• Arch. Gynecol. Obstet. · Jan 2008

    Case Reports

    The ex utero intrapartum treatment procedure: anesthetic considerations.

    • Leon C Chang and Krzysztof M Kuczkowski.
    • Departments of Anesthesiology and Reproductive Medicine, UCSD Medical Center, University of California-San Diego, 200 W. Arbor Drive, San Diego, CA 92103, USA.
    • Arch. Gynecol. Obstet. 2008 Jan 1;277(1):83-5.

    AbstractThe ex-utero intrapartum treatment (EXIT) procedure is an uncommon operation indicated for fetal lesions with the potential to cause life-threatening airway obstruction immediately after delivery. By maintaining utero-placental circulation, the fetal airway can be evaluated and secured prior to delivery. The anesthetic goals for the EXIT procedure differ significantly from a cesarean delivery and include profound uterine relaxation, fetal anesthesia and maintenance of the maternal-fetal circulation. We present a case of an uneventful EXIT procedure and include a discussion of the anesthetic goals for this operation.

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