[The multidisciplinary challenge of anesthesia for ex utero intrapartum treatment: a case report]

Alexandre Caldeira1, Jânia Pacheco1, Sofia Fernandes1

  • 1Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Serviço de Anestesiologia, Lisboa, Portugal.

The Ex- Utero Intrapartum Treatment (EXIT) is a surgical procedure performed in cases of expected postpartum fetal airway obstruction, allowing the establishment of patent airway while maintaining placental circulation. Anesthesia for EXIT procedure has several specific features such as adequate uterine relaxation, maintenance of maternal blood pressure fetal anesthesia and fetal airway establishment. The anesthesiologist should be aware of these particularities in order to contribute to a favorable outcome. This is a case report of an EXIT procedure performed on a fetus with a cervical lymphangioma with prenatal evidence of partial obstruction of the trachea and risk of post-delivery airway compromise.