A case of grade 3 haemmorhoids with non-obstructive hydrocephalus having ventriculo-peritoneal shunt in situ posted for haemmorhoidectomy under Saddle anaesthesia

Vijay Patil, Anupriya Chaturvedi *,  Akshay Maroti Junghare and Swapnil  Subhash Kawalkar

Department of anaesthesia GMC Nagpur, MUHS Nashik University, Nagpur city, India.
 
Research Article
International Journal of Science and Research Archive, 2023, 09(01), 174–176.
Article DOI: 10.30574/ijsra.2023.9.1.0312
Publication history: 
Received on 07 March 2023; revised on 30 April 2023; accepted on 03 May 2023
 
Abstract: 
Now a days ventriculo-peritoneal (VP) shunts are one of the most commonly performed neurosurgical procedures. These patients can present for various surgeries in later period of life and anaesthetic management may become difficult and complicated in them. Subarachnoid block can be considered as suitable options in patients with no signs of raised intracranial tension having VP-shunt in situ posted for short surgical procedure like hemorrhoidectomy with due attention towards adequate hydration, strict asepsis and antimicrobial prophylaxis.
 
Keywords: 
Ventriculo-peritoneal shunt; Saddle anaesthesia; Subarachnoid block; Anaesthetic management
 
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