Role of anesthesiologist in ex utero intrapartum treatment procedure: A case and review of anesthetic management

Abstract

The ex utero intrapartum treatment (EXIT) procedure is a rare form of perinatal resuscitation. It is basically a bridge therapy between partial delivery of the child and stabilization of its cardiorespiratory functions. This procedure has multiple anesthetic challenges including maternal anesthesia, maintenance of uteroplacental flow, tocolysis till the neonate is stabilized, management of postpartum hemorrhage, fetal, and neonatal anesthesia. This review also describes a case of cervical teratoma in fetus, for which the EXIT was performed in our institute. In addition to the case description, multiple concerns specific for EXIT procedure are discussed in this review.

Keywords

• Cervical teratoma
• ex utero intrapartum treatment
• tocolysis
• uteroplacental blood flow