Case Report
Year: 2021 | Month: January-March | Volume: 6 | Issue: 1 | Pages: 34-37
Anaesthetic Management of a Child with Congenital Rubella Syndrome Posted for Cochlear Implant – A Case Report
Rohini Sagadevan1, R Arun Kumar2, K Pazhanambigai3
1,3Senior Resident, Department of Anaesthesiology, PSG Institute of Medical Sciences and Research, Coimbatore, Tamilnadu, India
2Associate Professor, Department of Anaesthesiology, PSG Institute of Medical Sciences and Research, Coimbatore, Tamilnadu, India
Corresponding Author: R Arun Kumar
ABSTRACT
Congenital Rubella Syndrome (CRS) is a constellation of multi-system abnormalities and each problem has significant anaesthetic implications. These patients pose various challenge to anesthesiologists like unanticipated difficult airway, uncorrected cardiac lesions, etc. Anesthetic for cochlear implant in child with CRS has not been reported. Anaesthetic management in an infant with PS should be based on decrease in pulmonary vascular resistance (PVR), avoidance of tachycardia with sinus rhythm, myocardial depression, systemic hypotension and adequate intra vascular volume. Here we report the anaesthetic management of a 5 year aged child with congenital rubella syndrome - post device closure of Patent ductus arteriosus, bilateral cataract surgery with moderate branch pulmonary artery stenosis and mental retardation posted for cochlear implant.
Keywords: Congenital rubella syndrome, pulmonary artery stenosis, difficult airway, cochlear implant, patent ductus arteriosus.