International Journal of Obstetric Anesthesia
Volume 17, Issue 1 , Pages 53-56 , January 2008

Ex utero intrapartum treatment procedure in a patient with arthrogryposis multiplex congenita, using continuous spinal anesthesia and intravenous nitroglycerin for uterine relaxation

  • J.G. Benonis
    • ,
  • A.S. Habib

      Affiliations

    • Corresponding Author InformationCorrespondence to: Ashraf S. Habib, MBBCh, MSc, FRCA, Department of Anesthesiology, Box 3094, Duke University Medical Center, Durham, NC 27710, USA. Tel.: +1 919 668 6268.

,Accepted 3 January 2007.

References 

  1. Mychaliska GB, Bealer JF, Graf JL, Rosen MA, Adzick NS, Harrison MR. Operating on placental support: the ex utero intrapartum treatment procedure. J Pediatr Surg. 1997;32:227–230
  2. Norris MC, Joseph J, Leighton BL. Anesthesia for perinatal surgery. Am J Perinatol. 1989;6:39–40
  3. Schwartz MZ, Silver H, Schulman S. Maintenance of the placental circulation to evaluate and treat an infant with massive head and neck hemangioma. J Pediatr Surg. 1993;28:520–522
  4. Hirose S, Farmer DL, Lee H, Nobuhara KK, Harrison MR. The ex utero intrapartum treatment procedure: Looking back at the EXIT. J Pediatr Surg. 2004;39:375–380
  5. Midrio P, Zadra N, Grismondi G, et al. EXIT procedure in a twin gestation and review of the literature. Am J Perinatol. 2001;18:357–362
  6. Quance DR. Anaesthetic management of an obstetrical patient with arthrogryposis multiplex congenita. Can J Anaesth. 1988;35:612–614
  7. Rozkowski A, Smyczek D, Birnbach DJ. Continuous spinal anesthesia for cesarean delivery in a patient with arthrogryposis multiplex congenita. A clinical report. Reg Anesth. 1996;21:477–479
  8. Grange CMB. Miscellaneous Conditions. In:  Gambling DR,  Douglas MJ editor. Obstetric Anesthesia and Uncommon Disorders. Philadelphia: WB Saunders; 1998;p. 438–440
  9. Spooner L. Caesarean section using a combined spinal epidural technique in a patient with arthrogryposis multiplex congenita. Int J Obstet Anesth. 2000;9:282–285
  10. Otto AW. Monstrum himanum extremitatibus incurvatus. Monstrorum sexcentorum descriptio anatomica in Vratislaviae Museum: Anatomico - Pathologieum Breslau 1841. In:  Urist MR editors. Clinical Orthopaedics and Related Research. Philadelphia: JB Lippincott; 1985;p. 321–322
  11. Oberoi GS, Kaul HL, Gill IS, Batra RK. Anaesthesia in arthrogryposis multiplex congenita: case report. Can J Anaesth. 1987;34:288–290
  12. Schulman SR, Jones BR, Slotnick N, Schwartz MZ. Fetal tracheal intubation with intact uteroplacental circulation. Anesth Analg. 1993;76:197–199
  13. Tanaka M, Sato S, Naito H, Nakayama H. Anaesthetic management of a neonate with prenatally diagnosed cervical tumour and upper airway obstruction. Can J Anaesth. 1994;41:236–240
  14. Hirose S, Sydorak RM, Tsao K, et al. Spectrum of intrapartum management strategies for giant fetal cervical teratoma. J Pediatr Surg. 2003;38:446–450
  15. Gagnon AL, Bebbington MW, Kamani A, Solimano A. Prenatally diagnosed fetal neck teratoma. Case report and novel management options. Fetal Diagn Ther. 1998;13:266–270
  16. Clark KD, Viscomi CM, Lowell J, Chien EK. Nitroglycerin for relaxation to establish a fetal airway (EXIT procedure). Obstet Gynecol. 2004;103:1113–1115
  17. Dahlgren G, Tornberg DC, Pregner K, Irestedt L. Four cases of the ex utero intrapartum treatment (EXIT) procedure: anesthetic implications. Int J Obstet Anesth. 2004;13:178–182
  18. Rosen MA, Andreae MH, Cameron AG. Nitroglycerin for fetal surgery: fetoscopy and ex utero intrapartum treatment procedure with malignant hyperthermia precautions. Anesth Analg. 2003;96:698–700
  19. Caponas G. Glyceryl trinitrate and acute uterine relaxation: a literature review. Anaesth Intensive Care. 2001;29:163–177
  20. Dufour P, Vinatier D, Puech F. The use of intravenous nitroglycerin for cervico-uterine relaxation: a review of the literature. Arch Gynecol Obstet. 1997;261:1–7
  21. Gaiser RR, Cheek TG, Kurth CD. Anesthetic management of cesarean delivery complicated by ex utero intrapartum treatment of the fetus. Anesth Analg. 1997;84:1150–1153
  22. Kuczkowski KM. Post-dural puncture headache in the obstetric patient: an old problem. New solutions. Minerva Anestesiol. 2004;70:823–830
  23. Dennehy KC, Rosaeg OP. Intrathecal catheter insertion during labour reduces the risk of post-dural puncture headache. Can J Anaesth. 1998;45:42–45

PII: S0959-289X(07)00011-8

doi: 10.1016/j.ijoa.2007.01.007

International Journal of Obstetric Anesthesia
Volume 17, Issue 1 , Pages 53-56 , January 2008

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