Case report of anaesthetic management of neonate with large occipital encephalocele

Amit Sharma

Abstract


In the present case report, endotracheal intubation in a case of large occipital encephalocele presented for surgical excision was performed. As the management of airway even in a neonate is different and complex as compared to airway of old child and that of adult. It was challenging because of the difficulty in securing airway because of prone position in occipital encephalocele. The major concerns during the operation were to avoid premature rupture of the encephalocoele and to manage a possible difficult airway due to restricted neck movement and inability to achieve optimal position for intubation of the trachea. Continuous monitoring of patient was done during the surgery.

Full Text:

PDF

References


Nevin NC, Weatherall JAC. In: Illustrated guide to malformation of the central nervous system at birth. Edinburgh: Commission of the European Communities. Edinburgh; New York: Churchill Livingstone, 1983.

Shokunbi T, Adeloye A, Olumide A. Occipital encephalocoeles in 57 Nigerian children: a retrospective analysis. Childs Nerv Syst. 1990; 6: 99-102.doi: https://doi.org/10.1007/BF00307930

Walia B, Bhargava P, Sandhu K. Giant Occipital Encephalocele.Med J Armed Forces India. 2005; 61 (3): 293-294. doi: 10.1016/S0377-1237(05)80181-9

Padmanabhan R. Review Etiology, pathogenesis and prevention of neural tube defects. Congenit Anom (Kyoto).2006;46(2):55-67.doi:https://doi.org/10. 1111/j. 1741-4520.2006.00104.x

Isada T, Miwa T, Hiroki K, Fukuda S. The management of the difficult pediatric airway. Masui. 2005; 54(5):490-495.

Hamid RK, Newfield P. Pediatric neuroanesthesia: Neural tube defects. Anesthesiol Clin North America. 2001; 19(2): 219-228. doi:https://doi.org/10.1016/ S0889-8537 (05)70225-X

Quezado Z, Finkel JC. Airway management in neonates with occipital encephalocele: Easy does it. Anesth Analg. 2008;107(4):1446. doi: 10.1213/ane. 0b 013e 318183374f.

Mowafi HA, Sheikh BY, Al-Ghamdi AA. Positioning for anesthetic induction of neonates with encepha-locele? Internet J Anesthesiol. 2001;5.

Mylanus EAM, Marres HAM, Vlietman J, Kollée LAA, Freihofer HPM, Thijssen HOM, et al. Transalar sphenoidal encephalocele and respiratory distress in a neonate: A case report. Pediatrics. 1999;103(1):e12.

Martinez Lage JFR, Garcia Santos JM, Poza M, Puche A, Casas C, Rodriguez Costa T. Neurosurgical management of Walker-Warburg syndrome. Childs Nerv Syst. 1995;11(3):145-153.doi: https://doi.org/10. 1007/BF00570255


Refbacks

  • There are currently no refbacks.