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Fetal Evaluation and Airway Management

Kara Prickett1, Luv Javia2

  • 1Department of Pediatrics, Children's Healthcare of Atlanta, Emory University School of Medicine, 1400 Tullie Road, NE, Atlanta, GA 30329, USA.

Clinics in Perinatology
|November 7, 2018
PubMed

Congenital causes of airway obstruction once noted at birth are now diagnosed prenatally. The adoption of ex utero intrapartum treatment has allowed for planned airway stabilization on placental support, dramatically decreasing the incidence of hypoxic injury or peripartum demise related to neonatal airway obstruction. Airway access is gained either through laryngoscopy, bronchoscopy, or a surgical airway. In complete airway obstruction, primary resection of the obstructing lesion may be performed before completion of delivery. This article reviews the current and emerging methods of fetal evaluation, indications for ex utero intrapartum treatment, and provides a detailed description of the procedure and necessary personnel.

Keywords:
Congenital high airway obstruction syndrome (CHAOS)Congenital teratomaEx utero intrapartum treatment (EXIT)Fetal airway obstructionFetal micrognathiaLymphatic malformation

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