Maternal anesthesia for EXIT procedure: A systematic review of literature
The ex utero intrapartum treatment (EXIT) procedure is performed in cases of fetal congenital malformation. The anesthetic management is much more challenging and involves providing profound uterine relaxation, maintenance of Uteroplacental blood flow and fetal anesthesia. The aim of the article is...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Journal of Anaesthesiology Clinical Pharmacology |
| Subjects: | |
| Online Access: | http://www.joacp.org/article.asp?issn=0970-9185;year=2019;volume=35;issue=1;spage=19;epage=24;aulast=Kumar |
| _version_ | 1819111248138076160 |
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| author | Kamal Kumar Cristiana Miron Sudha Indu Singh |
| author_facet | Kamal Kumar Cristiana Miron Sudha Indu Singh |
| author_sort | Kamal Kumar |
| collection | DOAJ |
| description | The ex utero intrapartum treatment (EXIT) procedure is performed in cases of fetal congenital malformation. The anesthetic management is much more challenging and involves providing profound uterine relaxation, maintenance of Uteroplacental blood flow and fetal anesthesia. The aim of the article is to review the literature and compare the efficacy of both the anesthetic techniques with respect to maternal and fetal outcomes. The literature source for this review was obtained via PubMed, Medline, Google scholar and Cochrane database of systematic reviews until January 2017. In our literature review we found that both GA and Regional anesthesia were successfully described for EXIT procedure but GA was performed in the majority of cases.Consideration for anesthetic technique should be done on a case-by-case basis. |
| first_indexed | 2024-12-22T03:54:36Z |
| format | Article |
| id | doaj.art-a34856c88f9945d993fa8e6728fdaa55 |
| institution | Directory Open Access Journal |
| issn | 0970-9185 |
| language | English |
| last_indexed | 2024-12-22T03:54:36Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Anaesthesiology Clinical Pharmacology |
| spelling | doaj.art-a34856c88f9945d993fa8e6728fdaa552022-12-21T18:39:54ZengWolters Kluwer Medknow PublicationsJournal of Anaesthesiology Clinical Pharmacology0970-91852019-01-01351192410.4103/joacp.JOACP_302_17Maternal anesthesia for EXIT procedure: A systematic review of literatureKamal KumarCristiana MironSudha Indu SinghThe ex utero intrapartum treatment (EXIT) procedure is performed in cases of fetal congenital malformation. The anesthetic management is much more challenging and involves providing profound uterine relaxation, maintenance of Uteroplacental blood flow and fetal anesthesia. The aim of the article is to review the literature and compare the efficacy of both the anesthetic techniques with respect to maternal and fetal outcomes. The literature source for this review was obtained via PubMed, Medline, Google scholar and Cochrane database of systematic reviews until January 2017. In our literature review we found that both GA and Regional anesthesia were successfully described for EXIT procedure but GA was performed in the majority of cases.Consideration for anesthetic technique should be done on a case-by-case basis.http://www.joacp.org/article.asp?issn=0970-9185;year=2019;volume=35;issue=1;spage=19;epage=24;aulast=KumarAnesthesiacesarean deliveryEx-uterus intrapartum treatmentfetal malformation |
| spellingShingle | Kamal Kumar Cristiana Miron Sudha Indu Singh Maternal anesthesia for EXIT procedure: A systematic review of literature Journal of Anaesthesiology Clinical Pharmacology Anesthesia cesarean delivery Ex-uterus intrapartum treatment fetal malformation |
| title | Maternal anesthesia for EXIT procedure: A systematic review of literature |
| title_full | Maternal anesthesia for EXIT procedure: A systematic review of literature |
| title_fullStr | Maternal anesthesia for EXIT procedure: A systematic review of literature |
| title_full_unstemmed | Maternal anesthesia for EXIT procedure: A systematic review of literature |
| title_short | Maternal anesthesia for EXIT procedure: A systematic review of literature |
| title_sort | maternal anesthesia for exit procedure a systematic review of literature |
| topic | Anesthesia cesarean delivery Ex-uterus intrapartum treatment fetal malformation |
| url | http://www.joacp.org/article.asp?issn=0970-9185;year=2019;volume=35;issue=1;spage=19;epage=24;aulast=Kumar |
| work_keys_str_mv | AT kamalkumar maternalanesthesiaforexitprocedureasystematicreviewofliterature AT cristianamiron maternalanesthesiaforexitprocedureasystematicreviewofliterature AT sudhaindusingh maternalanesthesiaforexitprocedureasystematicreviewofliterature |