Successful Management of Ex-Utero Intrapartum Treatment Procedure for Cystic Teratoma Under Sole Spinal Anesthesia: an Anesthetic Challenge Case Report

Ngamjit Pattaravit; Orarat Karnjanawanichkul; Pannavit Benjhawaleemas

doi:10.31584/jhsmr.2022899

Successful Management of Ex-Utero Intrapartum Treatment Procedure for Cystic Teratoma Under Sole Spinal Anesthesia: an Anesthetic Challenge Case Report

Ngamjit Pattaravit, Orarat Karnjanawanichkul, Pannavit Benjhawaleemas

Abstract

The Ex-Utero Intrapartum Treatment (EXIT) procedure is a technique that establishes the fetus’s airway, while uteroplacental fetal circulation is still maintained. Anesthesia for this specific procedure requires special anesthetic considerations; such as, uterine relaxation, maternal hemodynamic parameters, the establishment of a fetal airway and maintenance of postpartum uterine contraction. In most cases, general anesthesia is used as the preferred method, due to its effect on uterine relaxation. This presented case demonstrated that a sole spinal anesthetic technique can be used safely for an EXIT procedure.

Keywords

case report; congenital teratoma; EXIT procedure; neuraxial anesthesia

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References

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DOI: http://dx.doi.org/10.31584/jhsmr.2022899

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