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Hemodynamic-Focused Anesthetic Strategy for Duodenal Atresia with Annular Pancreas in a Low-Birth-Weight Neonate: A Case Report and Pathophysiological Review

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A 4-day-old LBW neonate with duodenal atresia and annular pancreas underwent successful surgery with tailored anesthesia.
Preoperative management included correcting severe metabolic alkalosis and using stable induction agents for anesthesia.
Goal-directed fluid therapy and lung-protective ventilation were essential for maintaining normothermia and hemodynamic stability.
Postoperative recovery involved continuous analgesia with ketamine and careful monitoring in the NICU to mitigate risks.

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Case report highlights the anesthetic approach to duodenal atresia and annular pancreas in LBW infants, suggesting hemodynamic stability is critical.

Wardhana et al. (2025) studied this question.

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Case report highlights the anesthetic approach to duodenal atresia and annular pancreas in LBW infants, suggesting hemodynamic stability is critical.