Ravishankar R. B1, Kavya K. G2, Jnaneshwar C. S3
ABSTRACT: Meningomyelocele is a complex congenital spinal anomaly, resulting from neural tube defect during first 4 weeks of gestation. Early surgery should be performed because of risk of infection and to prevent further damage to nervous tissue.1 Anaesthetic challenges in meningomyelocele include securing airway with proper positioning of child during intubation to avoid rupture of swelling and CSF leak, intraoperative prone positioning and its associated complications and accurate assessment of blood loss. Intubation has been performed in either lateral position or in supine position with sac protected by a doughnut shaped cushioned ring. Here is a case report of anaesthetic management of a 4months old child posted for lumbosacral meningomyelocele excision for which intubation was performed by positioning the child by a new method that is the child was held in air by 2 assistants during induction, intubation and following intubation child was put in prone position.
