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

A-S Ducloy-Bouthors1, B Marciniak, P Vaast

  • 1Clinique d'Anesthésie-Réanimation, Hôpital Jeanne-de-Flandre, CHRU de Lille, 2 Avenue Oscar-Lambret, 59037 Lille Cedex, France. asducloy@chru-lille.fr

Annales Francaises D'Anesthesie Et De Reanimation
|May 16, 2006
PubMed

The ex utero intrapartum treatment (EXIT) procedure is a surgical procedure maintaining utero-placental circulation during caesarean section. Anaesthetic implications are described: foetal transplacental anaesthesia to avoid first breathing and to permit surgical procedure on obstructed foetal airway, deep maternal haemodynamically stable anaesthesia to relax uterine smooth muscle during a long caesarean procedure but avoiding post-partum haemorrhage. Volatile anaesthesia with sevoflurane seems to be adequate for these aims. Two cases are described.

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