Ultrasound-guided paravertebral block for pyloromyotomy in 3 neonates with congenital hypertrophic pyloric stenosis | Zendy

Javier MataGómez | Zendy; Rosana GuerreroDomínguez | Zendy; Marta GarcíaSantigosa | Zendy; Antonio Ontanilla | Zendy

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Ultrasound-guided paravertebral block for pyloromyotomy in 3 neonates with congenital hypertrophic pyloric stenosis

Author(s) -

Javier MataGómez,

Rosana GuerreroDomínguez,

Marta GarcíaSantigosa,

Antonio Ontanilla

Publication year - 2015

Publication title -

brazilian journal of anesthesiology (english edition)

Language(s) - English

Resource type - Journals

eISSN - 2352-2291

pISSN - 0104-0014

DOI - 10.1016/j.bjane.2014.03.012

Subject(s) - medicine , rapid sequence induction , pyloromyotomy , anesthesia , cricoid pressure , hypertrophic pyloric stenosis , pyloric stenosis , apnea , surgery , intubation , pylorus , stomach

Hypertrophic pyloric stenosis is a relatively common affection of gastrointestinal tract in childhood that results in symptoms, such as projectile vomiting and metabolic disorders that imply a high risk of aspiration during anesthetic induction. In this way, the carrying out of a technique with general anesthesia and intravenous rapid sequence induction, preoxygenation and cricoid pressure are recommended. After the correction of systemic metabolic alkalosis and pH normalization, cerebrospinal fluid can keep a state of metabolic alkalosis. This circumstance, in addition to the residual effect of neuromuscular blocking agents, inhalant anesthetics and opioids could increase the risk of postoperative apnea after a general anesthesia.

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