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Indian Journal of Clinical Anaesthesia

Flip-flop circulation: An unusual cause and case of neonatal desaturation

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Author Details: Lalit Gupta,Tarang Jain*

Volume : 5

Issue : 4

Online ISSN : 2394-4994

Print ISSN : 2394-4781

Article First Page : 627

Article End Page : 628


Neonates are given anaesthesia for multiple surgeries, however coupling neonatal physiology with child physiology is a common error made. Circulation changes at birth from the foetal to adult type, but neonates are prone to revert to foetal circulation with disastrous effects. This phenomenon is known as flip flop or YoYo circulation. We report a case of a premature neonate, being operated for intestinal perforation, with Yo Yo circulation intraoperatively.

Keywords: Neonate anaesthesia, Flip flop circulation, Yo Yo circulation, Neonatal surgery, Desaturation, Hypoxia.

Doi :-https://doi.org/10.18231/2394-4994.2018.0118