Document Type

Instructional Material

Publication Date



This resource is a problem-based learning discussion (PBLD) case addressing the challenges and approach to planning and safely executing an EXIT procedure. It is primarily aimed at pediatric anesthesiologists but also applies to healthcare providers in fetal medicine and surgery.

The clinical scenario involves a fetus with a large cervical neck mass requiring an EXIT procedure for tracheal obstruction. This case highlights the challenges and implications of a procedure involving a multidisciplinary team. After presentation of the case stem, the instructor moderates a student-focused group discussion using a series of questions that build upon the case and a review of the current literature.

This problem-based learning discussion (PBLD) was presented at the Society for Pediatric Anesthesia Annual Meeting in San Francisco, CA in October 2013. Evaluations of this PBLD were uniformly positive.

AAMC MedEdPORTAL publication ID 9925. Link to original

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-Share Alike 4.0 License.

Instructor's Guide.docx (112 kB)
Instructor's Guide

EXIT Procedure PBLD Stem with Questions.docx (18 kB)
EXIT Procedure PBLD Stem with Questions

EXIT Procedure PBLD References.docx (17 kB)
EXIT Procedure PBLD References

Copyright License.pdf (154 kB)
Copyright License



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