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Case Studies | Anaesthesiology | India | Volume 14 Issue 3, March 2025 | Rating: 4.5 / 10
Anaesthetic Management of a Case of Meningomyelocele in a 3 Day Old Neonate
Dr. Pavana S H, Dr. Shailesh Kumar, Dr. Uthkala Hegde
Abstract: In this case report, the anaesthetic management of a newborn male with meningomyelocele?a prevalent neural tube defect marked by spinal cord and meningeal herniation through a vertebral gap is thoughtfully examined. Born at 38 weeks via caesarean section, the neonate presented a 3 cm ? 3 cm lumbosacral swelling, prompting urgent surgical intervention to mitigate infection risks and restore spinal alignment. It is evident that the perioperative approach demanded meticulous attention to airway security, normothermia, and precise positioning to safeguard the delicate meningomyelocele sac, all while navigating the complexities of neonatal physiology. In my view, the success of this case hinges on the team?s careful orchestration of general anaesthesia, using agents like Sevoflurane and Fentanyl, alongside vigilant postoperative monitoring in the neonatal intensive care unit. This suggests that tailored anaesthetic strategies, rooted in a deep understanding of neurosurgical demands, can meaningfully influence outcomes in such high - stakes scenarios. Beyond the technical triumph, this report underscores the nuanced balance between risk and recovery, offering a compelling glimpse into the challenges of neonatal neurosurgery.
Keywords: Meningomyelocele, neonatal anaesthesia, perioperative management, lumbosacral defect, hemodynamic stability and positioning
Edition: Volume 14 Issue 3, March 2025,
Pages: 1132 - 1133