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Clinical Note
January 2005

Airway Management in Conjoined TwinsA Rare Indication for the EXIT Procedure

Arch Otolaryngol Head Neck Surg. 2005;131(1):58-60. doi:10.1001/archotol.131.1.58

Financial Disclosure: None.

Advances in prenatal imaging allow for early diagnosis of possible airway obstruction in fetuses. The ex utero intrapartum treatment (EXIT) procedure has been developed to aid in obtaining control of the airway at birth in an anticipated “difficult” airway. The EXIT procedure is a form of utero-placental bypass, allowing added time for the establishment of an airway and for performance of necessary procedures on the fetus prior to clamping of the umbilical cord. This requires a multidisciplinary approach usually involving obstetricians, anesthesiologists, neonatologists, pediatric surgeons, otolaryngologists, and nurses.1

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