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Case Reports
. 2020 Jan-Feb;70(1):59-62.
doi: 10.1016/j.bjan.2019.12.010. Epub 2020 Feb 19.

[The multidisciplinary challenge of anesthesia for ex utero intrapartum treatment: a case report]

[Article in Portuguese]
Alexandre Caldeira  1 , Jânia Pacheco  2 , Sofia Fernandes  2 , Filipa Lança  2
Affiliations
Case Reports

[The multidisciplinary challenge of anesthesia for ex utero intrapartum treatment: a case report]

[Article in Portuguese]
Alexandre Caldeira et al. Braz J Anesthesiol. 2020 Jan-Feb.

Abstract

The Ex Utero Intrapartum Treatment (EXIT) is a surgical procedure performed in cases of expected postpartum fetal airway obstruction, allowing the establishment of patent airway while maintaining placental circulation. Anesthesia for EXIT procedure has several specific features such as adequate uterine relaxation, maintenance of maternal blood pressure fetal anesthesia and fetal airway establishment. The anesthesiologist should be aware of these particularities in order to contribute to a favorable outcome. This is a case report of an EXIT procedure performed on a fetus with a cervical lymphangioma with prenatal evidence of partial obstruction of the trachea and risk of post-delivery airway compromise.

Keywords: Airway obstruction; Anestesia; Anesthesia; Cervical lymphangioma; EXIT procedure; Linfangioma cervical; Obstrução de vias aéreas; Procedimento EXIT.

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Figures

Figure 1
Figure 1
Fetal MRI revealing a cervical mass arising from the right region of the fetal neck (arrows).
Figure 2
Figure 2
Endotracheal intubation performed on the partially delivered fetus.
See this image and copyright information in PMC

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