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Ann Fr Anesth Reanim · Jun 2006
Case Reports[Maternal and foetal anaesthesia for ex utero intrapartum treatment (EXIT) procedure].
- A-S Ducloy-Bouthors, B Marciniak, P Vaast, P Fayoux, V Houfflin-Debarge, A Fily, and T Rakza.
- Clinique d'Anesthésie-Réanimation, Hôpital Jeanne-de-Flandre, CHRU de Lille, 2 Avenue Oscar-Lambret, 59037 Lille Cedex, France. asducloy@chru-lille.fr
- Ann Fr Anesth Reanim. 2006 Jun 1; 25 (6): 638-43.
AbstractThe ex utero intrapartum treatment (EXIT) procedure is a surgical procedure maintaining utero-placental circulation during caesarean section. Anaesthetic implications are described: foetal transplacental anaesthesia to avoid first breathing and to permit surgical procedure on obstructed foetal airway, deep maternal haemodynamically stable anaesthesia to relax uterine smooth muscle during a long caesarean procedure but avoiding post-partum haemorrhage. Volatile anaesthesia with sevoflurane seems to be adequate for these aims. Two cases are described.
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