{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T15:46:00Z","timestamp":1782488760754,"version":"3.54.5"},"reference-count":41,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Taiwanese Journal of Obstetrics and Gynecology"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1016\/j.tjog.2025.11.026","type":"journal-article","created":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T14:47:32Z","timestamp":1782485252000},"page":"672-679","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["The maternal-fetal anesthetic considerations of ex utero intrapartum treatment (EXIT) procedure: Experience from a tertiary referral center and literature review"],"prefix":"10.1016","volume":"65","author":[{"given":"Mei-Chi","family":"Lin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yeou-Lih","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shih-Shien","family":"Weng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen-Chu","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.tjog.2025.11.026_bib1","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1016\/S0022-3468(97)90184-6","article-title":"Operating on placental support: the ex utero intrapartum treatment procedure","volume":"32","author":"Mychaliska","year":"1997","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.tjog.2025.11.026_bib2","doi-asserted-by":"crossref","first-page":"826","DOI":"10.1016\/S0022-3468(96)90144-X","article-title":"The OOPS procedure (operation on placental support): in utero airway management of the fetus with prenatally diagnosed tracheal obstruction","volume":"31","author":"Skarsgard","year":"1996","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.tjog.2025.11.026_bib3","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1177\/000348949009900303","article-title":"Approach for oxygenation of the newborn with airway obstruction due to a cervical mass","volume":"99","author":"Kelly","year":"1990","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"10.1016\/j.tjog.2025.11.026_bib4","first-page":"962","article-title":"Contemporary management of a potentially lethal fetal anomaly: a successful perinatal approach to epignathus","volume":"76","author":"Levine","year":"1990","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.tjog.2025.11.026_bib5","first-page":"126","article-title":"Obstruction of the neonatal airway from teratomas","volume":"170","author":"Zerella","year":"1990","journal-title":"Surg Gynecol Obstet"},{"key":"10.1016\/j.tjog.2025.11.026_bib6","doi-asserted-by":"crossref","first-page":"870","DOI":"10.1016\/S0002-9378(97)70285-0","article-title":"Intrapartum airway management for giant fetal neck masses: the EXIT procedure (ex utero intrapartum treatment)","volume":"177","author":"Liechty","year":"1997","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.tjog.2025.11.026_bib7","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1016\/0022-3468(94)90331-X","article-title":"Congenital high airway obstruction syndrome (CHAOS): a potential for perinatal intervention","volume":"29","author":"Hedrick","year":"1994","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.tjog.2025.11.026_bib8","doi-asserted-by":"crossref","first-page":"1038","DOI":"10.1016\/j.jpedsurg.2005.03.024","article-title":"The ex utero intrapartum therapy for high-risk fetal lung lesions","volume":"40","author":"Hedrick","year":"2005","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.tjog.2025.11.026_bib9","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1016\/j.jpedsurg.2006.09.009","article-title":"Ex utero intrapartum treatment with extracorporeal membrane oxygenation for severe congenital diaphragmatic hernia","volume":"42","author":"Kunisaki","year":"2007","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.tjog.2025.11.026_bib10","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1016\/j.tjog.2017.07.001","article-title":"Ex utero intrapartum treatment for extremely low birth-weight neonates requiring resuscitation at birth","volume":"56","author":"Hung","year":"2017","journal-title":"Taiwan J Obstet Gynecol"},{"issue":"1","key":"10.1016\/j.tjog.2025.11.026_bib11","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1002\/uog.1791","article-title":"Prenatal three-dimensional ultrasound and magnetic resonance imaging evaluation of a fetal oral tumor in preparation for the ex utero intrapartum treatment (EXIT) procedure","volume":"25","author":"Peng","year":"2005","journal-title":"Ultrasound Obstet Gynecol"},{"issue":"2","key":"10.1016\/j.tjog.2025.11.026_bib12","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1148\/rg.312105108","article-title":"EXIT procedure: technique and indications with prenatal imaging parameters for assessment of airway patency","volume":"31","author":"Dighe","year":"2011","journal-title":"Radiographics"},{"issue":"4","key":"10.1016\/j.tjog.2025.11.026_bib13","doi-asserted-by":"crossref","first-page":"E1357","DOI":"10.1002\/lary.28959","article-title":"Prenatal Imaging Findings Predict Obstructive Fetal