EXIT procedure
Pronunciation: EK-sit
Also written as: EXIT — ex utero intrapartum treatment
Specialized cesarean delivery technique maintaining placental circulation while securing the fetal airway before complete delivery.
Full Definition
The EXIT procedure (ex utero intrapartum treatment) is a specialized surgical technique performed during cesarean delivery to manage fetuses with anticipated airway obstruction or respiratory compromise. The procedure involves partially delivering the fetus while maintaining placental circulation and uterine relaxation, allowing time to secure the fetal airway through intubation, tracheostomy, or other interventions before clamping the umbilical cord. EXIT procedures are typically performed for conditions such as large neck masses, congenital high airway obstruction syndrome (CHAOS), or severe micrognathia. The technique requires multidisciplinary coordination between maternal-fetal medicine specialists, neonatologists, anesthesiologists, and surgeons.
Usage
Usage note: Always capitalize EXIT when used as acronym. Requires specific institutional protocols and expertise.
In Context
- "An EXIT procedure was planned for the fetus with a large cervical teratoma causing airway obstruction." — Surgical planning note
- "The EXIT to airway procedure allowed successful intubation before umbilical cord clamping." — Operative report