New Approach to the Management of Airway Obstruction in "High Risk" Neonates

An operation on placental support in a fetus with a nasopharyngeal teratoma

“…Once the airway is secured with a tracheal tube or tracheostomy, the umbilical cord is clamped with delivery of the fetus. The neonate can undergo excision of the obstruction non‐emergently on the same day or several days later [6, 7].…”

“…Once the airway is secured with a tracheal tube or tracheostomy, the umbilical cord is clamped with delivery of the fetus. The neonate can undergo excision of the obstruction non-emergently on the same day or several days later [6,7]. The obstetric anaesthetic management in OOPS is similar to a standard caesarean section under epidural anaesthesia.…”

The use of remifentanil in ex utero intrapartum treatment procedures

“…This allows time for the surgical team to stabilize the fetal airway before interruption of maternal circulation and delivering the neonate to the neonatology team. First described in 1992 for a fetal epignathus [1], and later refined for the reversal of tracheal clippings in the treatment of patients with congenital diaphragmatic hernias [2,3], the indications for EXIT procedures are expanding for stabilizing fetal cardio-pulmonary statuses.…”

Giant hemangioma of the fetal neck, mimicking a teratoma

“…The use of the EXIT procedure to keep open the airway of a fetus who had a giant teratoma in the neck has been reported. [7][8][9]14 Although these characteristic features of these two types of tumors may be helpful for prenatal diagnosis to some extent, accurate differential diagnosis between the two types does not always seem to be possible. In our case, both the sonographic and MRI findings suggested that the tumor was more likely to be a teratoma.…”