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Maternal and foetal anaesthesia for ex utero intrapartum treatment (EXIT) procedure
Authors:Ducloy-Bouthors A-S  Marciniak B  Vaast P  Fayoux P  Houfflin-Debarge V  Fily A  Rakza T
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
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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