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Anaesthesia for Antenatal Diagnosed Duodenal Atresia with Undiagnosed Persistent Pulmonary Hypertension of Neonate.
- Source :
-
Journal of Nepal Health Research Council [J Nepal Health Res Counc] 2021 Jan 22; Vol. 18 (4), pp. 792-794. Date of Electronic Publication: 2021 Jan 22. - Publication Year :
- 2021
-
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.
Details
- Language :
- English
- ISSN :
- 1999-6217
- Volume :
- 18
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Journal of Nepal Health Research Council
- Publication Type :
- Academic Journal
- Accession number :
- 33510531
- Full Text :
- https://doi.org/10.33314/jnhrc.v18i4.2723