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Khurana, Gurjeet
- Abdominal Compartment Syndrome Following Repair of Large Myelomeningocele:A Rare Complication
Abstract Views :310 |
PDF Views:76
Authors
Affiliations
1 Himalayan Institute of Medical Sciences, SRHU, Swami Ram Nagar, Dehradun, IN
1 Himalayan Institute of Medical Sciences, SRHU, Swami Ram Nagar, Dehradun, IN
Source
Central Journal of ISA, Vol 1, No 2 (2017), Pagination: 85-87Abstract
Anaesthetic challenges in meningomyelocele include securing a definitive airway with proper positioning of child during intubation as well as during surgery. Other challenges include maintaining normothermia, fluid management and proper estimation of the blood loss. Here, we report a child posted for excision of a large lumbosacral meningomyelocele with tethered cord and diastematomyelia. The child developed abdomen distension and fall in urine output postoperatively which raised a strong suspicion regarding development of abdominal compartment syndrome. The case highlights the difficulties we encountered in the post-operative period and the course of events that followed.Keywords
Abdominal Distension, Diastematomyelia, Lumbosacral Meningomyelocele (MMC).Full Text
References
- Lerman J, Cote CJ, Stewand DJ. Anesthesia for specific procedures neurosurgery and invasive neuroradiology, in Manual of paediatric anesthesia. 6th ed. Elsevier Churchill livingstone; 2010. p. 250–1.
- Soriano SG, Eldredge EA, Rockoff MA. Pediatric neuroanesthesia. Anesthesiol Clin N Am. 2002; 20:389–404. https://doi.org/10.1016/ S0889-8537(01)00008-6.
- Ravishankar RB, Kavya KG, Jnaneshwar CS. Intubation in air! - an innovative method for meningomyelocele excision surgery: a case report. Journal of Evidence Based Medicine and Healthcare. 2014; 4(1):184–9.
- Chand MB, Agrawal J, Bista P. Anaesthetic challenges and management of myelomeningocele repair. PMJN. 2011; 11(1):41–6.
- Singh D, Rath GP, Dash HH, Bithal PK. Anesthetic concerns and perioperative complications in repair of myelomeningocele: A retrospective review of 135 cases. J Neurosurg Anesthesiol. 2010; 22:11–5. https://doi.org/10.1097/ANA.0b013e3181bb44a9 PMid:19779365.
- Anesthetic concerns and perioperative complications in repair of myelomeningocele. Available from: https://www.researchgate.net/publication/ 26836340.
- Soundararajan N, Cunliffe M. Anaesthesia for spinal surgery in children. BJA. 2007; 99(1):86–94. https://doi.org/10.1093/bja/aem120PMid: 17510044.
- Bui CJ1, Tubbs RS, Oakes WJ. Tethered cord syndrome in children: A review. Neurosurg Focus. 2007; 23(2):E2.
- Chouhan RS, Bindra A, Mishra N, Hasija N, Sinha S. A rare case of abdominal compartment syndrome following repair of large myelomeningocele. J Pediatr Neurosci. 2015; 10:365–7. https:// doi.org/10.4103/1817-1745.174459 PMid:26962345 PMCid:PMC4770651.
- Carlotti AP, Carvalho WB. Abdominal compartment syndrome: A review. Pediatr Crit Care Med. 2009; 10:115–20. https://doi.org/10.1097/ PCC.0b013e31819371b2 PMid:19057436.
- Anesthetic Management of a Patient with Eisenmenger's Syndrome for Caesarean Section
Abstract Views :310 |
PDF Views:91
Authors
Affiliations
1 Himalayan Institute of Medical Sciences, SRHU, Swami Ram Nagar, Dehradun, IN
1 Himalayan Institute of Medical Sciences, SRHU, Swami Ram Nagar, Dehradun, IN
Source
Central Journal of ISA, Vol 1, No 2 (2017), Pagination: 88-90Abstract
The Eisenmenger's syndrome is presented with an abnormal communication between the systemic and pulmonary circulations and a predominant right to left shunt caused by increased vascular resistance in the pulmonary circulation. We report a successful anesthetic management of a patient with the Eisenmenger's syndrome who underwent emergency cesarean section under general anesthesia.Keywords
Eisenmenger Complex, Pregnancy.Full Text
References
- Lyons B, Motherway C, Casey W, Doherty P. The anaesthetic management of the child with Eisenmenger’s syndrome. Can J Anaesth. 1995; 42:904–9. https://doi.org/10.1007/BF03011038 PMid:8706200.
- Puri GD, Pradhan A, Kumar B, Hegde HV, Singh A, Prasad GR. Anaesthetic management of a patient with Eisenmenger syndrome for lower abdominal surgery. Trends Anaesth Crit Care. 2011; 1:51–3. https://doi.org/10.1016/j.tacc.2010.10.001.
- Bala R, Pirkad A, Saini S, Banerjee A. Anesthetic management of a patient with Eisenmenger syndrome: What next when one technique fails? Anaesth Pain and Intensive Care. 2016; 20:327–9.
- Cole PJ, Cross MH, Dresner M. Incremental spinal anaesthesia for elective Caesarean section in a patient with Eisenmenger’s syndrome. Br J Anaesth. 2001; 86:723–6. https://doi.org/10.1093/bja/86.5.723 PMid:11575352.
- Fang G, Tian YK, Mei W. Anesthetic management of cesarean section in two patients with Eisenmenger syndrome. Anesthesiology research and practice. 2011; 1–4. https://doi.org/10.1155/2011/972671 PMid:21961000 PMCid:PMC3180075.
- Joyce JA. Update for anesthetists. Eisenmenger syndrome: An anesthetic conundrum. AANA J. 2006; 74:233–9. PMid:16786918.
- Khaw KS, Wang CC, Kee WDN, Tam WH, Ng FF, Critchley LAH, et al. Supplementary oxygen for emergency Caesarean section under regional anaesthesia. BJA. 2009; 02:90–6. https://doi.org/10.1093/bja/ aen321 PMid:19011261.
- Yuan SM. Eisenmenger syndrome in pregnancy. Braz J Cardiovasc Surg. 2016; 31:325–9. https://doi.org/10.5935/1678-9741.20160062.
- Parneix M, Fanou L, Moran E, Colson P. Low-dose combined spinal-epidural anaesthesia for caesarean section in a patient with Eisenmenger’s syndrome. International Journal of Obstetric Anesthesia. 2009; 18:81– 4. https://doi.org/10.1016/j.ijoa.2008.08.003 PMid:19046874.