Remifentanil-nitroglycerin combination as an anesthetic support for ex utero intrapartum treatment (EXIT) procedure.

Abstract:

:A 21 year old healthy parturient was diagnosed as having a fetus with micrognathia. She was scheduled for an ex-utero intrapartum treatment (EXIT) procedure. General anesthesia consisted of remifentanil, nitrous oxide, and midazolam. Intravenous nitroglycerin was used for uterine relaxation. This technique offered hemodynamic stability and provided uterine relaxation that may be rapidly terminated. For the fetus, it provided excellent transplacental anesthesia. Supplemental direct fetal anesthesia is recommended to prevent the rapid decline of analgesia/anesthesia that occurs after placental separation.

journal_name

J Clin Anesth

authors

Ioscovich A,Shen O,Sichel JY,Lajos Y,Orkin D,Bromiker R,Briskin A

doi

10.1016/j.jclinane.2009.12.014

subject

Has Abstract

pub_date

2011-03-01 00:00:00

pages

142-4

issue

2

eissn

0952-8180

issn

1873-4529

pii

S0952-8180(11)00003-1

journal_volume

23

pub_type

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