Anesthetic management of the EXIT (ex utero intrapartum treatment) procedure

The EXIT (ex utero intrapartum treatment) procedure is used to maintain fetal-placental circulation during partial delivery of a fetus with a potentially life-threatening upper airway obstruction. We performed the EXIT procedure on a fetus with a large intra-oral cyst. Sevoflurane was used as the an...

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Published inJournal of clinical anesthesia Vol. 13; no. 5; pp. 387 - 391
Main Authors SCHWARTZ, Donald A, MORIARTY, Kevin P, TASHJIAN, David B, WOOL, Robert S, PARKER, Robert K, MARKENSON, Glenn R, ROTHSTEIN, Robert W, SHAH, Bhavash L, CONNELLY, Neil Roy, COURTNEY, Richard A
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Science 01.08.2001
Subjects
Abdominal surgery. Urology. Gynecology. Obstetrics
Adult
Airway Obstruction - congenital
Airway Obstruction - etiology
Airway Obstruction - surgery
Anesthesia
Anesthesia depending on type of surgery
Anesthesia, Obstetrical
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Cysts - complications
Cysts - congenital
Cysts - surgery
Female
Fetal Monitoring
Fetus - blood supply
Humans
Infant, Newborn
Medical sciences
Monitoring, Intraoperative
Mouth Diseases - complications
Mouth Diseases - congenital
Mouth Diseases - surgery
Placenta - blood supply
Pregnancy
Regional Blood Flow - physiology
Ultrasonography, Prenatal
Volatile compound
Human
Tongue
Respiratory disease
General anesthesia
Obstruction
Case study
Sevoflurane
Respiratory tract
Fetal diseases
General anesthetic
Surgery
Cyst
Female
Fetus
Oral cavity disease
Benign neoplasm
Delivery
Cesarean section
Monitoring
Halogen Organic compounds
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Summary:The EXIT (ex utero intrapartum treatment) procedure is used to maintain fetal-placental circulation during partial delivery of a fetus with a potentially life-threatening upper airway obstruction. We performed the EXIT procedure on a fetus with a large intra-oral cyst. Sevoflurane was used as the anesthetic because of its rapid titratability. Sevoflurane provided excellent maternal and fetal anesthesia. Modifications to previously described monitoring techniques for the EXIT procedure were also used.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0952-8180
1873-4529
DOI:10.1016/s0952-8180(01)00287-2