Challenges in the Anaesthetic Management of Congenital Disorder Infantile Hypertrophic Pyloric Stenosis
Pyloric stenosis is characterised by a thicker, lengthened, and larger pylorus as well as hypertrophy of the circular and, to a lesser extent, the longitudinal smooth muscles.The classical presenting features are non-bilious, projectile vomiting, visible peristalsis and hypochloremichypokalaemic met...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2023-03-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/17574/60910_CE(AD)_F(IS)_PF1(HB_SS)_PN(KM).pdf |
| _version_ | 1797867167722504192 |
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| author | Monika Sharma Aruna Chandak Vijay Chandak |
| author_facet | Monika Sharma Aruna Chandak Vijay Chandak |
| author_sort | Monika Sharma |
| collection | DOAJ |
| description | Pyloric stenosis is characterised by a thicker, lengthened, and larger pylorus as well as hypertrophy of the circular and, to a lesser extent, the longitudinal smooth muscles.The classical presenting features are non-bilious, projectile vomiting, visible peristalsis and hypochloremichypokalaemic metabolic alkalosis. Definitive treatment is often performed by a relatively quick surgical procedure shortly after diagnosis. Surgery for pyloromyotomy is usually performed when fluid, acid/base, and electrolyte imbalances have been properly and completely corrected, which in turn results in speedy recovery of patient. The complications linked to these diseases call for caution when administering anaesthesia for even ostensibly straightforward surgical procedures. The case report is about a 1-month old male neonate who presented with features of pyloric stenosis.Weighing the increase risk of complications and mortality, the neonate was managed using rapid sequence induction approach in combination with caudal block for an adequate analgesia. |
| first_indexed | 2024-04-09T23:35:57Z |
| format | Article |
| id | doaj.art-33b9c61213a0400eae00e1440a02429f |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-09T23:35:57Z |
| publishDate | 2023-03-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-33b9c61213a0400eae00e1440a02429f2023-03-20T06:47:41ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-03-01173UD06UD0810.7860/JCDR/2023/60910.17574Challenges in the Anaesthetic Management of Congenital Disorder Infantile Hypertrophic Pyloric StenosisMonika Sharma0Aruna Chandak1Vijay Chandak2Postgraduate Resident, Department of Anaesthesia, Datta Meghe Institute of Medical Science, Wardha, Maharashtra, India.Professor, Department of Anaesthesia, Datta Meghe Institute of Medical Science, Wardha, Maharashtra, India.Professor, Department of Anaesthesia, Datta Meghe Institute of Medical Science, Wardha, Maharashtra, India.Pyloric stenosis is characterised by a thicker, lengthened, and larger pylorus as well as hypertrophy of the circular and, to a lesser extent, the longitudinal smooth muscles.The classical presenting features are non-bilious, projectile vomiting, visible peristalsis and hypochloremichypokalaemic metabolic alkalosis. Definitive treatment is often performed by a relatively quick surgical procedure shortly after diagnosis. Surgery for pyloromyotomy is usually performed when fluid, acid/base, and electrolyte imbalances have been properly and completely corrected, which in turn results in speedy recovery of patient. The complications linked to these diseases call for caution when administering anaesthesia for even ostensibly straightforward surgical procedures. The case report is about a 1-month old male neonate who presented with features of pyloric stenosis.Weighing the increase risk of complications and mortality, the neonate was managed using rapid sequence induction approach in combination with caudal block for an adequate analgesia.https://jcdr.net/articles/PDF/17574/60910_CE(AD)_F(IS)_PF1(HB_SS)_PN(KM).pdfelectrolytesneonatespostoperative riskpyloromyotomy surgery |
| spellingShingle | Monika Sharma Aruna Chandak Vijay Chandak Challenges in the Anaesthetic Management of Congenital Disorder Infantile Hypertrophic Pyloric Stenosis Journal of Clinical and Diagnostic Research electrolytes neonates postoperative risk pyloromyotomy surgery |
| title | Challenges in the Anaesthetic Management of Congenital Disorder Infantile Hypertrophic Pyloric Stenosis |
| title_full | Challenges in the Anaesthetic Management of Congenital Disorder Infantile Hypertrophic Pyloric Stenosis |
| title_fullStr | Challenges in the Anaesthetic Management of Congenital Disorder Infantile Hypertrophic Pyloric Stenosis |
| title_full_unstemmed | Challenges in the Anaesthetic Management of Congenital Disorder Infantile Hypertrophic Pyloric Stenosis |
| title_short | Challenges in the Anaesthetic Management of Congenital Disorder Infantile Hypertrophic Pyloric Stenosis |
| title_sort | challenges in the anaesthetic management of congenital disorder infantile hypertrophic pyloric stenosis |
| topic | electrolytes neonates postoperative risk pyloromyotomy surgery |
| url | https://jcdr.net/articles/PDF/17574/60910_CE(AD)_F(IS)_PF1(HB_SS)_PN(KM).pdf |
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