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The ex utero intrapartum treatment procedure: anesthetic considerations

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Abstract

The ex-utero intrapartum treatment (EXIT) procedure is an uncommon operation indicated for fetal lesions with the potential to cause life-threatening airway obstruction immediately after delivery. By maintaining utero-placental circulation, the fetal airway can be evaluated and secured prior to delivery. The anesthetic goals for the EXIT procedure differ significantly from a cesarean delivery and include profound uterine relaxation, fetal anesthesia and maintenance of the maternal-fetal circulation. We present a case of an uneventful EXIT procedure and include a discussion of the anesthetic goals for this operation.

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Acknowledgments

Presented in part by Dr. Krzysztof M. Kuczkowski, MD, at the 39th Annual Meeting of the Society for Obstetric Anesthesia and Perinatology in Banff, Alberta, Canada, May 16–19, 2007.

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Authors and Affiliations

  1. Departments of Anesthesiology and Reproductive Medicine, University of California San Diego, San Diego, CA, USA

    Leon C. Chang & Krzysztof M. Kuczkowski

  2. Department of Anesthesiology, UCSD Medical Center, 200 W. Arbor Drive, San Diego, CA, 92103-8770, USA

    Krzysztof M. Kuczkowski

Authors
  1. Leon C. Chang
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  2. Krzysztof M. Kuczkowski
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Correspondence to Krzysztof M. Kuczkowski.

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Chang, L.C., Kuczkowski, K.M. The ex utero intrapartum treatment procedure: anesthetic considerations. Arch Gynecol Obstet 277, 83–85 (2008). https://doi.org/10.1007/s00404-007-0402-9

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  • DOI: https://doi.org/10.1007/s00404-007-0402-9

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