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Manajemen Anestesia Pada Anak Dengan Nasofrontal Meningoencephalocele Dan Hydrocephalus Non-Communicant (Anesthesia Management For A Child With Nasofrontal Meningoencephalocele And Hydrocephalus Non Communicant)

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Meningoencephaloceles are very rare congenital malformations in the world that have a high incidence in the population of Southeast Asia, include in lndonesia. Children with nasofrontal meningoencephaloceles should have surgical correction as early as possible because of the facial dysmorphia, impairment of binocular vision, increasing size of the meningoencephalocele caused by increasing brain prolapse, and risk of infection of the central nervous system. In this report, we presented a case of a 9 months-old baby girI with nasofrontal meningoencephalocele and hydrocephalus non communican, posted for VP shunt (ventriculo-peritoneal shunt) and cele excision. Because of the mass, nasofrontal or frontoethmoidal and occipital meningoencephalocele leads the anaesthetist to problems since the preoperative visit, time of induction, maintenance of anaesthesia during the operation until post operative care. Anaesthetic challenges in management of meningoencephalocele, which most of the patients are children, include ventilation, intubation and securing the airway with intubation with the mass in nasofrontal and nasoethmoidal with its associated complications and accurate assessment of bloodloss and prevention of hypothermia.
Key words : Anesthesia, Difficult ventilation, Difficult intubation, Nasofrontal Meningoencephalocele, Pediatrics.

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Jurnal Neuroanestesia Indonesia, 1 (1) 2012 : 39-4

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Bandung : Indonesian Society of Neuroanesthesia & Critical Care INA_SNACC., 2012

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5p

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2088-9670

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