Airways Requiring EXIT","volume":"131","author":"Cash","year":"2021","journal-title":"Laryngoscope"},{"key":"10.1016\/j.tjog.2025.11.026_bib14","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1097\/MOP.0b013e3283531b51","article-title":"EXIT procedure for fetal neck masses","volume":"24","author":"Olutoye","year":"2012","journal-title":"Curr Opin Pediatr"},{"key":"10.1016\/j.tjog.2025.11.026_bib15","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1016\/j.jpedsurg.2011.10.022","article-title":"Tracheoesophageal displacement index and predictors of airway obstruction for fetuses with neck masses","volume":"47","author":"Lazar","year":"2012","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.tjog.2025.11.026_bib16","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1053\/jpsu.2002.30832","article-title":"Cystic adenomatoid malformation volume ratio predicts outcome in prenatally diagnosed cystic adenomatoid malformation of the lung","volume":"37","author":"Crombleholme","year":"2002","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.tjog.2025.11.026_bib17","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1053\/jpsu.2002.30839","article-title":"The EXIT procedure: experience and outcome in 31 cases","volume":"37","author":"Bouchard","year":"2002","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.tjog.2025.11.026_bib18","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1016\/S1084-2756(03)00029-0","article-title":"The ex utero intrapartum treatment (EXIT) procedure","volume":"8","author":"Hirose","year":"2003","journal-title":"Semin Neonatol"},{"issue":"6","key":"10.1016\/j.tjog.2025.11.026_bib19","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1016\/S0146-0005(99)80028-7","article-title":"Management of fetal airway obstruction","volume":"23","author":"Liechty","year":"1999","journal-title":"Semin Perinatol"},{"issue":"2","key":"10.1016\/j.tjog.2025.11.026_bib20","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1053\/j.sempedsurg.2006.02.008","article-title":"The EXIT procedure: principles, pitfalls, and progress","volume":"15","author":"Marwan","year":"2006","journal-title":"Semin Pediatr Surg"},{"key":"10.1016\/j.tjog.2025.11.026_bib21","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1053\/j.sempedsurg.2012.10.008","article-title":"Ex utero intrapartum therapy","volume":"22","author":"Moldenhauer","year":"2013","journal-title":"Semin Pediatr Surg"},{"key":"10.1016\/j.tjog.2025.11.026_bib22","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1016\/S0952-8180(01)00287-2","article-title":"Anesthetic management of the EXIT (ex utero intrapartum treatment) procedure","volume":"13","author":"Schwartz","year":"2001","journal-title":"J Clin Anesth"},{"key":"10.1016\/j.tjog.2025.11.026_bib23","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000004931","article-title":"Use of the GlideScope video laryngoscope for intubation during ex utero intrapartum treatment in a fetus with a giant cyst of the 4th branchial cleft: a case report","volume":"95","author":"Byun","year":"2016","journal-title":"Medicine (Baltim)"},{"key":"10.1016\/j.tjog.2025.11.026_bib24","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1111\/j.1460-9592.2004.01284.x","article-title":"Airway management during an EXIT procedure for a fetus with dysgnathia complex","volume":"14","author":"Baker","year":"2004","journal-title":"Paediatr Anaesth"},{"key":"10.1016\/j.tjog.2025.11.026_bib25","doi-asserted-by":"crossref","first-page":"480","DOI":"10.14639\/0392-100X-1261","article-title":"The EXIT (ex utero intrapartum treatment) procedure: from the pediatric ENT perspective","volume":"38","author":"Pucher","year":"2018","journal-title":"Acta Otorhinolaryngol Ital"},{"key":"10.1016\/j.tjog.2025.11.026_bib26","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1111\/pan.13818","article-title":"Airway management for neonates requiring ex utero intrapartum treatment (EXIT)","volume":"30","author":"Mohammad","year":"2020","journal-title":"Paediatr Anaesth"},{"key":"10.1016\/j.tjog.2025.11.026_bib27","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1159\/000083908","article-title":"The ex utero intrapartum treatment (EXIT) procedure in giant fetal neck masses","volume":"20","author":"Ogamo","year":"2005","journal-title":"Fetal Diagn Ther"},{"key":"10.1016\/j.tjog.2025.11.026_bib28","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1159\/000514897","article-title":"Anesthesia for maternal-fetal interventions: a survey of fetal therapy centers in the North American fetal therapy network","volume":"48","author":"Wood","year":"2021","journal-title":"Fetal Diagn Ther"},{"key":"10.1016\/j.tjog.2025.11.026_bib29","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1093\/bja\/aer097","article-title":"Remifentanil for fetal immobilization and analgesia during the ex utero intrapartum treatment procedure under combined spinal-epidural