Anesthetic Management of a Child with Frontonasal Encephalocele and Hemifacial Microstomia Syndrome for Repair of Encephalocele and Microstomia Correction
Anesthetic management of a child with hemifacial microstomia and frontonasal encephalocele can be challenging due to factors such as a difficult airway, associated systemic conditions, young age, and prolonged operating time. Hereby, we outline the intraoperative management of a 3-year-old child und...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2024-09-01
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| Series: | Journal of Neuroanaesthesiology and Critical Care |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1791955 |
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| author | Selvendiran Panneerselvam Georgene Singh Ananth P. Abraham Keta Thakkar |
| author_facet | Selvendiran Panneerselvam Georgene Singh Ananth P. Abraham Keta Thakkar |
| author_sort | Selvendiran Panneerselvam |
| collection | DOAJ |
| description | Anesthetic management of a child with hemifacial microstomia and frontonasal encephalocele can be challenging due to factors such as a difficult airway, associated systemic conditions, young age, and prolonged operating time. Hereby, we outline the intraoperative management of a 3-year-old child undergoing repair of multiple defects requiring multidisciplinary involvement of neurosurgery, plastic surgery, and anesthesia team. In our case, a size 0 mask and hyper-angulated D-blade video laryngoscopy were used to prevent sac compression and facilitate intubation. Blood conservation strategies included tranexamic acid, precise fluid management, and maintenance of normothermia. Extubation was carefully planned, considering blood loss and airway edema, and performed when the child was fully awake, ensuring a stable postoperative period and successful recovery. This report emphasizes the importance of meticulous preoperative assessment, readiness for a challenging airway, efficient management of intraoperative blood loss, and the value of teamwork. |
| format | Article |
| id | doaj-art-02d326b6f6254d1587954cba55aa384d |
| institution | Kabale University |
| issn | 2348-0548 2348-926X |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Neuroanaesthesiology and Critical Care |
| spelling | doaj-art-02d326b6f6254d1587954cba55aa384d2025-01-10T23:57:28ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Neuroanaesthesiology and Critical Care2348-05482348-926X2024-09-01110320320510.1055/s-0044-1791955Anesthetic Management of a Child with Frontonasal Encephalocele and Hemifacial Microstomia Syndrome for Repair of Encephalocele and Microstomia CorrectionSelvendiran Panneerselvam0Georgene Singh1https://orcid.org/0000-0003-3952-9596Ananth P. Abraham2https://orcid.org/0000-0003-2757-2108Keta Thakkar3https://orcid.org/0000-0001-8014-8619Department of Neuroanaesthesia, Christian Medical College, Vellore, Tamil Nadu, IndiaDepartment of Neuroanaesthesia, Christian Medical College, Vellore, Tamil Nadu, IndiaDepartment of Neurological Sciences, Christian Medical College, Vellore, Tamil Nadu, IndiaDepartment of Neuroanaesthesia, Christian Medical College, Vellore, Tamil Nadu, IndiaAnesthetic management of a child with hemifacial microstomia and frontonasal encephalocele can be challenging due to factors such as a difficult airway, associated systemic conditions, young age, and prolonged operating time. Hereby, we outline the intraoperative management of a 3-year-old child undergoing repair of multiple defects requiring multidisciplinary involvement of neurosurgery, plastic surgery, and anesthesia team. In our case, a size 0 mask and hyper-angulated D-blade video laryngoscopy were used to prevent sac compression and facilitate intubation. Blood conservation strategies included tranexamic acid, precise fluid management, and maintenance of normothermia. Extubation was carefully planned, considering blood loss and airway edema, and performed when the child was fully awake, ensuring a stable postoperative period and successful recovery. This report emphasizes the importance of meticulous preoperative assessment, readiness for a challenging airway, efficient management of intraoperative blood loss, and the value of teamwork.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1791955encephalocelemicrostomiaperioperative |
| spellingShingle | Selvendiran Panneerselvam Georgene Singh Ananth P. Abraham Keta Thakkar Anesthetic Management of a Child with Frontonasal Encephalocele and Hemifacial Microstomia Syndrome for Repair of Encephalocele and Microstomia Correction Journal of Neuroanaesthesiology and Critical Care encephalocele microstomia perioperative |
| title | Anesthetic Management of a Child with Frontonasal Encephalocele and Hemifacial Microstomia Syndrome for Repair of Encephalocele and Microstomia Correction |
| title_full | Anesthetic Management of a Child with Frontonasal Encephalocele and Hemifacial Microstomia Syndrome for Repair of Encephalocele and Microstomia Correction |
| title_fullStr | Anesthetic Management of a Child with Frontonasal Encephalocele and Hemifacial Microstomia Syndrome for Repair of Encephalocele and Microstomia Correction |
| title_full_unstemmed | Anesthetic Management of a Child with Frontonasal Encephalocele and Hemifacial Microstomia Syndrome for Repair of Encephalocele and Microstomia Correction |
| title_short | Anesthetic Management of a Child with Frontonasal Encephalocele and Hemifacial Microstomia Syndrome for Repair of Encephalocele and Microstomia Correction |
| title_sort | anesthetic management of a child with frontonasal encephalocele and hemifacial microstomia syndrome for repair of encephalocele and microstomia correction |
| topic | encephalocele microstomia perioperative |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1791955 |
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