Ex utero intrapartum treatment procedure for management of congenital high airway obstruction syndrome in a vertex/breech twin gestation

被引：16

作者：

Elliott, Richard ^{[1
]}

Vallera, Cristianna ^{[2
]}

Heitmiller, Eugenie S. ^{[1
]}

Isaac, Gillian ^{[1
]}

Lee, Michael ^{[1
]}

Crino, Jude ^{[3
]}

Boss, Emily F. ^{[4
]}

Ishman, Stacey L. ^{[4
]}

机构：

[1] Johns Hopkins Dept Surg, Dept Anesthesia & Crit Care Med, Baltimore, MD 21287 USA

[2] Cedars Sinai Med Ctr, Dept Anesthesiol, Beverly Hills, CA 90048 USA

[3] Johns Hopkins Dept Surg, Dept Gynecol & Obstet, Baltimore, MD 21287 USA

[4] Johns Hopkins Dept Surg, Dept Otolaryngol Head & Neck Surg, Baltimore, MD 21287 USA

来源：

INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY | 2013年 / 77卷 / 03期

关键词：

Anesthesia; CHAOS; Congenital High Airway Obstructive; Syndrome; Ex Utero Intrapartum Treatment; EXIT; twin; LARYNGEAL ATRESIA; ANESTHETIC MANAGEMENT; PLACENTAL SUPPORT; SYNDROME CHAOS; FETUS; NECK;

D O I：

10.1016/j.ijporl.2012.11.023

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Congenital high airway obstruction syndrome (CHAOS) is one indication for the ex utero intrapartum treatment (EXIT), which is used to secure the fetal airway, while fetal oxygenation is maintained by uteroplacental circulation. We report a successful EXIT procedure in a twin gestation in which one child had CHAOS while the other was a healthy child without any congenital abnormalities. After version of Twin B to allow for delivery of Twin A, Twin B underwent airway evaluation and tracheostomy for laryngeal atresia prior to delivery. (C) 2012 Elsevier Ireland Ltd. All rights reserved.

引用

页码：439 / 442

页数：4

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