Literature DB >> 21286428

Anesthetic management of the ex utero intrapartum treatment (EXIT) procedure -A case report-.

Heeseung Lee1, Jung Wan Ryu, Dong Yeon Kim, Guie Yong Lee.   

Abstract

The ex utero intrapartum treatment (EXIT) procedure is a very rare technique performed in cases of fetal congenital malformations. The EXIT procedure increases the rate of survival at delivery by maintaining the uteroplacental circulation until the airway of the fetus is secured. To maintain the uteroplacental circulation, a higher dose of inhalational anesthetics and/or intravenous nitroglycerin can be used as compared to conventional Cesarean section. The aim of this report is to share our anesthetic experience during the EXIT procedure with members of the Korean society of anesthesiology for the first time, and to highlight the maternal implications of the use of inhalational anesthetics and nitroglycerin during Cesarean section for the EXIT procedure.

Entities:  

Keywords:  Cesarean delivery; Ex utero intrapartum treatment (EXIT); Fetal malformation; General anesthesia

Year:  2010        PMID: 21286428      PMCID: PMC3030024          DOI: 10.4097/kjae.2010.59.S.S154

Source DB:  PubMed          Journal:  Korean J Anesthesiol        ISSN: 2005-6419


  13 in total

Review 1.  The ex utero intrapartum treatment (EXIT) procedure in fetal neck masses: a case report and review of the literature.

Authors:  G H Stevens; B C Schoot; M J W Smets; B Kremer; J J Manni; A W D Gavilanes; J T Wilmink; L W E van Heurn; T H M Hasaart
Journal:  Eur J Obstet Gynecol Reprod Biol       Date:  2002-01-10       Impact factor: 2.435

2.  Anesthetic management of the exit (ex utero intrapartum treatment) procedure.

Authors:  D A Schwartz; K P Moriarty; D B Tashjian; R S Wool; R K Parker; G R Markenson; R W Rothstein; B L Shah; N R Connelly; R A Courtney
Journal:  J Clin Anesth       Date:  2001-08       Impact factor: 9.452

Review 3.  Ex utero intrapartum surgery (EXIT): indications and anaesthetic management.

Authors:  Nicola Zadra; Franca Giusti; Paola Midrio
Journal:  Best Pract Res Clin Anaesthesiol       Date:  2004-06

4.  Verifying correct endotracheal intubation by measurement of end-tidal carbon dioxide during an ex utero intrapartum treatment procedure.

Authors:  Stephan Eschertzhuber; Christian Keller; Gottfried Mitterschiffthaler; Stefan Jochberger; Gabriele Kühbacher
Journal:  Anesth Analg       Date:  2005-09       Impact factor: 5.108

5.  [Maternal and foetal anaesthesia for ex utero intrapartum treatment (EXIT) procedure].

Authors:  A-S Ducloy-Bouthors; B Marciniak; P Vaast; P Fayoux; V Houfflin-Debarge; A Fily; T Rakza
Journal:  Ann Fr Anesth Reanim       Date:  2006-05-15

Review 6.  Advances in obstetric anesthesia: anesthesia for fetal intrapartum operations on placental support.

Authors:  Krzysztof M Kuczkowski
Journal:  J Anesth       Date:  2007-05-30       Impact factor: 2.078

7.  The ex utero intrapartum treatment procedure: anesthetic considerations.

Authors:  Leon C Chang; Krzysztof M Kuczkowski
Journal:  Arch Gynecol Obstet       Date:  2007-07-10       Impact factor: 2.344

8.  Case series: Combined spinal epidural anesthesia for Cesarean delivery and ex utero intrapartum treatment procedure.

Authors:  Ronald B George; Abigail H Melnick; Erin C Rose; Ashraf S Habib
Journal:  Can J Anaesth       Date:  2007-03       Impact factor: 5.063

Review 9.  The ex-utero intrapartum treatment.

Authors:  Tippi C MacKenzie; Timothy M Crombleholme; Alan W Flake
Journal:  Curr Opin Pediatr       Date:  2002-08       Impact factor: 2.856

10.  Nitroglycerin for relaxation to establish a fetal airway (EXIT procedure).

Authors:  Kelley D Clark; Christopher M Viscomi; Jane Lowell; Edward K Chien
Journal:  Obstet Gynecol       Date:  2004-05       Impact factor: 7.661

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  2 in total

1.  Ex utero intrapartum treatment procedure in two fetuses with airway obstruction.

Authors:  Joohee Lee; Mi-Young Lee; Yeni Kim; Jae-Yoon Shim; Hye-Sung Won; Euiseok Jeong; Byong Sop Lee; Ki-Soo Kim; Woo-Jong Choi; Yoon Se Lee
Journal:  Obstet Gynecol Sci       Date:  2018-04-09

Review 2.  Maternal anesthesia for EXIT procedure: A systematic review of literature.

Authors:  Kamal Kumar; Cristiana Miron; Sudha Indu Singh
Journal:  J Anaesthesiol Clin Pharmacol       Date:  2019 Jan-Mar
  2 in total

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