%0 Journal Article
%T EXIT: tratamiento ex¨²tero intraparto: Reporte de caso y revisi¨®n de la literatura EXIT: ex-utero intrapartum treatment: A case report and literature review
%A Juan Camilo Ospina-Garc¨ªa
%A Carolina Wuesthoff-Prieto
%A Santiago Eslava-Cer¨®n
%J Revista Colombiana de Obstetricia y Ginecolog¨ªa
%D 2012
%I Federaci¨®n Colombiana de Asociaciones de Obstetricia y Ginecolog¨ªa
%X Introducci¨®n y objetivo: la t¨¦cnica Tratamiento ex¨²tero intraparto (EXIT) permite el aseguramiento de la v¨ªa a¨¦rea fetal mientras se mantiene el soporte uteroplacentario ¨ªntegro. El objetivo de reportar este caso es describir el procedimiento y hacer una revisi¨®n de la literatura mundial respecto a consideraciones anest¨¦sicas y complicaciones asociadas. Materiales y m¨¦todos: presentamos el caso de una neonato femenina de 39 semanas de gestaci¨®n que nace mediante la t¨¦cnica Tratamiento ex¨²tero intraparto (EXIT) debido a una potencial obstrucci¨®n de la v¨ªa a¨¦rea detectada en una ecograf¨ªa de tercer trimestre. Se realiz¨® una b¨²squeda sistem¨¢tica usando las palabras clave: Tratamiento ex¨²tero intraparto (EXIT), masas cervicales cong¨¦nitas y CHAOS en las bases de datos Medline via Pub Med, Ovid, y la base latinoamericana SciELO. Resultados: se encontraron un total de 183 art¨ªculos, de los cuales 76 estaban relacionados directamente con el tema, de estos se seleccionaron 8 reportes de caso, 2 series de casos y 14 revisiones del tema. Conclusiones: la estrategia EXIT prueba ser una herramienta ¨²til en el adecuado manejo de los neo-natos con obstrucciones cong¨¦nitas de la v¨ªa a¨¦rea. Introduction and objective: The EXIT procedure (ex-utero intrapartum treatment) is aimed at securing the fetal high airway whilst maintaining integral uteroplacentary circulation. The purpose of reporting this case was to describe the procedure and review the worldwide literature regarding anesthetic considerations and associated complications. Materials and methods: The case of a 39-week gestation female neonate is presented; she was born at the Cl¨ªnica del Country (a private highlevel healthcare general hospital located in Bogota, Colombia) by the ex-utero intrapartum treatment (EXIT) technique due to a potential obstruction of the airway detected during third-trimester echography. A systematic search was made of Medline databases via PubMed, Ovid, and the SciELO Latin-American database using the following key words: EXIT, ex-utero intrapartum treatment, congenital cervical mass, CHAOS. Results: 183 articles were found, of which 76 were directly related to the topic; 8 case reports, 2 case series and 14 reviews of the topic were selected. Conclusion: The EXIT strategy has proved to be a useful tool in the suitable management of neonates suffering congenital obstruction of the airway.
%K tratamiento ex¨²tero intraparto (EXIT)
%K masas cervicales cong¨¦nitas
%K s¨ªndrome de obstrucci¨®n cong¨¦nita de la v¨ªa a¨¦rea superior (CHAOS)
%K Ex-utero intrapartum treatment (EXIT)
%K congenital cervical mass
%K congenital high airway obstruction syndrome (CHAOS)
%U http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0034-74342012000200009