Management of antenatally detected fetal airway obstruction.
Five cases of antenatally diagnosed fetal airway obstruction have been cared for at the John Hunter Children's Hospital, Newcastle, Australia. A multidisciplinary team manages them during the perinatal period. We present our technique at the time of delivery, which aims to afford us the greatest flexibility in managing both the mother, her child's airway, and the underlying lesion. We begin with an ex utero intrapartum technique (EXIT) and favor routine rigid bronchoscopy to secure the neonate's airway without preliminary attempts at endotracheal intubation.
Walker
Paul
P
John Hunter Children's Hospital, Newcastle, Australia; University of Newcastle, Newcastle, Australia. walkerp@tpg.com.au
Cassey
John
J
O'callaghan
Stephen
S
D000328:Adult; D000402:Airway Obstruction / Q000151:congenital* / Q000000981:diagnostic imaging / Q000601:surgery*; D036861:Delivery, Obstetric / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D007748:Labor Stage, Second; D008297:Male; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D021041:Placental Circulation; D011247:Pregnancy; D016896:Treatment Outcome; D016216:Ultrasonography, Prenatal