• Int J Obstet Anesth · May 2019

    Case Reports

    Multimodal general anesthesia approach for Ex Utero Intrapartum Therapy (EXIT) procedures: two case reports.

    • E Dinges, J Heier, C Delgado, and L Bollag.
    • Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, USA. Electronic address: edinges@uw.edu.
    • Int J Obstet Anesth. 2019 May 1; 38: 142-145.

    AbstractHigh-dose volatile anesthesia is the most common method of achieving uterine relaxation for Ex Utero Intrapartum Therapy (EXIT) procedures. Other methods employ nitroglycerin for additional uterine relaxation with or without remifentanil for additional fetal analgesia. We report a combination approach including one minimum alveolar concentration of volatile anesthetic plus nitroglycerin and remifentanil infusions, to provide timely uterine relaxation under general anesthesia for both mother and fetus, during two EXIT procedures.Copyright © 2018 Elsevier Ltd. All rights reserved.

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