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[Anesthesia for EXIT procedure (ex utero intrapartum treatment) in congenital cervical malformation - a challenge to the anesthesiologist].

Abstract：

:The ex utero intrapartum treatment (EXIT) procedure consists of partial externalization of the fetus from the uterine cavity during delivery, allowing the maintenance of placental circulation. It is indicated in the presence of congenital malformation when difficulty in fetal airway access is anticipated, allowing it to be ensured by direct laryngoscopy, bronchoscopy, tracheostomy, or surgical intervention. Anesthesia for EXIT procedure has several special features, such as the appropriate uterine relaxation, maintenance of maternal blood pressure, fetal airway establishment, and maintenance of postpartum uterine contraction. The anesthesiologist should be prepared for the anesthetic particularities of this procedure in order to contribute to a favorable outcome for the mother and particularly the fetus.

journal_name

Rev Bras Anestesiol

journal_title

Revista brasileira de anestesiologia

authors

Oliveira E,Pereira P,Retroz C,Mártires E

doi

10.1016/j.bjan.2015.08.001

subject

Has Abstract

pub_date

2015-11-01 00:00:00

pages

529-33

issue

6

eissn

0034-7094

issn

1806-907X

pii

S0034-7094(15)00084-7

journal_volume

65

pub_type

杂志文章

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