Anesthetic challenges in leaking meningomyelocele repair in a neonate

Autor: Vidhu Bhatnagar, S N Kulkarni, M D Muzammil
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Journal of Marine Medical Society, Vol 21, Iss 2, Pp 189-192 (2019)
Druh dokumentu: article
ISSN: 0975-3605
DOI: 10.4103/jmms.jmms_71_18
Popis: Meningomyelocele is a neural tube defect, which comprises of a saccular protrusion containing a neural placode bathed in cerebral spinal fluid. Arachnoid covers the surface of the sac and dura or skin is missing. This is a congenital spinal anomaly, a type of spina bifida where there is a failure of fusion of spine. Early surgery is advisable because of increased risk of infection and further damage to nervous tissue. Anesthetic challenges for meningomyelocele surgical repair in a neonate include intubation with proper positioning to avoid rupture of sac, intraoperative prone position ventilation and its related complications maintenance of anesthesia, temperature control, and fluid management. We present a case report of anesthetic challenge of a 2-day-old neonate for detethering and repair of lumbosacral meningomyelocele.
Databáze: Directory of Open Access Journals