Anesthesia Management for Patent Ductus Arteriosus-Device Closure in Patient with Congenital Rubella Syndrome- Case Report


Authors : Dr. Riya J Shah; Dr. Ramprasad Chavan; Dr. Sanjeeta Umbarkar; Dr. Maya R.

Volume/Issue : Volume 9 - 2024, Issue 8 - August

Google Scholar : https://tinyurl.com/yc8bny8e

Scribd : https://tinyurl.com/yfwhj3ut

DOI : https://doi.org/10.38124/ijisrt/IJISRT24AUG969

Abstract : Patent ductus arteriosus (PDA) is an extracardiac left to right shunt. PDA is seen in 50 % of the patients having congenital rubella syndrome (CRS). CRS is a combination of multisystem abnormalities. Patients with CRS pose challenges for an anaesthesiologist in way of small infants, difficult airway, underlying cardiac lesions, low birth weight etc. We report successful anaesthesia management of a paediatric patient having CRS with global developmental delay(hypotonia) posted for PDA- Device Closure (PDA-DC).

Keywords : Anaesthesia, Patent Ductus Arteriosus, PDA- Device Closure, Congenital Rubella Syndrome, Sedation, Entropy.

References :

  1. Shinde S. R., Basantwani S. , Tendolkar B., Anaesthetic management of patent ductus arteriosus in adults, Ann Card Anaesth. 2016 Oct-Dec; 19(4): 750-751
  2. Ramasali M. V., Koshy PG, Prasad MS, SaradaDevi V, Congenital Rubella Syndrome and anaesthetic considerations, MRIMS Journal of Health Sciences 2018; 6(1)
  3. Kritzmire S. M., Boyer T. J., Singh P., Anaesthesia for patients with patent ductus arteriosus, In : Statpearls [Internet]. Treasure Island(FL): Statpearls Publishing; 2024 Jan-
  4. Gillam-Krakauer M., Mahajan K., Patent Ductus Arteriosus, Statpearls [internet]. Treasure island (FL): Statpearls Publishing; 2024 Jan.
  5. Sagadevan R., Kumar R A, Pazhanambigai K, Anaesthetic management of a child with Congenital Rubella Syndrome posted for Cochlear Implant- A case report, Galore international journal of Health Sciences and research, Vol. 6; Issue : 1; Jan- March 2021
  6. Backes C H, Hill K D, Patent Ductus Arteriosus: A Contemporary perspective for the paediatric and adult cardiac care provider, Journal of the American heart association
  7. Fatema N, Razzaque A K, Device closure of patent ductus arteriosus : analysis of cases in a Bangladeshi centre, International Journal of contemporary paediatrics.

Patent ductus arteriosus (PDA) is an extracardiac left to right shunt. PDA is seen in 50 % of the patients having congenital rubella syndrome (CRS). CRS is a combination of multisystem abnormalities. Patients with CRS pose challenges for an anaesthesiologist in way of small infants, difficult airway, underlying cardiac lesions, low birth weight etc. We report successful anaesthesia management of a paediatric patient having CRS with global developmental delay(hypotonia) posted for PDA- Device Closure (PDA-DC).

Keywords : Anaesthesia, Patent Ductus Arteriosus, PDA- Device Closure, Congenital Rubella Syndrome, Sedation, Entropy.

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