| CASE REPORT |
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| Year : 2019 | Volume
: 21
| Issue : 2 | Page : 189-192 |
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Anesthetic challenges in leaking meningomyelocele repair in a neonate
Vidhu Bhatnagar, SN Kulkarni, MD Muzammil
Department of Anesthesiology and Critical Care, INHS Asvini, Mumbai, Maharashtra, India
Correspondence Address:
Surg Cdr (Dr) Vidhu Bhatnagar
Department of Anesthesiology and Critical Care, INHS Asvini, Near RC Church, Colaba, Mumbai - 400 005, Maharashtra
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jmms.jmms_71_18
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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.
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