Ex utero intrapartum treatment procedure in a patient with arthrogryposis multiplex congenita, using continuous spinal anesthesia and intravenous nitroglycerin for uterine relaxation

被引：15
作者：
Benonis, J. G. [1 ]
Habib, A. S. [1 ]
机构：
[1] Duke Univ, Med Ctr, Dept Anesthesiol, Div Womens Anesthesia, Durham, NC 27710 USA
来源：
INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA | 2008年 / 17卷 / 01期
关键词：
ex utero intrapartum treatment (EXIT) procedure; cesarean section; continuous spinal anesthesia; nitroglycerin; arthrogryposis multiplex congenita;
D O I：
10.1016/j.ijoa.2007.01.007
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
The ex utero intrapartum treatment procedure allows for the controlled management of a potentially life-threatening difficult airway in the newborn. General anesthesia has previously been reported for the management of this procedure. We report the use of continuous spinal anesthesia in conjunction with intravenous nitroglycerin for the ex utero intrapartum treatment procedure in a woman with arthrogryposis multiplex congenita, a rare syndrome characterized by rigid joints and limb contractures. (c) 2007 Elsevier Ltd. All rights reserved.
引用
收藏
页码：53 / 56
页数：4
相关论文
共 23 条
[1]   Glyceryl trinitrate and acute uterine relaxation: A literature review [J].
Caponas, G .
ANAESTHESIA AND INTENSIVE CARE, 2001, 29 (02) :163-177
[2]   Nitroglycerin for relaxation to establish a fetal airway (EXIT procedure) [J].
Clark, KD ;
Viscomi, CM ;
Lowell, J ;
Chien, EK .
OBSTETRICS AND GYNECOLOGY, 2004, 103 (05) :1113-1115
[3]   Four cases of the ex utero intrapartum treatment (EXIT) procedure:: anesthetic implications [J].
Dahlgren, G ;
Törnberg, DC ;
Pregner, K ;
Irestedt, L .
INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA, 2004, 13 (03) :178-182
[4]   Intrathecal catheter insertion during labour reduces the risk of postdural puncture headache [J].
Dennehy, KC ;
Rosaeg, OP .
CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 1998, 45 (01) :42-45
[5]   The use of intravenous nitroglycerin for cervico-uterine relaxation: a review of the literature [J].
Dufour, P ;
Vinatier, D ;
Puech, F .
ARCHIVES OF GYNECOLOGY AND OBSTETRICS, 1997, 261 (01) :1-7
[6]   Prenatally diagnosed fetal neck teratoma - Case report and novel management options [J].
Gagnon, AL ;
Bebbington, MW ;
Kamani, A ;
Solimano, A .
FETAL DIAGNOSIS AND THERAPY, 1998, 13 (05) :266-270
[7]   Anesthetic management of cesarean delivery complicated by ex utero intrapartum treatment of the fetus [J].
Gaiser, RR ;
Cheek, TG ;
Kurth, CD .
ANESTHESIA AND ANALGESIA, 1997, 84 (05) :1150-1153
[8]  
Grange CMB, 1998, OBSTETRIC ANESTHESIA, P438
[9]   The ex utero intrapartum treatment procedure: Looking back at the EXIT [J].
Hirose, S ;
Farmer, DL ;
Lee, H ;
Nobuhara, KK ;
Harrison, MR .
JOURNAL OF PEDIATRIC SURGERY, 2004, 39 (03) :375-379
[10]   Spectrum of intrapartum management strategies for giant fetal cervical teratoma [J].
Hirose, S ;
Sydorak, RM ;
Tsao, K ;
Cauldwell, CB ;
Newman, KD ;
Mychaliska, GB ;
Albanese, CT ;
Lee, H ;
Farmer, DL .
JOURNAL OF PEDIATRIC SURGERY, 2003, 38 (03) :446-450
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