Airway management in neonates with occipital encephalocele – adjustments and modifications

Abstract

References1 Baldelli R, Battista C, Leonetti F et al. Glucose homeostasis in acromegaly: effects of long-acting somatostatin analogues treatment. Clin Endocrinol (Oxf) 2003; 59: 492-499. 2 Dilger JA, Rho EH, Que FG et al. Octreotide-induced bradycardia and heart block during surgical resection of a carcinoid tumor.

Airway management for occipital encephalocele in neonatal patients: A review of 17 cases

“…We intubated the trachea with a 2.5-mm uncuffed, endotracheal tube, and proceeded uneventfully. [5,6] Four children were intubated with an alternative method. In this method, we used the silicone supports [ Figure 2].…”

Anaesthetic Management of a Giant Cervico-Occipital Meningocele with Cleft Palate

“…[11] • Dey et al used a third person to extend the neck to successfully intubate a neonate. [12] Needle decompression of meningocele sac, under sterile precaution has also been proposed. [8] However the resultant rapid decompression of ventricular system may result into fatal complications like cardiac arrest due to traction of cerebral neuronal pathways.…”

Anaesthetic management of giant encephalocele

“…16 Dey et al used a third person to extend the neck to successfully intubate a neonate in whom the two earlier described techniques at in tubation failed. 17 Other aids for securing airway in newborn and infants are now available like Laryngeal mask airway, Video Laryngoscope are being used to facilitate intubation in neonates and smaller children in difficult situations. But use of these devices requires familiarity and experience before they can be successfully used.…”