While doctors have known about CHAOS since the late 1900s, it’s unclear how often it happens or what causes a baby to develop an obstructed airway.
Dozens of medical professionals participated in the EXIT procedure, where Dr. Ashley Roman delivered baby Aydin's head, neck and shoulders so Dr. Scott Rickert could perform a tracheotomy so Aydin could breathe without mom's help.It wasn’t until the Martins’ fifth pregnancy that the couple heard a heartbeat. Yadi Martin experienced four miscarriages and baby number five was their “miracle.” As the baby grew, they became excited as many first-time parents do.
“The delivery planning typically involves doing an EXIT procedure,” Roman said. “That’s a complicated way of saying basically we keep the baby on placental bypass until an airway can be established.” “We don’t know what we’re really getting into,” Yadi Martin said. “There were all of these questions without answers.”, which causes severe nausea and vomiting during pregnancy. During the first two trimesters, she could barely keep anything, including water, down and needed to be on a pump with medications to ease her symptoms. Despite the stress of the unknown, the couple experienced joy and excitement.
“I even tried to see if I could sneak my camera past anything and was really hard, almost like cartilage or like a plug,” Rickert said. “We proceeded to do the tracheotomy, which bypasses the airway obstruction.” “He was leaking all the fluid in his bloodstream because he was so sick. Not from bleeding per se,” Fisher said. “We were constantly having to give him more and more fluid in order to make the ECMO machine run to support his heart.”
Hours later, they saw him in the neonatal intensive care unit hooked up to ECMO with wires and tubes snaking from his body.
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