anaesthesia","volume":"106","author":"Fink","year":"2011","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.tjog.2025.11.026_bib30","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijoa.2022.103599","article-title":"Neuraxial anesthesia in ex utero intrapartum therapy for parturients with fetal congenital diaphragmatic hernia: a prospective observational study","volume":"52","author":"Wang","year":"2022","journal-title":"Int J Obstet Anesth"},{"key":"10.1016\/j.tjog.2025.11.026_bib31","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1213\/01.ane.0000236785.17606.58","article-title":"The effects of volatile anesthetics on spontaneous contractility of isolated human pregnant uterine muscle: a comparison among sevoflurane, desflurane, isoflurane, and halothane","volume":"103","author":"Yoo","year":"2006","journal-title":"Anesth Analg"},{"key":"10.1016\/j.tjog.2025.11.026_bib32","doi-asserted-by":"crossref","first-page":"19","DOI":"10.4103\/joacp.JOACP_302_17","article-title":"Maternal anesthesia for EXIT procedure: a systematic review of literature","volume":"35","author":"Kumar","year":"2019","journal-title":"J Anaesthesiol Clin Pharmacol"},{"key":"10.1016\/j.tjog.2025.11.026_bib33","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1038\/sj.jp.7200303","article-title":"Nitroglycerin for rapid tocolysis: development of a protocol and a literature review","volume":"20","author":"O'Grady","year":"2000","journal-title":"J Perinatol"},{"key":"10.1016\/j.tjog.2025.11.026_bib34","doi-asserted-by":"crossref","first-page":"748","DOI":"10.1111\/j.1460-9592.2010.03350.x","article-title":"Supplementing desflurane with intravenous anesthesia reduces fetal cardiac dysfunction during open fetal surgery","volume":"20","author":"Boat","year":"2010","journal-title":"Paediatr Anaesth"},{"key":"10.1016\/j.tjog.2025.11.026_bib35","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1016\/j.ijoa.2018.08.009","article-title":"Multimodal general anesthesia approach for ex utero intrapartum therapy (EXIT) procedures: two case reports","volume":"38","author":"Dinges","year":"2019","journal-title":"Int J Obstet Anesth"},{"key":"10.1016\/j.tjog.2025.11.026_bib36","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/j.siny.2009.05.007","article-title":"Ex utero intrapartum therapy","volume":"15","author":"Liechty","year":"2010","journal-title":"Semin Fetal Neonatal Med"},{"key":"10.1016\/j.tjog.2025.11.026_bib37","doi-asserted-by":"crossref","first-page":"947","DOI":"10.1001\/jama.294.8.947","article-title":"Fetal pain: a systematic multidisciplinary review of the evidence","volume":"294","author":"Lee","year":"2005","journal-title":"JAMA"},{"key":"10.1016\/j.tjog.2025.11.026_bib38","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1016\/j.jpedsurg.2013.02.010","article-title":"Maternal morbidity and reproductive outcomes related to fetal surgery","volume":"48","author":"Zamora","year":"2013","journal-title":"J Pediatr Surg"},{"issue":"4","key":"10.1016\/j.tjog.2025.11.026_bib39","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1067\/mob.2002.112249","article-title":"Short-term maternal outcomes that are associated with the EXIT procedure, as compared with cesarean delivery","volume":"186","author":"Noah","year":"2002","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.tjog.2025.11.026_bib40","doi-asserted-by":"crossref","first-page":"1188","DOI":"10.1016\/j.jpedsurg.2020.02.011","article-title":"EXIT (ex utero intrapartum treatment) surgery for the management of fetal airway obstruction: a systematic review of the literature","volume":"55","author":"Novoa","year":"2020","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.tjog.2025.11.026_bib41","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1016\/j.jpedsurg.2011.02.006","article-title":"Ex utero intrapartum treatment procedure for giant neck masses: fetal and maternal outcomes","volume":"46","author":"Lazar","year":"2011","journal-title":"J Pediatr Surg"}],"container-title":["Taiwanese Journal of Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1028455926001506?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1028455926001506?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T14:48:53Z","timestamp":1782485333000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1028455926001506"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":41,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["S1028455926001506"],"URL":"https:\/\/doi.org\/10.1016\/j.tjog.2025.11.026","relation":{},"ISSN":["1028-4559"],"issn-type":[{"value":"1028-4559","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The maternal-fetal anesthetic considerations of ex utero intrapartum treatment (EXIT) procedure: Experience from a tertiary referral center and literature review","name":"articletitle","label":"Article Title"},{"value":"Taiwanese Journal of Obstetrics and Gynecology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.tjog.2025.11.026","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Taiwan Association of Obstetrics & Gynecology. Publishing services by Elsevier B.V.","name":"copyright","label":"Copyright"}]}}