Abstract
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.
Recommended Citation
Kamalnath, Amoolya; Thangavelu, Ramyavel; Zachariah, Mamie; and Venkatesh, Ranjan R.
(2020)
"An infant with hydrocephalus and lumbar meningomyelocele for ventriculoperitoneal shunt insertion Concerns of an anesthesiologist,"
Indian Journal of Health Sciences and Biomedical Research KLEU: Vol. 13:
Iss.
1, Article 12.
DOI: https://doi.org/10.4103/kleuhsj.kleuhsj_172_19
Available at:
https://kleijhsbr.researchcommons.org/journal/vol13/iss1/12
Pages
50
Last Page
53
Copyright
© 2020 Indian Journal of Health Sciences and Biomedical Research KLEU | Published by Wolters Kluwer – Medknow