Maternal and foetal anaesthesia for ex utero intrapartum treatment (EXIT) procedure |
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| Authors: | Ducloy-Bouthors A-S Marciniak B Vaast P Fayoux P Houfflin-Debarge V Fily A Rakza T |
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| Affiliation: | 1. Department of Cardiothoracic Anesthesiology, Vanderbilt University Medical Center, Nashville, TN 37232, USA;2. Division of Cardiology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN 37232, USA |
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| Abstract: | The 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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