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Canadian Journal of Anesthesia, Vol 21, 403-406, Copyright © 1974 by Canadian Anesthesiologists' Society

Anaesthesia For Occipital Encephalocoele

R. E. CREIGHTON M.D., F.R.C.P.(C)1, J.E. S. RELTON M.B., F.F.A.R.C.S.(ENG.), F.R.C.P.(C)1, and H. W. MERIDY M.D., F.A.C.A.2

1 Department of Anaesthesia, University of Toronto, and The Hospital for Sick Children, Toronto, Canada
2 Department of Anaesthesia, University of Toronto, Toronto, Ontario

Address for Reprints: R.E. Creighton, M.D., F.R.C.P.(C), Department of Anaesthesia, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, M5G 1X8 Canada.

Anaesthesia for correction of occipital encephalocoele is often complicated by the presence of hydrocephalus, Klippel-Feil deformity and cleft palate. In a series of 31 cases the prone position for surgery was maintained by bolsters placed so that abdominal movement was unimpeded. The body temperature fell in all cases despite the use of heating blankets and infra-red lamps. Because precise measurements of blood loss were impossible, sufficient blood was transfused to maintain a systolic blood pressure of 60 mmHg. With these anaesthetic techniques all patients survived the operation.

Note:

Present address the Department of Anaesthesiology, Hartford Hospital, Hartford, Conn., U.S.A.






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Copyright © 1974 by the Canadian Anesthesiologists' Society.