two-parter is going to be filled with Dr. Moise's tips and tricks (and some of Erin's too) as we share the following topics:
- Pre-operative evaluation tips
- Identifying cord insertions via ultrasound
- Following the lie of the donor twin to find the inter-twin anastomotic plane
- Not true for “cocoon” sign
- Re-evaluate and confirm cord insertions and anticipated cannula insertion site in the OR
- Confirming renal blood flow in the donor twin
- Renal agenesis
- Intraoperative tips
- Anesthesia type
- Maternal drugs we use & don’t use
- Operative cannula placement
- Patients with a higher BMI or thick abdominal wall
- Using a ‘spike’ AKA ‘harpoon’ for entry
- Spinal anesthesia for cut-down
- Anterior placenta
- Patient positioning
- Laparoscopic approach
- Check uterine wall for vessels with color flow Doppler
- Counterpressure
- Intraoperative bleeding
- Amnioexchange / rapid infuser
- Using humidified CO2 for anterior placenta
- Pediatric foley
- Intraoperative septostomy
- Inadvertent vs. purposeful septostomy
- Complications
- Amniotic band syndrome
- Tangled cords
Tune in next week for part 2!
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