title: Anesthetic management of an ex utero intrapartum treatment procedure: a novel balanced approach.
abstract: Ex utero intrapartum treatment (EXIT) procedures are therapeutic interventions for fetuses with life-threatening airway abnormalities and/or other prenatally diagnosed congenital malformations requiring immediate neonatal extracorporeal membrane oxygenation support. Although certain anesthetic goals are common among EXIT procedures, many different approaches to their management have been described in the literature. Herein, we present a novel anesthetic approach to an EXIT procedure for fetal micrognathia and retrognathia. We also review the indications and anesthetic considerations for these procedures and highlight the need for multidisciplinary collaboration to optimize clinical outcomes.
authors.affiliation: San Antonio Uniformed Services Health Education Consortium (SAUSHEC) Anesthesiology, San Antonio Medical Center, 3551 Roger Brooke Dr, Fort Sam, Houston, TX, 78234. Electronic address: adam.braden@us.af.mil.
authors.forename: Adam
authors.initials: A
authors.lastname: Braden
authors.affiliation: San Antonio Uniformed Services Health Education Consortium (SAUSHEC) Anesthesiology, San Antonio Medical Center, 3551 Roger Brooke Dr, Fort Sam, Houston, TX, 78234.
authors.forename: Christopher
authors.initials: C
authors.lastname: Maani
authors.affiliation: San Antonio Uniformed Services Health Education Consortium (SAUSHEC) Anesthesiology, San Antonio Medical Center, 3551 Roger Brooke Dr, Fort Sam, Houston, TX, 78234.
authors.forename: Christopher
authors.initials: C
authors.lastname: Nagy
mesh_terms: D000402:Airway Obstruction / Q000209:etiology / Q000628:therapy*; D000768:Anesthesia, General / Q000379:methods; D000773:Anesthesia, Obstetrical / Q000379:methods*; D002585:Cesarean Section / Q000379:methods*; D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D008844:Micrognathism / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy; D018743:Perinatal Care / Q000379:methods*; D011247:Pregnancy; D011296:Prenatal Diagnosis / Q000379:methods; D063173:Retrognathia / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy; D055815:Young Adult