Open AccessAnaesthetic Management of a Child with Congenital Rubella Syndrome Posted for Cochlear Implant - A Case Report
Author(s) -
Rohini Sagadevan,
Ranjeet Kumar,
K Pazhanambigai
Publication year - 2021
Publication title -
galore international journal of health science and research
Language(s) - English
Resource type - Journals
ISSN - 2456-9321
DOI - 10.52403/gijhsr.20210106
Subject(s) - medicine , ductus arteriosus , congenital rubella syndrome , cochlear implant , anesthesia , implant , cochlear implantation , cardiology , rubella , surgery , audiology , measles , immunology , vaccination
Congenital Rubella Syndrome (CRS) is a constellation of multi-system abnormalities and each problem has significant anaesthetic implications. These patients pose various challenge to anesthesiologists like unanticipated difficult airway, uncorrected cardiac lesions, etc. Anesthetic for cochlear implant in child with CRS has not been reported. Anaesthetic management in an infant with PS should be based on decrease in pulmonary vascular resistance (PVR), avoidance of tachycardia with sinus rhythm, myocardial depression, systemic hypotension and adequate intra vascular volume. Here we report the anaesthetic management of a 5 year aged child with congenital rubella syndrome - post device closure of Patent ductus arteriosus, bilateral cataract surgery with moderate branch pulmonary artery stenosis and mental retardation posted for cochlear implant.Keywords: Congenital rubella syndrome, pulmonary artery stenosis, difficult airway, cochlear implant, patent ductus arteriosus.