Anesthetic management of a patient undergoing abdominal surgery with bilateral ventricular peritoneal shunt in situ
Open Access
- 17 May 2021
- journal article
- research article
- Published by Egypts Presidential Specialized Council for Education and Scientific Research in Ain-Shams Journal of Anesthesiology
- Vol. 13 (1), 1-4
- https://doi.org/10.1186/s42077-021-00157-3
Abstract
Background Ventriculoperitoneal (VP) shunts are commonly performed procedures for a variety of disorders and are mostly long standing. These patients when present for non-neurological surgeries like gastrointestinal, urology, or caesarean section, there are several concerns like difficult abdominal surgery due to peritoneal adhesions, chances of shunt infection with potential retrograde infective meningoencephalitis, and ventriculitis or shunt failure with recurrent hydrocephalus. Case presentation A 35-year-old male, known case of third ventricular tumour with functional left-sided ventricular peritoneal shunt was scheduled to undergo cholecystectomy for gall bladder stone. Intraoperatively optic nerve sheath diameter was measured as an indicator of raised intracranial pressure. Intraoperative was uneventful. Efforts were taken to prevent rise in intracranial pressure perioperatively. Patient was discharged on third postoperative day. Conclusion A vigilant perioperative care along with adequate team work go a long way in achieving success in patients of ventriculoperitoneal shunts presenting for non-neurological surgeries.Keywords
This publication has 5 references indexed in Scilit:
- Laparoscopic cholecystectomy in patients with ventriculoperitoneal shunts: A case seriesHellenic Journal of Surgery, 2017
- Optic nerve sheath diameter measurement: a means of detecting raised ICP in adult traumatic and non-traumatic neurosurgical patientsThe American Journal of Emergency Medicine, 2016
- Anaesthetic considerations for patients with neurosurgical implantsBJA Education, 2015
- Transcranial Doppler monitoring of middle cerebral flow velocity in a patient with a ventriculoperitoneal shunt undergoing laparoscopyJournal of Clinical Monitoring and Computing, 2012
- Perioperative management of ventriculoperitoneal shunts during abdominal surgerySurgical Neurology, 2008