GÖKÇE GİŞİ
Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi - 2023;18(1):177-182
Objective: Meningomyelocele and encephaloceles are pediatric neuroanesthesia cases that require urgent surgical correction and are mostly taken in the early postnatal period. Anesthesia management requires information, attention and experience due to difficult airway, accompanying congenital malformations, bleeding, hemodynamic disorders and prone position. The aim of this study was to review anesthesia management for surgical correction of meningomyelocele and encephalocele received in our institution. Materials and Methods: A total of 58 patients who underwent meningocele and encephalocele correction surgery in our institution between January 2018 and December 2022 were included in the study. Demographic characteristics, duration of anesthesia, accompanying anomalies, intraoperative and postoperative complications of the patients were obtained from anesthesia follow-up forms and electronic records and evaluated retrospectively. Results: A total of 58 newborns and infants who were operated for repair of 45 meningomyeloceles and 13 encephaloceles were examined in the study. Of the patients, 32 (55.2%) were female babies and 26 (44.8%) were male babies. The median age was 3 days. Cardiac, respiratory anomalies and hydrocephalus were the most common accompanying problems. There were five cases of difficult intubation. There were no major anesthesia complications. Conclusion: The management of infants with meningomyelocele and encephalocele requires up-to-date information about possible difficulties encountered in perioperative management. Special anesthetic care is required to cope with difficult airway, presence of congenital anomalies, prone position and cardiorespiratory disorders. Careful preoperative preparation and meticulous intraoperative management are essential for successful anesthesia practice.
