Open AccessRole of anesthesiologist in ex utero intrapartum treatment procedure: A case and review of anesthetic management
Author(s) -
Rajkumar Subramanian,
Pallavi Mishra,
Rajeshwari Subramaniam,
Sumit Bansal
Publication year - 2018
Publication title -
journal of anaesthesiology-clinical pharmacology/journal of anaesthesiology clinical pharmacology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.466
H-Index - 32
eISSN - 2231-2730
pISSN - 0970-9185
DOI - 10.4103/joacp.joacp_239_16
Subject(s) - medicine , in utero , resuscitation , anesthetic , cardiorespiratory fitness , fetus , anesthesia , neonatal resuscitation , obstetrics , pregnancy , intensive care medicine , genetics , biology , physical therapy
The ex utero intrapartum treatment (EXIT) procedure is a rare form of perinatal resuscitation. It is basically a bridge therapy between partial delivery of the child and stabilization of its cardiorespiratory functions. This procedure has multiple anesthetic challenges including maternal anesthesia, maintenance of uteroplacental flow, tocolysis till the neonate is stabilized, management of postpartum hemorrhage, fetal, and neonatal anesthesia. This review also describes a case of cervical teratoma in fetus, for which the EXIT was performed in our institute. In addition to the case description, multiple concerns specific for EXIT procedure are discussed in this review.