Pediatric Surgery NaT
Ex Utero Intrapartum Treatment
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Assessment
The purpose of ex utero intrapartum therapy (EXIT) is the maintenance of placental circulation until gas exchange for the neonate can be secured in another manner. There are four main categories of EXIT procedures.
category | subcategory | |
EXIT to airway | intrinsic | congenital high airway obstruction syndrome |
extrinsic | severe micrognathia, lymphatic malformation, vascular malformation | |
iatrogenic | tracheal clip or balloon | |
EXIT to resection | masses | |
EXIT to ECMO | severe congenital heart disease or severe congenital diaphragmatic hernia | |
EXIT to separation | conjoined twins |
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Assessment
The purpose of ex utero intrapartum therapy (EXIT) is the maintenance of placental circulation until gas exchange for the neonate can be secured in another manner. There are four main categories of EXIT procedures.
category | subcategory | |
EXIT to airway | intrinsic | congenital high airway obstruction syndrome |
extrinsic | severe micrognathia, lymphatic malformation, vascular malformation | |
iatrogenic | tracheal clip or balloon | |
EXIT to resection | masses | |
EXIT to ECMO | severe congenital heart disease or severe congenital diaphragmatic hernia | |
EXIT to separation | conjoined twins |
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