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Revista Colombiana de Obstetricia y Ginecología

Print version ISSN 0034-7434
On-line version ISSN 2463-0225

Abstract

OSPINA-GARCIA, Juan Camilo; WUESTHOFF-PRIETO, Carolina  and  ESLAVA-CERON, Santiago. EXIT: ex-utero intrapartum treatment: A case report and literature review. Rev Colomb Obstet Ginecol [online]. 2012, vol.63, n.2, pp.155-162. ISSN 0034-7434.

Introduction and objective: The EXIT procedure (ex-utero intrapartum treatment) is aimed at securing the fetal high airway whilst maintaining integral uteroplacentary circulation. The purpose of reporting this case was to describe the procedure and review the worldwide literature regarding anesthetic considerations and associated complications. Materials and methods: The case of a 39-week gestation female neonate is presented; she was born at the Clínica del Country (a private highlevel healthcare general hospital located in Bogota, Colombia) by the ex-utero intrapartum treatment (EXIT) technique due to a potential obstruction of the airway detected during third-trimester echography. A systematic search was made of Medline databases via PubMed, Ovid, and the SciELO Latin-American database using the following key words: EXIT, ex-utero intrapartum treatment, congenital cervical mass, CHAOS. Results: 183 articles were found, of which 76 were directly related to the topic; 8 case reports, 2 case series and 14 reviews of the topic were selected. Conclusion: The EXIT strategy has proved to be a useful tool in the suitable management of neonates suffering congenital obstruction of the airway.

Keywords : Ex-utero intrapartum treatment (EXIT); congenital cervical mass; congenital high airway obstruction syndrome (CHAOS).

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