Verifying correct endotracheal intubation by measurement of end-tidal carbon dioxide during an ex utero intrapartum treatment procedure.
The ex utero intrapartum treatment (EXIT) procedure provides time to secure the airway of the fetus while utero-placental circulation supplies the fetus with oxygen. We report the anesthetic management of a fetus with a large neck mass during an EXIT procedure in which the confirmation of correct endotracheal intubation was hampered by parts of the mass, blood, and other fluids. The use of a standard end-tidal carbon dioxide probe provided a reliable signal and proved the endotracheal position of the tube while utero-placental circulation was still intact.
Eschertzhuber
Stephan
S
Department of Anaesthesia and Intensive Care Medicine, Leopold-Franzens University, Innsbruck, Austria.
Keller
Christian
C
Mitterschiffthaler
Gottfried
G
Jochberger
Stefan
S
Kühbacher
Gabriele
G
D000328:Adult; D002245:Carbon Dioxide / Q000097:blood*; D005260:Female; D005315:Fetal Diseases / Q000601:surgery*; D005332:Fetoscopy; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D007044:Hysterectomy; D007442:Intubation, Intratracheal; D008279:Magnetic Resonance Imaging; D016343:Monitoring, Intraoperative; D010092:Oximetry; D011247:Pregnancy; D013724:Teratoma / Q000601:surgery*
D002245:Carbon Dioxide