Open AccessAnesthetic management of a neonate with arthrogryposis multiplex congenita for emergency laparotomy
Author(s) -
Rajat Chowdhuri,
Samarendranath Samui,
Anup Kumar Kundu
Publication year - 2011
Publication title -
journal of anaesthesiology-clinical pharmacology/journal of anaesthesiology clinical pharmacology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.466
H-Index - 32
eISSN - 2231-2730
pISSN - 0970-9185
DOI - 10.4103/0970-9185.81831
Subject(s) - arthrogryposis multiplex congenita , medicine , arthrogryposis , anesthesia , anesthetic , airway management , airway obstruction , laparotomy , malignant hyperthermia , surgery , intubation , airway
Arthrogryposis multiplex congenita is a rare disease, characterized by non-progressive, multiple joint contractures since birth. Anesthetic issues include difficult intravenous access, difficult airway management and regional anesthesia. We report the anesthetic management of a six-day-old neonate presenting to the emergency with features of intestinal obstruction, who was detected for the first time to have arthrogryposis multiplex congenita. General anesthesia along with caudal analgesia for peroperative and postoperative pain relief was used. There was an episode of intraoperative hyperthermia, which was tackled successfully. The child had an uneventful post-anesthesia recovery.