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Case Report

A Case of Meningomyelocele in a 6 month Old Infant: Anaesthesia Management

Sujatha M P, Varsha Kuntala, Ravi Madhushana, Meghana Patel, Usha Sree Jala

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Indian Journal of Anesthesia and Analgesia 13(3):p 139-141, July-September 2026. | DOI: https://doi.org/10.21088/ijaa.2349.8471.13326.4

How Cite This Article:

Varsha Kuntala, Sujatha M P, Ravi Madhushana et. al, A Case of Meningomyelocele in a 6 month Old InfantAnaesthesia Management. Ind J Anesth Analg. 2026; 13(3): 139-141.

Timeline

Received : May 05, 2026         Accepted : June 10, 2026          Published : September 25, 2026

Abstract

Paediatric patient posted for meningomyelocele repair poses a challenge for anaesthesiologists in terms of IV cannulation, Airway access, positioning; anaesthesia management focuses on protecting the spinal sac during positioning, managing potential respiratory issues, preventing hypothermia, controlling fluid balance and monitoring for CSF leaks and blood loss. Our patient was 6 months old, 5kgs with full term normal delivery with other investigations within normal limits. Securing an IV cannulation was difficult, Positioned with cotton padding for the meningomyelocele; and premedicated with Inj Atropine 0.1 mg; Inj Fentanyl 10 mic gm and Induced with Sevoflurane and Intubated under Inj Suxamethonium 10 mg with 4.0 mm ETT and Fixed at 11 cm. Maintained with O 2, N2O, Inj Atracurium & Isoflurane. Patient was carefully proned with padding and support for head and neck. HR, SPO2, ETCO2, NIBP were monitored and Fluid managed with Isolyte-P. Uneventfully extubated after reversing the NMB with Inj Neostigmine and Ing Atropine and shifted to recovery.A multidisciplinary approach to paediatric anaesthetic management with trained anaesthetist securing IV cannulation, Airway access and care in positioning was helpful in a successful outcome.

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Data Sharing Statement

There are no additional data available. All raw data and code are available upon request.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.

Conflicts of Interest

No conflicts of interest in this work.

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Cite this article

Varsha Kuntala, Sujatha M P, Ravi Madhushana et. al, A Case of Meningomyelocele in a 6 month Old InfantAnaesthesia Management. Ind J Anesth Analg. 2026; 13(3): 139-141.

Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator..

Received Accepted Published
May 05, 2026 June 10, 2026 September 25, 2026
DOI: https://doi.org/10.21088/ijaa.2349.8471.13326.4

Keywords

AnaesthesiaMeningomyelocelePaediatric

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Timeline

Received May 05, 2026
Accepted June 10, 2026
Published September 25, 2026

licence

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator..


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