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LInda Dudas

Nursing 2017 Speaker -  LInda Dudas

Title: Ex Utero Intrapartum Treatment (EXIT Procedure): An Inter-Professional and Inter-Facility Collaboration for the Management of Fetal Airway Obstruction

LInda Dudas

Magee Womens Hospital, USA


Updated Soon....


Background:  Neonatal airway obstruction that is not diagnosed until delivery creates an emergent situation with high morbidity. The antenatal diagnosis of fetal abnormalities  allows pediatric and obstetric specialists to manage the compromised neonatal airway in a safe, controlled manner by using the Ex Utero intrapartum Treatment ( EXIT) procedure. The EXIT procedure involves partial delivery of a fetus, allowing continued placental function while the fetal airway is secured. The EXIT procedure requires a coordinated multidisciplinary team including Anesthesiology, Maternal Fetal Medicine, Neonatology, Nursing, Respiratory Therapy, Pediatric Otolaryngology, Pharmacy, Blood Bank, Ultrasound, Surgical Tech Bioengineering, Facilities, and the Mother. The procedure requires the pediatric team to travel to the obstetric facility for collaboration of expertise needed to care for the infant and mother in a safe environment.