title: Verifying correct endotracheal intubation by measurement of end-tidal carbon dioxide during an ex utero intrapartum treatment procedure.
abstract: 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.
authors.affiliation: Department of Anaesthesia and Intensive Care Medicine, Leopold-Franzens University, Innsbruck, Austria.
authors.forename: Stephan
authors.initials: S
authors.lastname: Eschertzhuber
authors.forename: Christian
authors.initials: C
authors.lastname: Keller
authors.forename: Gottfried
authors.initials: G
authors.lastname: Mitterschiffthaler
authors.forename: Stefan
authors.initials: S
authors.lastname: Jochberger
authors.forename: Gabriele
authors.initials: G
authors.lastname: Kühbacher
mesh_terms: 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*
chemical_list: D002245:Carbon Dioxide