Alotaibi Narjes S, Aqil Mansour, Sabr Yasser, Baaj Jumana, Alsafar Reem
Department of Surgery, Unaizah College of Medicine and Medical Sciences, Qassim University, Unaizah, Saudi Arabia.
Department of Anesthesia, King Saud University, College of Medicine, King Khalid University Hospital, Riyadh, Saudi Arabia.
Saudi J Anaesth. 2024 Jul-Sep;18(3):429-431. doi: 10.4103/sja.sja_900_23. Epub 2024 Jun 4.
The ex-utero intrapartum treatment (EXIT) is a rare surgical procedure performed in cases of expected postpartum fetal airway obstruction. This procedure technique lies in a safe establishment of a patent airway during labor in anticipation of a critical respiratory event, without the interruption of maternal-fetal circulation. Anesthetic management in the EXIT procedure is substantially different from that of the standard cesarean delivery and its main goals include uterine relaxation, fetal anesthesia, and placental blood flow preservation. We report the first case of an EXIT procedure performed on a fetus with a prenatal diagnosis of multiple oral masses at King Khalid University Hospital, Riyadh, Saudi Arabia.
宫外产时处理（EXIT）是一种罕见的外科手术，用于预期产后胎儿气道梗阻的病例。该手术技术在于在分娩期间安全建立通畅气道，以应对关键的呼吸事件，同时不中断母婴循环。EXIT手术的麻醉管理与标准剖宫产手术有很大不同，其主要目标包括子宫松弛、胎儿麻醉和胎盘血流维持。我们报告了沙特阿拉伯利雅得国王哈立德大学医院对一名产前诊断为多发口腔肿物胎儿实施EXIT手术的首例病例。
