Anesthesia for Traumatic Diaphragmatic Hernia Associated with Corneal Laceration

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 manage...

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Veröffentlicht in:The American journal of case reports 2016-09, Vol.17, p.646-649
Hauptverfasser: Safaeian, Reza, Hassani, Valiollah, Faiz, Hamid Reza
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Hassani, Valiollah
Faiz, Hamid Reza
description 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.
doi_str_mv 10.12659/AJCR.897908
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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. 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subjects Adult
Anesthesia
Corneal Injuries - diagnostic imaging
Corneal Injuries - etiology
Corneal Injuries - surgery
Hernia, Diaphragmatic, Traumatic - diagnostic imaging
Hernia, Diaphragmatic, Traumatic - etiology
Hernia, Diaphragmatic, Traumatic - surgery
Humans
Lacerations - diagnostic imaging
Lacerations - etiology
Lacerations - surgery
Male
Multiple Trauma - diagnostic imaging
Multiple Trauma - etiology
Multiple Trauma - surgery
title Anesthesia for Traumatic Diaphragmatic Hernia Associated with Corneal Laceration
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