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Laringomalazili bir yenidoğanda bilateral kasık fıtığı onarımı için kaudal anestezi

Year 2024, Volume: 6 Issue: 2, 236 - 240, 30.06.2024
https://doi.org/10.52827/hititmedj.1444951

Abstract

Laringomalazi yenidoğanlarda stridorun en yaygın sebebidir. Pediatrik zor hava yolu anestezistler için büyük bir zorluktur ve perioperatif solunum komplikasyonlarının ana nedenlerinden biridir. Yenidoğanlarda genel anestezinin özellikle apne gibi solunumsal komplikasyonlarını önlemek amacıyla kaudal veya spinal anestezi gibi bölgesel anestezi teknikleri tercih edilebilir. Kaudal anestezi özellikle göbek altı cerrahiler için tek anestezi yöntemi olarak kullanılabileceği gibi genel anesteziye yardımcı olarak da kullanılabilir ve perioperatif analjezi sağlamanın etkili bir yoludur. Biz bu yazımızda, laringomalazili bir yenidoğanda bilateral herni ameliyatı için uyguladığımız kaudal anestezi deneyimimizi sunduk.

Ethical Statement

Gerekli değildir.

Supporting Institution

Yazarlar tarafından finansal destek almadıkları bildirilmiştir

References

  • Landry AM, Thompson DM. Laryngomalacia: disease presentation, spectrum, and management. Int J Pediatr 2012;2012:753526.
  • Cook TM, Woodall N, Frerk C. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: anaesthesia. Br J Anaesth 2011;106:617-631.
  • Wiegele M, Marhofer P, Lönnqvist PA. Caudal epidural blocks in paediatric patients: a review and practical considerations. Br J Anaesth 2019;122:509-517.
  • Ayari S, Aubertin G, Girschig H, et al. Management of laryngomalacia. Eur Ann Otorhinolaryngol Head Neck Dis 2013;130:15-21.
  • Olsson GL, Hallen B. Laryngospasm during anaesthesia. A computer-aided incidence study in 136,929 patients. Acta Anaesthesiol Scand 1984;28:567-575.
  • Darmon JY, Rauss A, Dreyfuss D, et al. Evaluation of risk factors for laryngeal edema after tracheal extubation in adults and its prevention by dexamethasone. A placebo-controlled, double-blind, multicenter study. Anesthesiology 1992;77:245-251.
  • Biricik, E. Zor Hava Yoluna Neden Olabilen Pediyatrik Sendromlar. Çukurova Anestezi ve Cerrahi Bilimler Dergisi 2023; 6.2:366-374.
  • Gerber AC, Weiss M. Awake spinal or caudal anaesthesia in preterms for herniotomies: what is the evidence based benefit compared with general anaesthesia?. Curr Opin Anaesthesiol 2003;16:315-320.
  • Geze S, Imamoğlu M, Cekic B. Awake caudal anesthesia for inguinal hernia operations: successful use in low birth weight neonates. Anaesthesist 2011;60:841-844.
  • Spear RM, Deshpande JK, Maxwell LG. Caudal anesthesia in the awake, high-risk infant. Anesthesiology 1988;69:407-409.
  • Daftary SR, Jagtap SJIJoA. Caudal epidural as a sole anaesthetic in preterm, former preterm and high risk infants. Indian Journal of Anaesthesia 2005;49:195-198.

Caudal Anesthesia for Bilateral Inguinal Hernia Repair in a Newborn with Laryngomalacia

Year 2024, Volume: 6 Issue: 2, 236 - 240, 30.06.2024
https://doi.org/10.52827/hititmedj.1444951

Abstract

Laryngomalacia is the most common cause of stridor in newborns. Pediatric difficult airway is a major challenge for anesthetists and one of the main causes of perioperative respiratory complications. In order to prevent respiratory complications of general anesthesia, especially apnea, in newborns, regional anesthesia techniques such as caudal or spinal anesthesia may be preferred. Caudal anesthesia can be used as the sole anesthesia method, especially for subumbilical surgeries, or as an adjunct to general anesthesia and is an effective way to provide perioperative analgesia. In this article, we presented our experience with caudal anesthesia for bilateral inguinal hernia surgery in a newborn with laryngomalacia.

References

  • Landry AM, Thompson DM. Laryngomalacia: disease presentation, spectrum, and management. Int J Pediatr 2012;2012:753526.
  • Cook TM, Woodall N, Frerk C. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: anaesthesia. Br J Anaesth 2011;106:617-631.
  • Wiegele M, Marhofer P, Lönnqvist PA. Caudal epidural blocks in paediatric patients: a review and practical considerations. Br J Anaesth 2019;122:509-517.
  • Ayari S, Aubertin G, Girschig H, et al. Management of laryngomalacia. Eur Ann Otorhinolaryngol Head Neck Dis 2013;130:15-21.
  • Olsson GL, Hallen B. Laryngospasm during anaesthesia. A computer-aided incidence study in 136,929 patients. Acta Anaesthesiol Scand 1984;28:567-575.
  • Darmon JY, Rauss A, Dreyfuss D, et al. Evaluation of risk factors for laryngeal edema after tracheal extubation in adults and its prevention by dexamethasone. A placebo-controlled, double-blind, multicenter study. Anesthesiology 1992;77:245-251.
  • Biricik, E. Zor Hava Yoluna Neden Olabilen Pediyatrik Sendromlar. Çukurova Anestezi ve Cerrahi Bilimler Dergisi 2023; 6.2:366-374.
  • Gerber AC, Weiss M. Awake spinal or caudal anaesthesia in preterms for herniotomies: what is the evidence based benefit compared with general anaesthesia?. Curr Opin Anaesthesiol 2003;16:315-320.
  • Geze S, Imamoğlu M, Cekic B. Awake caudal anesthesia for inguinal hernia operations: successful use in low birth weight neonates. Anaesthesist 2011;60:841-844.
  • Spear RM, Deshpande JK, Maxwell LG. Caudal anesthesia in the awake, high-risk infant. Anesthesiology 1988;69:407-409.
  • Daftary SR, Jagtap SJIJoA. Caudal epidural as a sole anaesthetic in preterm, former preterm and high risk infants. Indian Journal of Anaesthesia 2005;49:195-198.
There are 11 citations in total.

Details

Primary Language Turkish
Subjects Anaesthesiology
Journal Section Case Report
Authors

Dilek Yeniay 0000-0002-1838-2022

Mehmet Değermenci 0009-0007-1043-1938

Aysel Yucak Özdemir 0000-0001-5579-5160

Publication Date June 30, 2024
Submission Date February 29, 2024
Acceptance Date May 14, 2024
Published in Issue Year 2024 Volume: 6 Issue: 2

Cite

AMA Yeniay D, Değermenci M, Yucak Özdemir A. Laringomalazili bir yenidoğanda bilateral kasık fıtığı onarımı için kaudal anestezi. Hitit Medical Journal. June 2024;6(2):236-240. doi:10.52827/hititmedj.1444951