• Rev Bras Anestesiol · Nov 2015

    [Anesthesia for ex utero intrapartum treatment: renewed insight on a rare procedure].

    • Miguel Vieira Marques, João Carneiro, Marta Adriano, and Filipa Lança.
    • Serviço de Anestesiologia, Hospital Universitário de Santa Maria, Centro Hospitalar de Lisboa Norte, E.P.E., Lisboa, Portugal. Electronic address: miguelvieiramarques@hotmail.com.
    • Rev Bras Anestesiol. 2015 Nov 1; 65 (6): 525-8.

    AbstractThe ex utero intrapartum treatment is a rare surgical procedure performed in cases of expected postpartum fetal airway obstruction. The technique lies on a safe establishment of a patent airway during labor in anticipation of a critical respiratory event, without interrupting maternal-fetal circulation. Anesthetic management is substantially different from that regarding standard cesarean delivery and its main goals include uterine relaxation, fetal anesthesia and preservation of placental blood flow. We present the case of an ex utero intrapartum treatment procedure performed on a fetus with a large cervical lymphangioma and prenatal evidence of airway compromise. Modifications to the classic ex utero intrapartum treatment management strategies were successfully adopted and will be discussed in the following report. Copyright © 2013 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.

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