Anesthesia for Ex Utero Intrapartum Treatment: Renewed Insight on a Rare Procedure

Detalhes bibliográficos
Autor(a) principal: Vieira Marques, M
Data de Publicação: 2015
Outros Autores: Carneiro, J, Adriano, M, Lança, F
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.17/2355
Resumo: 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.
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spelling Anesthesia for Ex Utero Intrapartum Treatment: Renewed Insight on a Rare ProcedureHCC ANSAirway, ObstructionAnesthesia, FatalAnesthesia, ObstetricCervical LymphangiomaEXITThe 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.ElsevierRepositório do Centro Hospitalar Universitário de Lisboa Central, EPEVieira Marques, MCarneiro, JAdriano, MLança, F2015-12-22T16:11:00Z20152015-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.17/2355engRev Bras Anestesiol. 2015 Nov-Dec;65(6):525-810.1016/j.bjan.2013.12.002info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-10T09:36:35Zoai:repositorio.chlc.min-saude.pt:10400.17/2355Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:19:42.933258Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Anesthesia for Ex Utero Intrapartum Treatment: Renewed Insight on a Rare Procedure
title Anesthesia for Ex Utero Intrapartum Treatment: Renewed Insight on a Rare Procedure
spellingShingle Anesthesia for Ex Utero Intrapartum Treatment: Renewed Insight on a Rare Procedure
Vieira Marques, M
HCC ANS
Airway, Obstruction
Anesthesia, Fatal
Anesthesia, Obstetric
Cervical Lymphangioma
EXIT
title_short Anesthesia for Ex Utero Intrapartum Treatment: Renewed Insight on a Rare Procedure
title_full Anesthesia for Ex Utero Intrapartum Treatment: Renewed Insight on a Rare Procedure
title_fullStr Anesthesia for Ex Utero Intrapartum Treatment: Renewed Insight on a Rare Procedure
title_full_unstemmed Anesthesia for Ex Utero Intrapartum Treatment: Renewed Insight on a Rare Procedure
title_sort Anesthesia for Ex Utero Intrapartum Treatment: Renewed Insight on a Rare Procedure
author Vieira Marques, M
author_facet Vieira Marques, M
Carneiro, J
Adriano, M
Lança, F
author_role author
author2 Carneiro, J
Adriano, M
Lança, F
author2_role author
author
author
dc.contributor.none.fl_str_mv Repositório do Centro Hospitalar Universitário de Lisboa Central, EPE
dc.contributor.author.fl_str_mv Vieira Marques, M
Carneiro, J
Adriano, M
Lança, F
dc.subject.por.fl_str_mv HCC ANS
Airway, Obstruction
Anesthesia, Fatal
Anesthesia, Obstetric
Cervical Lymphangioma
EXIT
topic HCC ANS
Airway, Obstruction
Anesthesia, Fatal
Anesthesia, Obstetric
Cervical Lymphangioma
EXIT
description 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.
publishDate 2015
dc.date.none.fl_str_mv 2015-12-22T16:11:00Z
2015
2015-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.17/2355
url http://hdl.handle.net/10400.17/2355
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Rev Bras Anestesiol. 2015 Nov-Dec;65(6):525-8
10.1016/j.bjan.2013.12.002
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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