Journal of Neuroanaesthesiology and Critical Care (Sep 2018)

A Case of Neonate with Vein of Galen Malformation Refractory to Weaning Attempts from Mechanical Ventilation Managed Successfully with Noninvasive Ventilation

  • Ashutosh Kumar,
  • Neeraja Ajayan,
  • Manikandan Sethuraman,
  • Ajay Prasad Hrishi

DOI
https://doi.org/10.1055/s-0038-1670361
Journal volume & issue
Vol. 05, no. 03
pp. 198 – 200

Abstract

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Weaning of patients with vein of Galen malformations (VOGM) from mechanical ventilation can be challenging in the postprocedure period due to underlying high-output cardiac failure and the fluid overload caused by the neurointervention procedure. We present the case of a neonate with VOGM who was refractory to multiple weaning attempts from mechanical ventilation and was successfully managed with noninvasive ventilation (NIV). NIV can be safely used as a method of weaning, post mechanical ventilation in this subset of patients. The use of NIV will facilitate successful weaning and reduce the incidence of extubation failure in neonates with VOGM in cardiac failure.

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