Circulatory Collapse From Anesthesia for Diaphragmatic Hernia

Traumatic diaphragmatic hernia (TDH) is generally a consequence of thoraco-abdominal trauma. Anaesthetic problems arise due to herniation of abdominal contents into the thoracic cavity causing diaphragmatic dysfunction, lung collapse, mediastinal shift and haemodynamic instability. Diagnosis depends on history, clinical signs and radiological investigations. Sometimes, it may be misdiagnosed as hydropneumothorax due to the presence of air and fluid in the viscera lying in the pleural cavity. We report a case of TDH mimicking hydropneumothorax on radiological investigations and subsequent surgical management, which led to serious complications.

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“…have recommended either spontaneous ventilation or IPPV with low airway pressure after induction until reduction of hernia is imminent. [9]…”

Section: Discussionmentioning

confidence: 99%

Delayed traumatic diaphragmatic hernia mimicking hydropneumothorax

2014

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“…14 LOBB & BUTLIN recommended spontaneous ventilation after intubation with the patient awake until the hernia is reduced or if assisted ventilation is necessary, then the use of low tidal volumes preferable. 15 During the anesthetic management of our patient, care was taken to adequately preload before induction and rapid sequence induction was sought for. Further one lung ventilation (right lung) was done with high frequency and low tidal volumes till the abdominal contents were removed from the hemithorax.…”

Section: Discussionmentioning

confidence: 99%

“…Pulmonary embolism can be associated with such trauma but with aggressive prophylaxis this can be prevented. 14,15 Post operatively our patient received ventilator support for 72 hours with good tracheal toileting, humidification along with lung recruitment maneuvers.…”

Section: Discussionmentioning

confidence: 99%

Delayed Presentation of Tension Gastrotho Rax Complicating Acute Traumatic Diap Hragmatic Rupture

Sahajananda¹,

T²,

Karthik³

et al. 2015

jemds

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“…Fakat N 2 O, boşluklara diffüze olduğundan bağırsak-lar genişleyebilir ve pulmoner damarlara basınç yapabileceklerinden ilk hemodinamik bozulmada azot sonlandırılmasını vurgulamışlardır. (10) Yenidoğanlarda görülen diyafragma evantrasyonu solunum sıkıntısı, ortopne, hipoksi ve akciğer volümlerinde azalma gibi yaşamı tehdit edici sonuçlara yol aça-bilir. Ancak, yetişkinlerdeki semptomlar zayıftır.…”

Section: Discussionunclassified

Anesthesia Approach in a Patient with Hemidiphragma Paralysis: Case Report

Çakirca¹,

Çakırca²,

Et³

et al. 2011

J Turk Anaesth Int Care

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ÖZETUnilateral diyafragma paralizisi travma, geçirilmiş kalp cerrahisi, tümörler, kas-sinir hastalıkları veya enfeksiyonlara bağlı olarak gelişebilir ve olguların çoğu asemptomatiktir. Biz bu makalede unilateral diafragma paralizili bir hastada preoperatif dönemde oluşabilecek zorlukların önlenmesi, intraoperatif yaklaşım, postoperatif gelişebilecek komplikasyonların tanınması ve tedavileri sunmayı amaçladık. Anahtar kelimeler: Anestezi, genel anestezi SUMMARY Anesthesia Approach in a Patient with Hemidiphragma Paralysis: Case ReportUnilateral diaphragmatic paralysis can be caused by trauma, previous cardiac surgery, tumors, neuromuscular diseases or infections and most cases are asymptomatic. In this article, we aimed to present a patient with unilateral diaphragmatic paralysis, measures to prevent difficulties that may occur during preoperative period, relevant intraoperative approach, and detection and treatment modalities of postoperative complications.

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Circulatory Collapse From Anesthesia for Diaphragmatic Hernia

Cited by 26 publications

References 21 publications

Delayed traumatic diaphragmatic hernia mimicking hydropneumothorax

Delayed traumatic diaphragmatic hernia mimicking hydropneumothorax

Delayed Presentation of Tension Gastrotho Rax Complicating Acute Traumatic Diap Hragmatic Rupture

Anesthesia Approach in a Patient with Hemidiphragma Paralysis: Case Report

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