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Ex utero intrapartum treatment (EXIT) of severe fetal hydrothorax
  1. W Prontera1,
  2. E T Jaeggi1,
  3. M Pfizenmaier2,
  4. D Tassaux3,
  5. R E Pfister1
  1. 1Department of Paediatrics, University Hospitals of Geneva, 24, rue Micheli-du-Crest, 1211 Geneva, Switzerland
  2. 2Department of Obstetrics
  3. 3Department of Anaesthesiology
  1. Correspondence to:
    Dr Pfister, Neonatology Unit, University Children's Hospital, 6, Rue Willy-Donzé, 1211 Geneva, Switzerland;
    riccardo.pfister{at}hcuge.ch

Abstract

Ex utero intrapartum treatment (EXIT) of a fetus with severe bilateral hydrothorax is described. EXIT allows therapeutic interventions on the neonate while maintaining fetoplacental circulation. Thus it may be useful for fetuses presenting with severe pleural effusion towards the end of gestation and in whom in utero drainage is technically not possible or available and drainage post partum would result in profound and prolonged hypoxia until sufficient drainage of pleural fluid allowed lung expansion.

  • lungs
  • management
  • hydrothorax
  • ex utero intrapartum treatment (EXIT)
  • EXIT, ex utero intrapartum treatment

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