Maternal and foetal anaesthesia for ex utero intrapartum treatment (EXIT) procedure

被引：13
作者：
Ducloy-Bouthors, A. -S.
Marciniak, B.
Vaast, P.
Fayoux, P.
Houfflin-Debarge, V.
Fily, A.
Rakza, T.
机构：
[1] CHRU Lille, Hop Jeanne De Flandre, Clin Anesthesie Reanimat, F-59037 Lille, France
[2] CHRU Lille, Hop Jeanne De Flandre, Clin Obstet, F-59037 Lille, France
[3] CHRU Lille, Serv ORL, F-59037 Lille, France
[4] CHRU Lille, Serv Reanimat Neonatale, F-59037 Lille, France
来源：
ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION | 2006年 / 25卷 / 06期
关键词：
transplacental anesthesia; maternofoetal ratio;
D O I：
10.1016/j.annfar.2006.02.023
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
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. (c) 2006 Elsevier SAS. Tous droits reserves.
引用
收藏
页码：638 / 643
页数：6
相关论文
共 28 条
[1]  
BIRIBO MA, 2000, TXB OBSTET ANESTHESI, P239
[2]   The EXIT procedure: Experience and outcome in 31 cases [J].
Bouchard, S ;
Johnson, MP ;
Flake, AW ;
Howell, LJ ;
Myers, LB ;
Adzick, NS ;
Crombleholme, TM .
JOURNAL OF PEDIATRIC SURGERY, 2002, 37 (03) :418-425
[3]   Successful EXIT (ex utero intrapartum treatment) procedure in a fetus diagnosed prenatally with congenital high-airway obstruction syndrome due to laryngeal atresia [J].
Bui, TH ;
Grunewald, C ;
Frenckner, B ;
Kuylenstierna, R ;
Dahlgren, G ;
Edner, A ;
Granström, L ;
Selldén, H .
EUROPEAN JOURNAL OF PEDIATRIC SURGERY, 2000, 10 (05) :328-333
[4]   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
[5]  
DAILLAND P, 1994, ANESTEZIOL REANIMAT, P46
[6]  
DATTA S, 1981, OBSTET GYNECOL, V58, P331
[7]   Nitroglycerin to facilitate fetal extraction during cesarean delivery [J].
David, M ;
Halle, H ;
Lichtenegger, W ;
Sinha, P ;
Zimmermann, T .
OBSTETRICS AND GYNECOLOGY, 1998, 91 (01) :119-124
[8]   Intravenous nitroglycerin for internal podalic version of the second twin in transverse lie [J].
Dufour, P ;
Vinatier, D ;
Vanderstichele, S ;
Ducloy, AS ;
Depret, S ;
Monnier, JC .
OBSTETRICS AND GYNECOLOGY, 1998, 92 (03) :416-419
[9]  
FOGEL ST, 1999, OBSTET ANESTHESIA, P187
[10]   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
123