Anaesthetic management of fetal congenital diaphragmatic hernia by EXIT: A case report

We present a case of congenital diaphragmatic hernia (CDH) diagnosed in the second trimester of pregnancy, with most of the stomach and part of the liver occupying half of the left hemithorax. Severe pulmonary hypoplasia is associated with reduced survival in patients with CDH. The pregnant woman was treated with Exutero intrapartum treatment (EXIT) at 38 weeks of gestation. Open fetal and EXIT procedures require maternal general anesthesia with volatile anesthetic and other medications to maintain uterine relaxation. Through this case, our team summarized some experience in perioperative period anesthetic management of EXIT. Keywords: CDH; EXIT procedure; fetal surgery; maternal anaesthesia.