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 |
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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. CONCLUSIONS Because of the high prevalence of coexisting pathologies with traumatic diaphragmatic hernia, anesthetic management must be tailored to the associated pathologies.</description><identifier>ISSN: 1941-5923</identifier><identifier>EISSN: 1941-5923</identifier><identifier>DOI: 10.12659/AJCR.897908</identifier><identifier>PMID: 27595907</identifier><language>eng</language><publisher>United States: International Scientific Literature, Inc</publisher><subject>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</subject><ispartof>The American journal of case reports, 2016-09, Vol.17, p.646-649</ispartof><rights>Am J Case Rep, 2016 2016</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c341t-756115b34af2c84fbf13f760a9d2c4ce19143b0ebbcef2841b9327a873ca27b73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5013980/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5013980/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27595907$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Safaeian, Reza</creatorcontrib><creatorcontrib>Hassani, Valiollah</creatorcontrib><creatorcontrib>Faiz, Hamid Reza</creatorcontrib><title>Anesthesia for Traumatic Diaphragmatic Hernia Associated with Corneal Laceration</title><title>The American journal of case reports</title><addtitle>Am J Case Rep</addtitle><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.</description><subject>Adult</subject><subject>Anesthesia</subject><subject>Corneal Injuries - diagnostic imaging</subject><subject>Corneal Injuries - etiology</subject><subject>Corneal Injuries - surgery</subject><subject>Hernia, Diaphragmatic, Traumatic - diagnostic imaging</subject><subject>Hernia, Diaphragmatic, Traumatic - etiology</subject><subject>Hernia, Diaphragmatic, Traumatic - surgery</subject><subject>Humans</subject><subject>Lacerations - diagnostic imaging</subject><subject>Lacerations - etiology</subject><subject>Lacerations - surgery</subject><subject>Male</subject><subject>Multiple Trauma - diagnostic imaging</subject><subject>Multiple Trauma - etiology</subject><subject>Multiple Trauma - surgery</subject><issn>1941-5923</issn><issn>1941-5923</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkU1PwzAMhiMEYtPYjTPqkQMd-Wib5oJUlY-BJoHQOEdulmxBXTOSDsS_p2NjGr7Ylh-9tvwidE7wiNAsFdfFU_k6ygUXOD9CfSISEqeCsuODuoeGIbzjLjKaccpOUY_yVKQC8z56KRod2oUOFiLjfDT1sF5Ca1V0a2G18DDfdmPtmw4pQnDKQqtn0ZdtF1HpfKOhjiagtO9A15yhEwN10MNdHqC3-7tpOY4nzw-PZTGJFUtIG_M0IyStWAKGqjwxlSHM8AyDmFGVKE0ESViFdVUpbWiekEowyiHnTAHlFWcDdLPVXa2rpZ4p3bQearnydgn-Wzqw8v-ksQs5d58yxYSJHHcClzsB7z7W3RPk0gal6xoa7dZBkpxsjmQZ69CrLaq8C8Frs19DsPz1QW58kFsfOvzi8LQ9_Pd19gNGJ4Ri</recordid><startdate>20160906</startdate><enddate>20160906</enddate><creator>Safaeian, Reza</creator><creator>Hassani, Valiollah</creator><creator>Faiz, Hamid Reza</creator><general>International Scientific Literature, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160906</creationdate><title>Anesthesia for Traumatic Diaphragmatic Hernia Associated with Corneal Laceration</title><author>Safaeian, Reza ; Hassani, Valiollah ; Faiz, Hamid Reza</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c341t-756115b34af2c84fbf13f760a9d2c4ce19143b0ebbcef2841b9327a873ca27b73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Anesthesia</topic><topic>Corneal Injuries - diagnostic imaging</topic><topic>Corneal Injuries - etiology</topic><topic>Corneal Injuries - surgery</topic><topic>Hernia, Diaphragmatic, Traumatic - diagnostic imaging</topic><topic>Hernia, Diaphragmatic, Traumatic - etiology</topic><topic>Hernia, Diaphragmatic, Traumatic - surgery</topic><topic>Humans</topic><topic>Lacerations - diagnostic imaging</topic><topic>Lacerations - etiology</topic><topic>Lacerations - surgery</topic><topic>Male</topic><topic>Multiple Trauma - diagnostic imaging</topic><topic>Multiple Trauma - etiology</topic><topic>Multiple Trauma - surgery</topic><toplevel>online_resources</toplevel><creatorcontrib>Safaeian, Reza</creatorcontrib><creatorcontrib>Hassani, Valiollah</creatorcontrib><creatorcontrib>Faiz, Hamid Reza</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The American journal of case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Safaeian, Reza</au><au>Hassani, Valiollah</au><au>Faiz, Hamid Reza</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anesthesia for Traumatic Diaphragmatic Hernia Associated with Corneal Laceration</atitle><jtitle>The American journal of case reports</jtitle><addtitle>Am J Case Rep</addtitle><date>2016-09-06</date><risdate>2016</risdate><volume>17</volume><spage>646</spage><epage>649</epage><pages>646-649</pages><issn>1941-5923</issn><eissn>1941-5923</eissn><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.</abstract><cop>United States</cop><pub>International Scientific Literature, Inc</pub><pmid>27595907</pmid><doi>10.12659/AJCR.897908</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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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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