Gore Mangesh, Joshi Kunal, Dave Nandini
Lecturer, Department of Anaesthesiology, T N Medical College & B Y L Nair Hospital, Mumbai.
Indian J Anaesth. 2009 Apr;53(2):223-5.
Gastroschisis is a congenital anomaly with a high perioperative mortality. Administration of general anaesthesia to these high risk neonates is associated with several problems including postoperative apnoea and the need for mechanical ventilation. Central neuraxial blocks, and more recently, combined spinal epidural have been administered for major abdominal surgery in neonates. We present the case of a neonate posted for gastroschisis repair conducted under combined spinal epidural anaesthesia and discuss the several advantages of this technique.
腹裂是一种围手术期死亡率很高的先天性畸形。对这些高危新生儿实施全身麻醉会带来包括术后呼吸暂停和机械通气需求在内的诸多问题。中枢神经阻滞，以及最近出现的腰麻-硬膜外联合阻滞，已被用于新生儿的大型腹部手术。我们报告一例在腰麻-硬膜外联合麻醉下进行腹裂修补术的新生儿病例，并讨论该技术的若干优点。
