黑帽SEO快排交换|【唯一TG:@heimifeng8】|电报盗号系统全功能破解技术✨谷歌搜索留痕排名,史上最强SEO技术,20年谷歌SEO经验大佬✨Dr. Chris Derderian Performs Rare C
Here is the English translation of the articleWhen anesthesiologist Angelica Vance was scheduled for a C-section, she had no idea what she would wake up to.
If everything went perfectly, the baby would be placed on a ventilator, and doctors would follow a plan to remove a growth that was obstructing her daughter’s airway. If things went wrong, Vance might have been recovering from heavy bleeding while a machine circulated blood through her daughter Chloe’s body, MedicalXpressreports.
The Fort Collins native said her third pregnancy had been relatively normal until the third trimester, when pain and abdominal swelling indicated excessive amniotic fluid buildup.
Her doctor drained two liters of fluid and kept her for further evaluation, as such a rapid increase usually points to a more serious problem. Ultrasound and MRI scans revealed a mass on the baby’s chest and neck that was preventing her from swallowing amniotic fluid and would stop Chloe from taking her first breath.
While the baby is still inside and supported by the placenta, breathing isn’t an issue because the mother provides oxygen through the umbilical cord, explained Dr. Chris Derderian, a pediatric and fetal surgeon who treated Vance and Chloe at Children’s Hospital Colorado.
However, once the placenta detaches from the uterine wall, the baby must breathe on her own, requiring a relatively tight window to open the airway. Derderian proposed an EXIT procedure (Ex Utero Intrapartum Treatment), in which a partial cesarean delivery would allow a team of specialists to secure Chloe’s airway while she remained attached to her mother.
This procedure carries significant risk because the anesthesiologist must administer drugs that relax the uterus to prevent placental detachment, which also increases the risk of heavy bleeding.
On October 15, under general anesthesia, Vance underwent the EXIT procedure. Derderian and his team partially delivered Chloe’s head and shoulders via cesarean section, keeping the placenta intact to sustain life for approximately 90 minutes.
Around 40 specialists from various disciplines gathered in the operating room in case complications arose—including a cardiac surgeon prepared to open the baby’s chest if the mass exerted too much pressure on her lungs.
According to Derderian, Chloe’s airway was only as wide as a pen tip. The emergency team had to insert a breathing tube that wouldn’t collapse under the pressure of the mass. At the time, they didn’t know whether the airway was even partially open or completely blocked. If fully obstructed, they would have had to cut an opening in her neck to insert the tube. Fortunately, about 15 minutes later, the worst was over: the baby was saved.
When Vance woke up, she learned that another surgery was scheduled to remove the growth once Chloe turned three days old. That operation went better than expected and lasted about two hours instead of the six doctors had anticipated. The tumor was not malignant and wasn’t tightly attached to Chloe’s airway, which made it easier to remove.
Vance said Chloe spent about 10 days on a ventilator before transitioning to less invasive oxygen support. After six weeks in the neonatal intensive care unit, she came home without oxygen, though she still required a feeding tube due to swallowing difficulties. In the third trimester, fetuses essentially “practice” breathing and swallowing, but the neck mass had restricted this development.
Today, Chloe is relatively healthy, although she continues daily therapy to improve swallowing and strengthen her neck muscles.
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