文章基本信息

标题：Anesthetic challenges in leaking meningomyelocele repair in a neonate
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作者：Vidhu Bhatnagar ; SN Kulkarni ; MD Muzammi 等
期刊名称：Journal of Marine Medical Society
印刷版ISSN：0975-3605
电子版ISSN：2589-1235
出版年度：2019
卷号：21
期号：2
页码：189-192
DOI：10.4103/jmms.jmms_71_18
语种：English
出版社：Medknow Publications
摘要：Meningomyelocele is a neural tube defect,which comprises of a saccular protrusion containing a neural placode bathed in cerebral spinal fluid.Arachnoid covers the surface of the sac and dura or skin is missing.This is a congenital spinal anomaly,a type of spina bifida where there is a failure of fusion of spine.Early surgery is advisable because of increased risk of infection and further damage to nervous tissue.Anesthetic challenges for meningomyelocele surgical repair in a neonate include intubation with proper positioning to avoid rupture of sac,intraoperative prone position ventilation and its related complications maintenance of anesthesia,temperature control,and fluid management.We present a case report of anesthetic challenge of a 2-day-old neonate for detethering and repair of lumbosacral meningomyelocele.
关键词：Arnold–Chiari malformation;hypothermia;intratracheal;intubation;meningomyelocele;neural tube defect;prone position;spinal dysraphism