title: [Maternal and foetal anaesthesia for ex utero intrapartum treatment (EXIT) procedure].
abstract: 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.
authors.affiliation: Clinique d'Anesthésie-Réanimation, Hôpital Jeanne-de-Flandre, CHRU de Lille, 2 Avenue Oscar-Lambret, 59037 Lille Cedex, France. asducloy@chru-lille.fr
authors.forename: A-S
authors.initials: AS
authors.lastname: Ducloy-Bouthors
authors.forename: B
authors.initials: B
authors.lastname: Marciniak
authors.forename: P
authors.initials: P
authors.lastname: Vaast
authors.forename: P
authors.initials: P
authors.lastname: Fayoux
authors.forename: V
authors.initials: V
authors.lastname: Houfflin-Debarge
authors.forename: A
authors.initials: A
authors.lastname: Fily
authors.forename: T
authors.initials: T
authors.lastname: Rakza
mesh_terms: 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
chemical_list: D018685:Anesthetics, Inhalation; D008738:Methyl Ethers; D000077149:Sevoflurane