Large Occipital Encephalocele with limited resources an anaesthetic challenge.
Journal Title: Journal of Indira Gandhi Institute of Medical Sciences - Year 2017, Vol 3, Issue 1
Abstract
Abstract Meningoencephalocele is hernial protrusion from congenital bony defect in skull of part of meninges and neural elements in a sac. The large head size and other anticipated congenital abnormalities posses a great challenge for anaesthesiologists. Endotracheal intubation may be difficult or impossible due to improper positioning and limited neck extension. As the resources were limited we planned a unique position for securing airway. We kept the child on a pillow with the head beyond its edge. The head was supported with two cushioned head rings made up of cotton rolled with gauge bandage. The central hole size of the head ring was kept just greater than the circumference of the mass. With this unique positioning the head was stablised in line to the body and also the head extension for intubation became easier. So we suggest this positioning for securing airway in such patients with large menigoencephalocele.
Authors and Affiliations
Rajnish Kumar, Chandrakant Prasad, Arvind Kumar, Saurav Shekhar, Zaheer Hasan
Keywords
Related Articles
- EP ID EP288762
- DOI -
- Views 82
- Downloads 0
MEDIAN RAPHE CYST OF THE PREPUCIAL SKIN: A CASE REPORT WITH BRIEF REVIEW OF LITERATURE
Abstract Median raphe cyst is a rare benign cystic lesion, located in the midline, anywhere between the external urethral meatus and the anus. We report a case of 60year old male, who presented with a recently enlarging...
Prevalence of osteoporosis in Bihar: A sample study.
Osteoporosis is a silent disease increasing the fracture risk and load on public hospitals. Proper diet and preventive medication can reduce the chances of osteoporosis. Presently we have population data regarding osteop...
A Case Report of Retroperitoneal Dermoid
Abstract Primary dermoid of retroperitoneal space is exceedingly uncommon. Primary dermoid, mainly occurs in gonads (testes and ovaries), mostly in adults. Extragonadal dermoids are less common, mainly occur in infants...
EXPLORING POTENTIAL OF ULTRASOUND GUIDED ERECTOR SPINAE PLANE (US-ESP) BLOCK FOR POST-OPERATIVE ANALGESIA IN SPINE SURGERIES: A PILOT STUDY
Introduction US-ESP block is a quite newer block described by Forero et al in 2016. [1] ESP blocks ventral as well as dorsal rami of spinal nerves that innervates bony vertebrae and paraspinal muscles. Level and extent o...
Laparoscopic Cholecystectomy in Situs Inversus and Dextro Cardia - A Case Report
Situs inversus is a morphological anomalies of positioning of internal viscera where in there is reversal of the usual handedness of visceral topography. The reversal may be thoracic, abd...