Abstracto

Anesthetic management for Ex-utero Intrapartum Treatment (EXIT) of fetus with Epignathus tumor.

Lucia Caroline Schons Correa1, Mayra Lima Brunelli2, Carlos Darcy Bersot A3, Rafael Mercante Linhares4, Jose Eduardo Guimaraes Pereira5*, Marilia SF Macedo1

Epignathus is a rare benign teratoma tumor that affects the oropharynx and can obstruct the newborn's airways, leading to death immediately after birth. Despite having a bad prognosis, with the advancement of medicine and early diagnosis with ultrasound performed in prenatal care, it may be treated by a multidisciplinary team in the delivery room, including anesthesiologists, pediatricians, obstetricians, radiologists, pediatric surgeons, among others with the EXIT technique (Ex. intrapartum utero treatment) to secure the fetal airway before complete separation of the fetus from the maternal circulation and avoid risk of maternal complications that may occur during prolongation of the intrapartum period. In this case, we present a successful case of a newborn epignathus with a large mass with total airway obstruction.