[Maternal and foetal anaesthesia for ex utero intrapartum treatment (EXIT) procedure].
The ex utero intrapartum treatment (EXIT) procedure is a surgical procedure maintaining utero-placental circulation during caesarean section. Anaesthetic implications are described: foetal transplacental anaesthesia to avoid first breathing and to permit surgical procedure on obstructed foetal airway, deep maternal haemodynamically stable anaesthesia to relax uterine smooth muscle during a long caesarean procedure but avoiding post-partum haemorrhage. Volatile anaesthesia with sevoflurane seems to be adequate for these aims. Two cases are described.
Ducloy-Bouthors
A-S
AS
Clinique d'Anesthésie-Réanimation, Hôpital Jeanne-de-Flandre, CHRU de Lille, 2 Avenue Oscar-Lambret, 59037 Lille Cedex, France. asducloy@chru-lille.fr
Marciniak
B
B
Vaast
P
P
Fayoux
P
P
Houfflin-Debarge
V
V
Fily
A
A
Rakza
T
T
D000328:Adult; D000402:Airway Obstruction / Q000209:etiology / Q000601:surgery*; D000769:Anesthesia, Inhalation; D000773:Anesthesia, Obstetrical; D018685:Anesthetics, Inhalation / Q000008:administration & dosage; D002585:Cesarean Section; D005260:Female; D005315:Fetal Diseases / Q000601:surgery*; D005333:Fetus / Q000601:surgery; D006042:Goiter / Q000150:complications / Q000601:surgery; D006801:Humans; D020883:Hysterotomy; D007442:Intubation, Intratracheal; D007829:Laryngostenosis / Q000209:etiology; D008431:Maternal-Fetal Exchange; D008738:Methyl Ethers / Q000008:administration & dosage; D011247:Pregnancy; D000077149:Sevoflurane; D013724:Teratoma / Q000150:complications / Q000601:surgery; D014062:Tongue Neoplasms / Q000150:complications / Q000601:surgery; D014135:Tracheal Stenosis / Q000209:etiology
D018685:Anesthetics, Inhalation; D008738:Methyl Ethers; D000077149:Sevoflurane