The Journal of otolaryngology · 2004
Intrapartum management of severe fetal airway obstruction.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Preciado Diego A, Rutter Michael J, Greenberg James M, Bahado-Singh Ray, Lambers Donna, Willging J Paul
Аннотация
OBJECTIVE: To review our experience with the planned intrapartum management of fetuses with suspected severe airway obstruction.
METHODS: Retrospective review of prenatal presentations, intrapartum airway procurement methods, outcomes, and complications.
RESULTS: All cases (N = 11) at our tertiary airway referral institution between 1995 and 2002 were reviewed. Obstruction was secondary to giant cervicofacial lymphangiomas (5), teratomas (2), epignathis (1), epulis (1), conjoined fetus (1), and tracheal foreign body (1). Elective cesarean delivery of the entire fetus was performed while maintaining fetal-placental circulation as long as possible. We found it necessary to deliver the entire fetus to improve airway exposure and decrease maternal hemorrhage. The airway was secured effectively in all cases.
CONCLUSIONS: Although full cesarean delivery of the fetus significantly reduces fetal-placental circulation times, in comparison with the formal ex utero intrapartum treatment (EXIT) procedure, airway access is improved, maternal complications may be decreased, and high airway procurement success is still safely achieved.
METHODS: Retrospective review of prenatal presentations, intrapartum airway procurement methods, outcomes, and complications.
RESULTS: All cases (N = 11) at our tertiary airway referral institution between 1995 and 2002 were reviewed. Obstruction was secondary to giant cervicofacial lymphangiomas (5), teratomas (2), epignathis (1), epulis (1), conjoined fetus (1), and tracheal foreign body (1). Elective cesarean delivery of the entire fetus was performed while maintaining fetal-placental circulation as long as possible. We found it necessary to deliver the entire fetus to improve airway exposure and decrease maternal hemorrhage. The airway was secured effectively in all cases.
CONCLUSIONS: Although full cesarean delivery of the fetus significantly reduces fetal-placental circulation times, in comparison with the formal ex utero intrapartum treatment (EXIT) procedure, airway access is improved, maternal complications may be decreased, and high airway procurement success is still safely achieved.
Предметные рубрики MeSH
Airway ObstructionBronchoscopyCesarean SectionFacial NeoplasmsFemaleFetal DiseasesForeign BodiesGingival DiseasesHead and Neck NeoplasmsHumansInfant, NewbornIntubation, IntratrachealLaryngeal MasksLaryngoscopyLymphangiomaPalatal NeoplasmsPlacental CirculationPregnancyRetrospective StudiesTeratomaTracheaTracheotomyTreatment OutcomeTwins, Conjoined