Anaesthetic Management of a Newborn with Giant Occipitalmenigocele, Cleft Lip & Palate and Cardiac Abnormality

Monal Ramani, Deepshikha, Prachi Agnihotri

Abstract: INTRODUCTIONMeningocele is herniation of csf and meninges through a congenital defect in the skull or vertebral column. . Anesthetic management is challenging due to difficult airway, prone position, associated congenital abnormality, hypothermia and fluid loss. CASE REPORT Neonate induced with sevoflurane in lateral position and for intubation lifted from table, swelling and pelvis supported by other anesthesiologist. Prone position given with care. Total 90 ml PCV and 150 ml crystalloid given. Warmer placed to prevent hypothermia. CONCLUSION Vigilant evaluation with careful management result in safe and successful result.

Keywords: menigocele, cleft lip and palate, DTGA