Anesthetic considerations of EXIT procedure: A case report

IF 17.7 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-06-04 DOI:10.4103/sja.sja_900_23
Narjes S. Alotaibi, Mansour Aqil, Yasser Sabr, Jumana Baaj, Reem Alsafar
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Abstract

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.
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EXIT 手术的麻醉注意事项:病例报告
产前治疗(EXIT)是一种罕见的外科手术,适用于预期产后胎儿气道阻塞的病例。该手术的技术在于,在不中断母胎循环的情况下,在分娩过程中安全地建立通畅的气道,以应对危急的呼吸事件。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保护。我们报告了沙特阿拉伯利雅得哈立德国王大学医院为一名产前诊断为多发性口腔肿块的胎儿实施的首例EXIT手术。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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