Gastroschisis repair under caudal anesthesia: a series of three cases

Neha Kasat; Nandini Dave; Harick Shah; Swapnil Mahajan

doi:10.1016/j.bjane.2016.07.006

Clinical Informations

Gastroschisis repair under caudal anesthesia: a series of three cases

Correção de gastrosquise sob anestesia caudal: uma série de três casos

Neha Kasat; Nandini Dave; Harick Shah; Swapnil Mahajan

http://dx.doi.org/10.1016/j.bjane.2016.07.006 Braz J Anesthesiol, vol.67, n3, p.326-328, 2017

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Abstract

Abstract Gastroschisis is a congenital anomaly characterized by a defect in the anterior abdominal wall with protrusion of abdominal viscera. Perioperative mortality is very high in these patients. Traditionally gastroschisis repair has been performed under general anesthesia with endotracheal intubation, requiring postoperative intensive care admission and mechanical ventilation. Caudalblock is an attractive alternative to general anesthesia. We present a series of three neonates with gastroschisis, repaired solely under caudal anesthesia.

Keywords

Gastroschisis, Anesthesia, caudal, Infant, newborn

Resumo

Resumo Gastrosquise é uma anomalia congênita caracterizada por um defeito da parede abdominal anterior com protrusão de vísceras abdominais. A mortalidade no período perioperatório é muito elevada nesses pacientes. Tradicionalmente, a correc¸ão de gastrosquise tem sido feita sob anestesia geral com intubac¸ão orotraqueal, o que requer internac¸ão em unidade de terapia intensiva e ventilac¸ão mecânica no pós-operatório. O bloqueio caudal é uma opc¸ão atraente à anestesia geral. Apresentamos uma série de três casos de recém-nascidos com gastrosquise corrigida unicamente sob anestesia caudal.

Palavras-chave

Gastrosquise, Anestesia caudal, Lactentes, recém-nascido

References

Klein MD. Congenital defects of the abdominal wall. Textbook of paediatric surgery. 2006:1157-71.

Steward DJ. Preterm infants are more prone to complications following surgery than term infants. Anesthesiology. 1982;56:304-6.

Vane DW, Abajian JC, Hong AR. Spinal anaesthesia for primary repair of gastroschisis: a new and safe technique for selected patients. J Paediatr Surg. 1994;29:1234-5.

Tobias JD. Spinal anaesthesia in infants and children. Paediatr Anaesth. 2000;10:5-16.

Somri M, Tome R, Yanovski B. Combined spinal-epidural anaesthesia in major abdominal surgery in high-risk neonates and infants. Paediatr Anaesth. 2007;17:1059-65.

Gastroschisis repair under caudal anesthesia: a series of three cases

Correção de gastrosquise sob anestesia caudal: uma série de três casos

Neha Kasat; Nandini Dave; Harick Shah; Swapnil Mahajan

Abstract

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Resumo

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