• What they didn't teach you in laser school - Part 1

  • Jul 25 2023
  • Length: 24 mins
  • Podcast

What they didn't teach you in laser school - Part 1

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  • Summary

  • 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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