30/11/2019
Ex‐utero intrapartum treatment
Nursing Considerations
Roisin Mullan Clinical Nurse Specialist Paediatric Airway Management
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Involvement from the beginning.
• The airway CNS will meet with the ENT surgeon and they will discuss the diagnosis of the baby. • After it is decided to proceed with an EXIT procedure the planning begins for the multi‐disciplinary team across the paediatric and maternity hospitals.
• Introduction to the parents. • Beginning of preparation of the parents of the EXIT procedure. • Here discussed are the many possibilities for the baby on delivery.
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The first meeting of the parents with the ENT surgeon and CNS • The ENT surgeon will explain the results and diagnosis from the babys scan. • They are counselled about EXIT procedure and the risks associated with it. • They are informed that it is highly likely a tracheostomy will be performed on the baby at the time of birth ( the EXIT procedure). • Naturally the parents have many questions here and they need time to process the information they have been given. • So we arrange a second meeting.
The second meeting with the parents. • The next meeting of the parents with the CNS and ENT surgeon is usually in Crumlin hospital • The CNS will bring a manikin doll with a tracheostomy tube insitu.
• The CNS gives the mam and dad a walk through of the hospital. • Also answer any questions they have.
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