Immediate operative management of the fetus with airway anomalies resulting from congenital malformations. Issue 4 (August 2016)

• Record Type: Journal Article
• Authors: Laje, Pablo; Tharakan, Sasha J.; Hedrick, Holly L.
• Is Part Of: Seminars in fetal & neonatal medicine. Volume 21:Issue 4(2016)
• Page Start: 240
• Page End: 245
• Publication Date: 2016-08
• Subjects: Ex-utero intrapartum treatment -- CHAOS syndrome -- Congenital airway obstruction -- Cervical teratoma -- Cervical lymphangioma -- Congenital cystic adenomatoid malformation (CCAM); Neonatology -- Periodicals; Newborn infants -- Diseases -- Periodicals; Fetus -- Diseases -- Periodicals; 618.9201
• DOI: 10.1016/j.siny.2016.04.003
• Languages: English
• ISSNs: 1744-165X

Abstract

Summary: Prenatal diagnosis has transformed the outcome of fetuses with airway obstruction. The thorough evaluation of prenatal imaging allows for categorizing fetuses with airway compromise into those who will require a special mode of delivery and those who can be delivered without any special resources. The ex-utero intrapartum treatment (EXIT) approach allows accessing the airway while the fetus is under placental support, converting a potentially catastrophic situation into a controlled one. An expert multidisciplinary team is the key to success.