@article{Yadav_Dhungel_Hamal_Pokhrel_Shrestha_2021, title={Anaesthesia for Antenatal Diagnosed Duodenal Atresia with Undiagnosed Persistent Pulmonary Hypertension of Neonate}, volume={18}, url={http://jnhrc.com.np/index.php/jnhrc/article/view/2723}, DOI={10.33314/jnhrc.v18i4.2723}, abstractNote={<p>Conversion of fetal circulation to adult-type occurs immediately after birth but neonates with problems in the development of pulmonary vasculature are prone to revert back to fetal circulation. This phenomenon is known as flip-flop circulation which may be induced perioperatively and as such anesthesiologist are central to its management. We report a case of term neonate planned for repair of duodenal atresia that despite having no respiratory symptom preoperatively developed severe hypoxemia under anesthesia that was even unresponsive to 100% oxygen. The intraoperative hemodynamics of the neonate was managed along with supportive care successfully. A postoperative echocardiogram confirmed the evidence of persistent pulmonary hypertension of the newborn.<br>Keywords: Duodenal atresia; flip flop circulation; neonates; persistent pulmonary hypertension of newborn</p&gt;}, number={4}, journal={Journal of Nepal Health Research Council}, author={YadavRupesh Kumar and DhungelBidur Kumar and HamalPawan Kumar and Pokhrel, Nabin and ShresthaManoj Kumar}, year={2021}, month={Jan.}, pages={792-794} }