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

Heeseung Lee1, Jung Wan Ryu, Dong Yeon Kim

  • 1Department of Anesthesiology and Pain Medicine, School of Medicine, Ewha Womans University, Seoul, Korea.

Korean Journal of Anesthesiology
|February 3, 2011
PubMed

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.

Keywords:
Cesarean deliveryEx utero intrapartum treatment (EXIT)Fetal malformationGeneral anesthesia

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