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Indian Journal of Clinical Anaesthesia


Infantile hypertrophic pyloric stenosis - does optimal pre-operative stabilisation enhance recovery: a retrospective study


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Author Details: Uma BR, Narasimha Gnani BC, Vinay BT, Mohan Marulaiah, Harsha BM

Volume : 4

Issue : 1

Online ISSN : 2394-4994

Print ISSN : 2394-4781

Article First Page : 138

Article End Page : 142


Abstract

Introduction: Infantile hypertrophic pyloric stenosis is a pathological condition of early infancy which poses many challenges to both treating surgeons and anaesthesiologists. Correction of acid base imbalance and dyselectrolytemia is mandatory before considering the infant for surgery to prevent peri-operative complications.
Aim: To evaluate the relation between duration of history, time taken for stabilisation and post-operative recovery time. To evaluate the post-operative complications and need for post-operative ventilator and ICU care Methods: We conducted a systemic review of documents of 42 infants who underwent surgery for IHPS. Age, sex, weight, duration of history, time required for stabilisation, post-operative recovery time, need for ICU care and complications were noted and evaluated.
Results: Analysis revealed that, as the duration of history increases, time required for stabilisation will be prolonged. But if we consider infants for surgery after proper correction of acid base and electrolyte abnormalities, the recovery time will not be affected much. No infant required post-operative ventilator support or ICU care.
Conclusion: Preoperative optimal stabilisation of fluid, acid base and electrolyte disturbances reduces the peri operative morbidity and improves the post-operative recovery. Thus, if efficient anaesthesiologist and surgeons are available, the IHPS infants can be treated in peripheral set ups with limited facilities of ICU and mechanical ventilators.

Keywords:
IHPS, Stabilisation, Recovery, Optimal, Infants