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  • Title: The ex utero intrapartum treatment procedure: anesthetic considerations.
    Author: Chang LC, Kuczkowski KM.
    Journal: Arch Gynecol Obstet; 2008 Jan; 277(1):83-5. PubMed ID: 17619892.
    Abstract:
    The ex-utero intrapartum treatment (EXIT) procedure is an uncommon operation indicated for fetal lesions with the potential to cause life-threatening airway obstruction immediately after delivery. By maintaining utero-placental circulation, the fetal airway can be evaluated and secured prior to delivery. The anesthetic goals for the EXIT procedure differ significantly from a cesarean delivery and include profound uterine relaxation, fetal anesthesia and maintenance of the maternal-fetal circulation. We present a case of an uneventful EXIT procedure and include a discussion of the anesthetic goals for this operation.
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