IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-7-1-13840 Original Research Paper A CASE SERIES DISCUSSING THE ANAESTHETIC MANAGEMENT OF NEWBORNS AND CHILDREN POSTED FOR SURGICAL CORRECTION OF THORACOLUMBER MENINGOMYELOCELE Nirja Patel Dr. Dr. (Mrs.) Neeta Kavishvar Dr. January 2018 7 1 01 02 ABSTRACT

 

Meningomyelocele is a complex congenital spinal anomaly, results from neural tube defect during 1st four weeks of gestation. Anaesthesia of a newborn and infant posses different types of challenges to anesthesiologist. Dorsolumber meningomyelocele adds to the difficulty with positioning which leads to difficult Intubation. Here, we present a case series of anaesthetic management of 9 patients posted for the same.

 

Aim of study :

To characterize the current perioperative management of newborns and children having thoracolumber meningomyelocele.

 

Methods :

This is a retrospective study which included all the children who were managed for DL meningomyelocele between January 2017 to October 2017 at New civil hospital, Surat. Details regarding patients and their anaesthetic management were obtained from Record Section of New civil hospital, Surat.

 

Results :

There were total 9 children(six boys and three girls)operated for dorsolumber meningomyelocele. Ages ranged between 7 days to 7 years. Four patients had associated hydrocephalus. All patients were posted for either surgical excision of sac or VP shunt insertion. General anaesthesia was given to all the patients and no complications occurred intraoperatively except one who had regurgitation immediately after Intubation but managed successfully.