Anesthetic management of the exit (ex utero intrapartum treatment) procedure

Authors

Donald Schwartz MD, Baystate HealthFollow
Kevin Moriarty MD, Baystate HealthFollow
David Tashjian MD, Baystate HealthFollow
Robert Wool MD, Baystate Health
Robert Parker MD, Baystate HealthFollow
Glenn Markenson MD, Baystate HealthFollow
Robert Rothstein MD, Baystate HealthFollow
Bhavesh Shah MD, Baystate HealthFollow
Neil Connelly MD, Baystate HealthFollow
Richard Courtney MD, Baystate HealthFollow

Author Department

Anesthesiology; Pediatrics; Surgery

Document Type

Article, Peer-reviewed

Publication Date

8-2001

Abstract

The EXIT (ex utero intrapartum treatment) procedure is used to maintain fetal-placental circulation during partial delivery of a fetus with a potentially life-threatening upper airway obstruction. We performed the EXIT procedure on a fetus with a large intra-oral cyst. Sevoflurane was used as the anesthetic because of its rapid titratability. Sevoflurane provided excellent maternal and fetal anesthesia. Modifications to previously described monitoring techniques for the EXIT procedure were also used.

Recommended Citation

Schwartz DA, Moriarty KP, Tashjian DB, Wool RS, Parker RK, Markenson GR, Rothstein RW, Shah BL, Connelly NR, Courtney RA. Anesthetic management of the exit (ex utero intrapartum treatment) procedure. J Clin Anesth. 2001 Aug;13(5):387-91.