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REVIEW ARTICLE
Year : 2018  |  Volume : 34  |  Issue : 2  |  Page : 148-154

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


1 Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India
2 Department of Anaesthesiology, Fortis Memorial Research Institute, Gurgaon, Haryana, India

Correspondence Address:
Rajeshwari Subramaniam
Department of Anaesthesiology, Pain Medicine and Critical Care, Room No. 5014A, 5th Floor, Teaching Block, All India Institute of Medical Sciences, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/joacp.JOACP_239_16

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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.


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