A Brief Exit Before a Grand Entrance

Authors

  • Kathy MacDonald
  • Marina Fraser
  • Yvonne Madore

Abstract

Churchill has been quoted as stating “He who fails to plan, plans to fail.” Significant planning and collaboration were necessary to prepare for the first Ex-utero Intrapartum Treatment (EXIT) procedure in the IWK Health Centre in Halifax, NS. EXIT is a life-saving technique used to secure a fetal airway when there is some type of airway compression involved. The procedure is done while oxygenation and perfusion are maintained through utero-placental circulation} The IWK’s obstetrical team followed a mother whose fetus was diagnosed in utero with a high airway anomaly/obstruction.

Author Biographies

Kathy MacDonald

Kathy MacDonald RN, BScN, CPN( C) is the Clinical Educator, Children’s Perioperative Care Team at the IWK Health Centre, Halifax, NS. She is a graduate of the Victoria General School of Nursing as well as Saint Francis Xavier University. Her 30 plus year nursing career has included staff nurse on a surgical floor, staff nurse in the Operating Room, and then educator in the Operating Room.

Marina Fraser

Marina Fraser RN, BScN, CPN(C) is a perioperative nurse in the Paediatric Operating Room at the IWK Health Centre, Halifax, NS. She graduated with a Bachelor of Science in Nutrition from Acadia University and a Bachelor of Science in Nursing from Dalhousie University. The majority of her nursing career has been in the operating room. She was a past service charge nurse for the Ear Nose Throat (ENT) service but enjoys working in all services.

Yvonne Madore

Yvonne Madore RN, CPN(C) is a perioperative nurse in the Paediatric Operating Room at the IWK Health Centre, Halifax, NS. She graduated from St. Rita Hospital School of Nursing Diploma program in Sydney, NS. She studied at Dalhousie University completing the Perinatal Partnership Project, as well as courses in Community Health Nursing, Nursing ChildAssessment Satellite Training (NCAST) and Perioperative Nursing. Her 35 plus years in nursing took her across Canada and into the U.S. working in maternity, paediatric, and surgical settings as well as working as an instructor at the Nova Scotia Community College (NSCC) and a Clinic Nurse for Correctional Services Canada.

References

Stefini, S., et al (2012). EXIT (Ex-utero Intrapartum Treatment) in lymphatic malformations of the head and neck: Discussion of three cases and proposal of an EXIT—TTP (Team Time Procedure) list, International Journal of Pediatric Otorhinolaryngology 76, 20-27.

Olutoye, O. (‘SC Olutoye, O.A. (2012). EXIT procedure for fetal neck masses, Wolters Kluwer Health, 24(0o), 1-8.

Butler CR, Maughan EF, Pandya P, Hewitt R (2017) Ex—utero intrapartum treatment (EXIT) for upper airway obstruction. Curr opin Otolaryngol Head neck Surg. April 25 (20: 119-126 doi: 10.1097/M000.

Marwan, A. 86 Crombleholme, T. (2006). The EXIT procedure: principles, pitfalls, and progress, Seminars in Pediatric Surgery, 15, 107-1 15.

Garcia, P.]. et al (2011). Case

Scenario: Anesthesia for Maternal- Fetal Surgery The Ex—Utero Intrapartum Therapy (EXIT) Procedure, the American Society of Anesthesiologists, Inc. Lippincott Williams 56 Wilkins, 114(6), 1446- 1452.

Severson, M.A, et al (2014) Simulation—Based Team Training and debriefing to enhance nursing and physician collaboration. The journal of Continuing Education in Nursing 45(7). *1’

Published

2018-03-01

How to Cite

MacDonald, K., Fraser, M., & Madore, Y. (2018). A Brief Exit Before a Grand Entrance. Operating Room Nurses Association of Canada Journal, 36(1), 12–20. Retrieved from https://ornacjournal.ca/index.php/ornac/article/view/12109

Issue

Section

Feature Articles