Anestesia para tratamento intraparto extraútero (EXIT) em fetos com diagnóstico pré-natal de malformações cervical e oral: relato de casos

Helfer, Daniel Corrêa; Clivatti, Jefferson; Yamashita, Américo Massafuni; Moron, Antônio Fernandes

doi:10.1590/s0034-70942012000300013

Cited by 6 publications

(2 citation statements)

References 37 publications

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“…It's mandatory to verify the fetal condition and presence or absence of uterine contractions [21]. One must have knowledge of the effects of anesthetic drugs on fetal heart rate, not wrongly interpreting variations in fetal heart rate induced by drugs [42].…”

Section: Fetal Monitoringmentioning

confidence: 99%

Anesthesia for Non-Obstetrical Surgery during Pregnancy

Mandim¹

2014

General Med

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The number of surgical procedures in gravid women unrelated to pregnancy itself has been increased over years. In such cases, one must keep in mind the responsibility for two patients, the optimization and maintenance of maternal homeostasis, avoiding alterations on uteroplacental perfusion that can bring harm to the fetus. This review focus on safety to performing these procedures during pregnancy, considering the advances in the prevention and treatment of obstetric and fetal morbidity related to anesthesia. Background and Objectives:Despite research advances, there is still much controversy in the anesthetic management of obstetric patients. Several studies have demonstrated the safety of anesthesia in this group of patients. In this review an analysis of anesthetics used in clinical practice is proposed as well as the technique to be chosen and its effects on the mother and fetus in non-obstetric surgery during pregnancy.

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Section: Fetal Monitoringmentioning

confidence: 99%

Anesthesia for Non-Obstetrical Surgery during Pregnancy

Mandim¹

2014

General Med

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“…The advancement of perinatal health care combined with the advancement of visual techniques that have been implemented allows surgeons and anesthesiologists to perform airway management and detect, monitor and surgically treat life-threatening tracheobronchial tree abnormalities. The systematic use of placental oxygenation in ex-utero intrapartum treatment (EXIT) has resulted in the survival of many healthy children [6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Morphometric Study of the Trachea in Human Fetuses

Matos¹,

Almeida²,

Aragão³

et al. 2020

IJAR

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Background: The advancement of perinatal health care combined with the advancement of visual techniques that have been implemented allows surgeons and anesthesiologists to perform airway management and detect, monitor and surgically treat life-threatening tracheobronchial tree abnormalities. In this context it is very important to know the anatomy of the trachea in fetuses. Results: The total length of trachea had significant progressive growth with the gestational age, highlighted differences the 20-24 week age group, 29-32 week age group and 33-38 week age group. Similar occurrence was found in these same groups with respect to pre-bifurcation length. Regarding to proximal transverse external diameter and distal transverse external diameter it was observed significant differences between age groups from 20 to 24 weeks, 25 to 28 weeks and 33 to 38 weeks. As the influence of gestational age and sex or both of the measures studied tracheal significant differences occurred only in relation to gestational age. This did not occur with respect to BL and number of cartilage rings. Conclusions: It is possible that the current findings are a contribution in the child's anatomy course and lead the clinical and surgical interest of that act, especially in intensive care units of newly born, as well as in surgery of children's airways.

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Anestesia para procedimento EXIT (tratamento extraútero intraparto) em malformação congênita cervical – um desafio para o anestesiologista

Oliveira

Pereira

Retroz

et al. 2015

Brazilian Journal of Anesthesiology

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The ex utero intrapartum treatment (EXIT) procedure consists of partial externalization of the fetus from the uterine cavity during delivery, allowing the maintenance of placental circulation. It is indicated in the presence of congenital malformation when difficulty in fetal airway access is anticipated, allowing it to be ensured by direct laryngoscopy, bronchoscopy, tracheostomy, or surgical intervention. Anesthesia for EXIT procedure has several special features, such as the appropriate uterine relaxation, maintenance of maternal blood pressure, fetal airway establishment, and maintenance of postpartum uterine contraction. The anesthesiologist should be prepared for the anesthetic particularities of this procedure in order to contribute to a favorable outcome for the mother and particularly the fetus.

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Anestesia para tratamento intraparto extraútero (EXIT) em fetos com diagnóstico pré-natal de malformações cervical e oral: relato de casos

Cited by 6 publications

References 37 publications

Anesthesia for Non-Obstetrical Surgery during Pregnancy

Anesthesia for Non-Obstetrical Surgery during Pregnancy

Morphometric Study of the Trachea in Human Fetuses

Anestesia para procedimento EXIT (tratamento extraútero intraparto) em malformação congênita cervical – um desafio para o anestesiologista

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