Anesthesia in surgery to save a newborn baby with dangerous birth defects

Thùy Linh |

Recently, the Neonatal Department - Hanoi Children's Hospital received newborn patient L.N.M.T in a state of severe vomiting and purple skin due to dangerous birth defects.

Immediately upon admission, doctors in the Neonatal Department held interdisciplinary consultations: Neonatal Department, General Surgery Department and Anesthesia Department, conducting in-depth diagnostics through tests such as chest X-ray with focus, ultrasound of the heart.

Through tests, doctors discovered that the baby had Type C esophageal atrophy - a dangerous birth defect, in addition, the baby also had severe pneumonia complications and had a small artery Tube. This is an urgent situation, directly threatening the life of a newborn if not intervened promptly.

Faced with the critical condition, the surgical team led by Dr. Tran Van Quyet - Head of the General Surgery Department performed emergency surgery. Doctors performed complex techniques including finding and cutting the airway - esophagus, then connecting the end-to-end esophagus to restore the smoothness of the digestive tract.

After many hours of effort, along with the high concentration of the surgical team and the close coordination between the three departments, the surgery was successful. The child underwent a successful 1- moment surgery to avoid dangerous complications that could be life-threatening.

According to Dr. Tran Van Quyet, this surgery encountered many difficulties, because the child was only 2 days old and weighed 3kg, making the anesthesia - resuscitation process challenging.

In addition, although approached by open surgery, because it is a newborn, the surgical space is extremely narrow, the surgical incision is only about 5cm long, requiring absolute accuracy in each operation. In particular, damage caused by the Type C esophageal atrophy is very large, making it difficult to identify and remove the air leakage - esophagus because the tissues are very small and thin.

After the surgery, the baby continued to be monitored and given special care by the Neonatal Department to ensure the recovery process took place best. Doctors have conducted intensive resuscitation with measures such as maintaining mechanical ventilation to control the risk of high lung pressure, nourishing through the veins to ensure adequate nutrition, and closely monitoring complications such as infections and lesion joints.

Currently, after 8 days of treatment, the child's condition has made positive progress. The baby's ventilator was turned off and he was transferred to non-invasive oxygen. The patient's pneumonia has improved significantly and he is preparing to have his drainage drained to start exercising.

According to Dr. Tram Anh - Neonatal Department, the success in saving the life of this newborn patient is due to three important factors: Early diagnosis, timely surgery and intensive post-operative resuscitation. detecting and handling it from the beginning helped the child overcome the danger.

Teo and ethnocleiditis are dangerous birth defects, but if diagnosed early, with timely surgery and good post-operative care, children can completely recover and develop healthily.

Doctors recommend that if the newborn baby shows unusual signs such as increased saliva secretion, foaming in the mouth, purple baby at first feeding, coughing, vomiting a lot right after giving birth... parents need to closely monitor the baby, take the baby to a specialized medical facility for timely examination and intervention.

Thùy Linh
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