Anesthetic management of the ex utero intrapartum treatment (EXIT) procedure

Heeseung Lee, Jung Wan Ryu, Dong Yeon Kim, Guie Yong Lee

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)S154-S157
JournalKorean Journal of Anesthesiology
Volume59
Issue numberSUPPL.
DOIs
StatePublished - Dec 2010

Keywords

  • Cesarean delivery
  • Ex utero intrapartum treatment (EXIT)
  • Fetal malformation
  • General anesthesia

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