Anesthetic Management of a Neonate with OEIS Complex for Emergency Surgery: A Complex Challenge for Anesthesiologist!

Abstract

Omphalocele, exstrophy of cloaca, imperforate anus, and spinal defect (OEIS) complex is an extremely rare congenital anomaly (1:2,00,000–1:4,00,000) comprising of OEIS. The associated anomalies pose multiple challenges during the anesthetic administration. We are reporting anesthetic management of a baby born with this rare syndrome, posted for an emergency surgery on the 1st day of life. Anesthetic management of a neonate with this complex and difficult airway in this relation has never been discussed previously.