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Marques MV, Carneiro J, Adriano M, et al. Anestesia para tratamento ex-útero intraparto: visão renovada sobre um procedimento raro. [Anesthesia for ex utero intrapartum treatment: renewed insight on a rare procedure]. Rev Bras Anestesiol. 2014;65(6):525-8doi: 10.1016/j.bjan.2013.12.002.
Marques, M. V., Carneiro, J., Adriano, M., & Lança, F. (2015). Anestesia para tratamento ex-útero intraparto: visão renovada sobre um procedimento raro. [Anesthesia for ex utero intrapartum treatment: renewed insight on a rare procedure]. Revista brasileira de anestesiologia, 65(6), 525-8. https://doi.org/10.1016/j.bjan.2013.12.002
Marques, Miguel Vieira, et al. "Anestesia para tratamento ex-útero intraparto: visão renovada sobre um procedimento raro." [Anesthesia for ex utero intrapartum treatment: renewed insight on a rare procedure]. Revista brasileira de anestesiologia vol. 65,6 (2015): 525-8. doi: https://doi.org/10.1016/j.bjan.2013.12.002
Marques MV, Carneiro J, Adriano M, Lança F. Anestesia para tratamento ex-útero intraparto: visão renovada sobre um procedimento raro. [Anesthesia for ex utero intrapartum treatment: renewed insight on a rare procedure]. Rev Bras Anestesiol. 2015 Nov-Dec;65(6):525-8. doi: 10.1016/j.bjan.2013.12.002. Epub 2014 Sep 02. Portuguese. PMID: 26655714.
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Rev Bras Anestesiol. 2015 Nov-Dec;65(6):525-8. doi: 10.1016/j.bjan.2013.12.002. Epub 2014 Sep 02.

[Anesthesia for ex utero intrapartum treatment: renewed insight on a rare procedure].

Revista brasileira de anestesiologia

[Article in Portuguese]
Miguel Vieira Marques, João Carneiro, Marta Adriano, Filipa Lança

Affiliations

  1. Serviço de Anestesiologia, Hospital Universitário de Santa Maria, Centro Hospitalar de Lisboa Norte, E.P.E., Lisboa, Portugal. Electronic address: [email protected].
  2. Serviço de Anestesiologia, Hospital Universitário de Santa Maria, Centro Hospitalar de Lisboa Norte, E.P.E., Lisboa, Portugal.
  3. Serviço de Anestesiologia, Hospital Curry Cabral, Centro Hospitalar de Lisboa Central, Lisboa, Portugal.

PMID: 26655714 DOI: 10.1016/j.bjan.2013.12.002

Abstract

The ex utero intrapartum treatment is a rare surgical procedure performed in cases of expected postpartum fetal airway obstruction. The technique lies on a safe establishment of a patent airway during labor in anticipation of a critical respiratory event, without interrupting maternal-fetal circulation. Anesthetic management is substantially different from that regarding standard cesarean delivery and its main goals include uterine relaxation, fetal anesthesia and preservation of placental blood flow. We present the case of an ex utero intrapartum treatment procedure performed on a fetus with a large cervical lymphangioma and prenatal evidence of airway compromise. Modifications to the classic ex utero intrapartum treatment management strategies were successfully adopted and will be discussed in the following report.

Copyright © 2013 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.

Keywords: Airway – obstruction; Anestesia – fetal; Anestesia – obstétrica; Anesthesia – fetal; Anesthesia – obstetric; Cervical lymphangioma; EXIT; Linfangioma cervical; Vias aéreas – obstrução

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