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Anesth Analg 2005;101:658-660
© 2005 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000175206.91231.77

PEDIATRIC ANESTHESIA

Verifying Correct Endotracheal Intubation by Measurement of End-Tidal Carbon Dioxide During an Ex Utero Intrapartum Treatment Procedure

Stephan Eschertzhuber, MD, Christian Keller, MD, Gottfried Mitterschiffthaler, Stefan Jochberger, MD, and Gabriele Kühbacher, MD

Department of Anaesthesia and Intensive Care Medicine, Leopold-Franzens University, Innsbruck, Austria

Address correspondence and reprint requests to Stephan Eschertzhuber, MD, Department of Anaesthesia and Intensive Care Medicine, Leopold-Franzens University 6020, Innsbruck, Austria. Address electronic mail to stephan.eschertzhuber{at}uibk.ac.at.

The ex utero intrapartum treatment (EXIT) procedure provides time to secure the airway of the fetus while utero-placental circulation supplies the fetus with oxygen. We report the anesthetic management of a fetus with a large neck mass during an EXIT procedure in which the confirmation of correct endotracheal intubation was hampered by parts of the mass, blood, and other fluids. The use of a standard end-tidal carbon dioxide probe provided a reliable signal and proved the endotracheal position of the tube while utero-placental circulation was still intact.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2005 by the International Anesthesia Research Society.