An infant with hydrocephalus and lumbar meningomyelocele for ventriculoperitoneal shunt insertion: Concerns of an anesthesiologist
| Autor: | Mamie Zachariah, Ranjan R Venkatesh, Amoolya Kamalnath, Ramyavel Thangavelu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry lcsh:R lcsh:Medicine arnold–chiari malformation Perioperative medicine.disease Comorbidity Surgery Hydrocephalus Shunt (medical) Lumbar congenital anomaly Anesthetic medicine Gestation ventriculoperitoneal shunt business hypothermia Intracranial pressure medicine.drug |
| Zdroj: | Indian Journal of Health Sciences and Biomedical Research KLEU, Vol 13, Iss 1, Pp 50-53 (2020) |
| ISSN: | 2542-6222 2542-6214 |
| Popis: | The anatomical and physiological differences in children make the administration of anesthesia difficult compared to the adults which is made more challenging when the child presents with a congenital anomaly. In this case, we report the anesthetic challenges presented by an 8-month-old baby born of full gestation with a lumbar swelling and hydrocephalus posted for ventriculoperitoneal shunt insertion. Magnetic resonance imaging scan revealed the presence of a large meningomyelocele with tethered sac and Arnold–Chiari malformation (Type 2). Anesthetic management included a thorough preoperative assessment of associated comorbidity, proper positioning, management of a difficult airway, prevention of any rise in intracranial pressure, and prevention of hypothermia. The perioperative period was uneventful, and the child recovered well. |
| Databáze: | OpenAIRE |
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