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Anesthesia for Traumatic Diaphragmatic Hernia Associated with Corneal Laceration.
- Source :
-
The American journal of case reports [Am J Case Rep] 2016 Sep 06; Vol. 17, pp. 646-9. Date of Electronic Publication: 2016 Sep 06. - Publication Year :
- 2016
-
Abstract
- BACKGROUND Diaphragmatic rupture can be seen in up to 5% of car accidents, and 80%-100% of diaphragmatic hernias are associated with other vital organ injuries. Brain, pelvis, long bones, liver, spleen, and aorta are some other organs that can be severely damaged and need different anesthetic managements. CASE REPORT A 37-year-old male victim of a head-on collision who was suffering diaphragmatic rupture and corneal laceration was prepared for an emergency operation 11 hours after the car accident. Gastric decompression, pre-oxygenation, rapid sequence induction with succinylcholine, immediate use of non-depolarizing muscle relaxant, and mechanical ventilation with low tidal volume after intubation were used in anesthetic management of the patient. CONCLUSIONS Because of the high prevalence of coexisting pathologies with traumatic diaphragmatic hernia, anesthetic management must be tailored to the associated pathologies.
- Subjects :
- Adult
Corneal Injuries diagnostic imaging
Corneal Injuries etiology
Hernia, Diaphragmatic, Traumatic diagnostic imaging
Hernia, Diaphragmatic, Traumatic etiology
Humans
Lacerations diagnostic imaging
Lacerations etiology
Male
Multiple Trauma diagnostic imaging
Multiple Trauma etiology
Anesthesia
Corneal Injuries surgery
Hernia, Diaphragmatic, Traumatic surgery
Lacerations surgery
Multiple Trauma surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1941-5923
- Volume :
- 17
- Database :
- MEDLINE
- Journal :
- The American journal of case reports
- Publication Type :
- Academic Journal
- Accession number :
- 27595907
- Full Text :
- https://doi.org/10.12659/ajcr.897908