Perioperative glycaemic control for preterm infant with transient neonatal hyperglycaemia and gastroschisis

• Main Authors: Sirirat Rattana‑arpa, Saowaphak Lapmahapaisan, Arunotai Siriussawakul
• Other Authors: Mahidol University. Faculty of Medicine Siriraj Hospital. Department of Anesthesiology
• Format: Article
• Language: English
• Published: 2017
• Subjects: Open Access article; Abdominal wall defect; High blood sugar; Prematurity
• Online Access: https://repository.li.mahidol.ac.th/handle/123456789/2679
• Institution: Mahidol University

Background: Neonatal hyperglycaemia is a rare metabolic disorder. There are no reports of an association between neonatal hyperglycaemia and gastroschisis. Case presentation: This report presents preoperative and intraoperative management of blood sugar in a low birth weight Thai preterm neonate with gastroschisis and a diagnosis of neonatal hyperglycaemia. The patient underwent an emergency, multi-staged, surgical repair under general anaesthesia. Conclusion: Anaesthesiologists should be aware of possible perioperative dysglycaemic conditions in these patients. Proper timing of surgery and appropriate preanaesthetic preparation are necessary to reduce the morbidity and mortality related to hyperglycaemia and gastroschisis. Consent: The patient’s guardian has given consent for the case report to be published.