Caldeira Alexandre, Pacheco Jânia, Fernandes Sofia, Lança Filipa
Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Serviço de Anestesiologia, Lisboa, Portugal.
Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Serviço de Anestesiologia, Lisboa, Portugal.
Braz J Anesthesiol. 2020 Jan-Feb;70(1):59-62. doi: 10.1016/j.bjan.2019.12.010. Epub 2020 Feb 19.
The Ex Utero Intrapartum Treatment (EXIT) is a surgical procedure performed in cases of expected postpartum fetal airway obstruction, allowing the establishment of patent airway while maintaining placental circulation. Anesthesia for EXIT procedure has several specific features such as adequate uterine relaxation, maintenance of maternal blood pressure fetal anesthesia and fetal airway establishment. The anesthesiologist should be aware of these particularities in order to contribute to a favorable outcome. This is a case report of an EXIT procedure performed on a fetus with a cervical lymphangioma with prenatal evidence of partial obstruction of the trachea and risk of post-delivery airway compromise.
子宫外产时处理(EXIT)是一种针对预期产后胎儿气道梗阻情况实施的外科手术,可在维持胎盘循环的同时建立通畅气道。EXIT手术的麻醉有几个特殊之处,比如子宫充分松弛、维持母体血压、胎儿麻醉以及建立胎儿气道。麻醉医生应了解这些特殊性,以促成良好的手术结果。本文报告了一例对患有颈部淋巴管瘤胎儿实施EXIT手术的病例,产前检查显示气管部分梗阻,且存在产后气道受损风险。