Anaesthesia for Antenatal Diagnosed Duodenal Atresia with Undiagnosed Persistent Pulmonary Hypertension of Neonate

  • Rupesh Kumar Yadav Department of Anaesthesia, Kanti Children’s Hospital, Maharajgunj, Kathmandu, Nepal
  • Bidur Kumar Dhungel Department of Anaesthesia, Civil Service Hospital, New baneshwor, Kathmandu, Nepal
  • Pawan Kumar Hamal Department of Anaesthesia, National Trauma Center, Mahabouddha, Kathmandu, Nepal
  • Nabin Pokhrel Department of Anaesthesia, National Trauma Center, Mahabouddha, Kathmandu, Nepal
  • Manoj Kumar Shrestha Department of Paediatric surgery, Siddhi Memorial Hospital, Bhaktapur, Nepal
DOI: https://doi.org/10.33314/jnhrc.v18i4.2723

Abstract

Conversion of fetal circulation to adult-type occurs immediately after birth but neonates with problems in the development of pulmonary vasculature are prone to revert back to fetal circulation. This phenomenon is known as flip-flop circulation which may be induced perioperatively and as such anesthesiologist are central to its management. We report a case of term neonate planned for repair of duodenal atresia that despite having no respiratory symptom preoperatively developed severe hypoxemia under anesthesia that was even unresponsive to 100% oxygen. The intraoperative hemodynamics of the neonate was managed along with supportive care successfully. A postoperative echocardiogram confirmed the evidence of persistent pulmonary hypertension of the newborn.
Keywords: Duodenal atresia; flip flop circulation; neonates; persistent pulmonary hypertension of newborn

Published
2021-01-22
How to Cite
Yadav, R. K., Dhungel, B. K., Hamal, P. K., Pokhrel, N., & Shrestha, M. K. (2021). Anaesthesia for Antenatal Diagnosed Duodenal Atresia with Undiagnosed Persistent Pulmonary Hypertension of Neonate. Journal of Nepal Health Research Council, 18(4), 792-794. https://doi.org/10.33314/jnhrc.v18i4.2723
Issue
Vol. 18 No. 4 (2020): Vol. 18 No. 4 Issue 49 Oct-Dec 2020
Section
Case Report

Copyright (c) 2021 Rupesh Kumar Yadav, Bidur Kumar Dhungel, Pawan Kumar Hamal, Nabin Pokhrel, Manoj Kumar Shrestha

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