PERIOPERATIVE CONCERNS OF VENTRICULOATRIAL SHUNT-A RETROSPECTIVE ANALYSIS OF 40 CASES.

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dc.contributor.authorNair, Dr Aparna Sen_US
dc.contributor.authorGhag, Dr Prachien_US
dc.contributor.authorKarnik, Dr Hemangien_US
dc.date.accessioned2023-08-09T05:59:54Z
dc.date.available2023-08-09T05:59:54Z
dc.date.issued2023-05
dc.description.abstractBackground: Ventriculo -peritoneal [VP] shunt is the most commonly used cerebrospinal ?uid (CSF) diversion procedure for the management of hydrocephalus. However, when the absorption of CSF from the peritoneum is defective, it results in abdominal distension with CSF ascites. In such cases, an alternate diversion procedure - the ventriculo-atrial [VA] shunt – may be performed. However, this procedure is also associated with several perioperative problems like arrhythmias, air embolism and infection. Materials and methods: A retrospective analysis of 40 cases on the perioperative concerns of VA shunt procedures, performed in our institute, was done. Indication of the shunt, preoperative status & work -up, intraoperative adverse events & management and immediate post-operative complications were assessed. Out of the 40 patients, there were 25 male Results: s and 15 females and there were a total of 12 paediatric patients. Blocked shunt, abdominal infection and CSF ascites were common indications for VA shunt. All patients received general endotracheal anaesthesia with preoperative hypovolemia correction. Intraoperative tachycardia and arrhythmia were noted. Various Conclusion : preoperative concerns like distended abdomen and compromised respiration increase risk of VA shunt procedures. A better understanding of the underlying disease pathology and anticipation of related complications along with cautious and meticulous management can help prevent most of the complications of VA shunt procedure and thereby improve outcomeen_US
dc.identifier.affiliationsPost Graduate Student, Dept of Anaesthesiology, LTMMC Sion Mumbai *Corresponding Authoren_US
dc.identifier.affiliationsPost Graduate Student, Dept of Anaesthesiology, LTMMC Sion Mumbaien_US
dc.identifier.affiliationsProfessor, Dept of Anaesthesiology, LTMMC Sion Mumbaien_US
dc.identifier.citationNair Dr Aparna S, Ghag Dr Prachi, Karnik Dr Hemangi. PERIOPERATIVE CONCERNS OF VENTRICULOATRIAL SHUNT-A RETROSPECTIVE ANALYSIS OF 40 CASES.. Indian Journal Of Applied Research. 2023 May; 13(5): 6-8en_US
dc.identifier.issn2249-555X
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/221437
dc.languageenen_US
dc.publisherIndian Society For Health And Advanced Researchen_US
dc.relation.issuenumber5en_US
dc.relation.volume13en_US
dc.source.urihttps://www.doi.org/10.36106/ijar/2700340en_US
dc.subjectVentriculo-peritoneal shunten_US
dc.subjectCSF Ascitesen_US
dc.subjectVentriculo-atrial shunten_US
dc.subjectperioperative concernsen_US
dc.titlePERIOPERATIVE CONCERNS OF VENTRICULOATRIAL SHUNT-A RETROSPECTIVE ANALYSIS OF 40 CASES.en_US
dc.typeJournal Articleen_US
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