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Perioperative Positioning Concerns and Airway Management in Pediatric Meningomyelocele Surgery: A Novel Innovation

Uma Hariharan , Uma Hariharan , Abinaya SV , Mohandeep Kaur

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Indian Journal of Anesthesia and Analgesia 7(2):p 636-639, Mar-Apr 2020. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.7220.29

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Uma Hariharan, Abinaya SV, Mohandeep Kaur. Perioperative Positioning Concerns and Airway Management in Pediatric
Meningomyelocele Surgery: A Novel Innovation. Indian J Anesth Analg. 2020;7(2):636-639.

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Received : N/A         Accepted : N/A          Published : N/A

Abstract

Meningomyelocele surgeries are common in pediatric anesthesia and forms a congenital neural tube defect (herniation of meninges and neural elements through a skull defect). One of the main problems which occur during induction of these children is the difficulty in positioning for airway management and the need to prevent sac compression or rupture. We hereby describe a novel way of positioning of these children over an elevated platform, with the occipital meningomyelocele resting in the padded hollow of an adult soft silicon
head rest (used during prone positioning surgeries). After successful induction and airway securing over this, the same elevated platform was used for the definitive surgical procedure. This innovative positioning adjunct not only supports the herniated sac in supine position, but also eases the intubation process in these difficult airway cases and obviates the risk of latex allergy.

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Cite this article

 

Uma Hariharan, Abinaya SV, Mohandeep Kaur. Perioperative Positioning Concerns and Airway Management in Pediatric
Meningomyelocele Surgery: A Novel Innovation. Indian J Anesth Analg. 2020;7(2):636-639.

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Received Accepted Published
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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.7220.29

Keywords

Meningomyelocele; Positioning; Silicon gel pad; Pediatric airway; Neural compression.

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