Korean J Anesthesiol.  2010 Dec;59(Suppl):S154-S157. 10.4097/kjae.2010.59.S.S154.

Anesthetic management of the ex utero intrapartum treatment (EXIT) procedure: A case report

• Lee H
• Ryu JW
• Kim DY
• Lee GY

• KMID: 2237376
• DOI: http://doi.org/10.4097/kjae.2010.59.S.S154

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.

Keyword

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

MeSH Terms

Anesthesia, General
Anesthesiology
Anesthetics
Cesarean Section
Female
Fetus
Nitroglycerin
Placental Circulation
Pregnancy
Anesthetics
Nitroglycerin