Anaesthesia for Antenatal Diagnosed Duodenal Atresia with Undiagnosed Persistent Pulmonary Hypertension of Neonate.
J Nepal Health Res Counc
; 18(4): 792-794, 2021 Jan 22.
Article
em En
| MEDLINE
| ID: mdl-33510531
ABSTRACT
Conversion of fetal circulation to adult-type occurs immediately after birth but neonates with problems in the development of pulmonary vasculature are prone to revert back to fetal circulation. This phenomenon is known as flip-flop circulation which may be induced perioperatively and as such anesthesiologist are central to its management. We report a case of term neonate planned for repair of duodenal atresia that despite having no respiratory symptom preoperatively developed severe hypoxemia under anesthesia that was even unresponsive to 100% oxygen. The intraoperative hemodynamics of the neonate was managed along with supportive care successfully. A postoperative echocardiogram confirmed the evidence of persistent pulmonary hypertension of the newborn. Keywords Duodenal atresia; flip flop circulation; neonates; persistent pulmonary hypertension of newborn.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Hipertensão Pulmonar
/
Atresia Intestinal
/
Anestesia
Tipo de estudo:
Diagnostic_studies
Limite:
Female
/
Humans
/
Newborn
/
Pregnancy
País como assunto:
Asia
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article