The EXIT procedure is an important strategy in the management of prenatally diagnosed congenital malformations. EXIT procedures offer the advantage of ensuring uteroplacental gas exchange while on placental support. The EXIT procedure helps enable surgeons to transform a potentially fatal neonatal emergency into a controlled environment to ensure a better outcome.

EXIT procedures are performed at Cincinnati Children’s in an operating room that is specifically designed for performing fetal procedures and equipped to treat mother and baby in one location.

Number of EXIT Procedures We Performed (2004-June 2014)

EXIT-to-Airway

29

EXIT-to-ECMO

11

EXIT-to-Resection of high-risk tumor

9

Total EXIT procedures

49

During the EXIT procedure, the goals are to:

  • Achieve a state of uterine hypotonia to maintain the uteroplacental circulation using deep general anesthesia
  • Preserve uterine volume to prevent placental abruption
  • Reach a deep plane of maternal anesthesia but maintain normal maternal blood pressure
  • Achieve a surgical level of fetal anesthesia without cardiac depression

Types of EXIT Procedures Performed by Our Specialists

EXIT-to-Airway

EXIT-to-Extra-Corporeal Membrane Oxygenation (ECMO)

EXIT-to-Resection