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Congenital diaphragmatic hernia: Implications for nitrous oxide use in dentistry
Author(s) -
Durham Timothy M.,
Green James G.,
Hodges Eric D.,
Nique Thomas A.
Publication year - 1993
Publication title -
special care in dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.328
H-Index - 41
eISSN - 1754-4505
pISSN - 0275-1879
DOI - 10.1111/j.1754-4505.1993.tb01629.x
Subject(s) - medicine , nitrous oxide , thoracic cavity , diaphragmatic breathing , sedation , diaphragmatic hernia , stomach , hernia , congenital diaphragmatic hernia , anesthesia , surgery , gastroenterology , pathology , pregnancy , fetus , alternative medicine , biology , genetics
The development of diaphragmatic hernias, their associated physical and diagnostic signs and symptoms, and the potential complications with nitrous oxide use are presented with a case report. Depending upon the location and extent of the diaphragmatic defect, portions of the stomach, omentum, liver and/or intestine can occupy a portion of the thoracic cavity. Nitrous oxide's solubility properties allow for rapid expansion of the herniated bowel, resulting in compression of the thoracic organs or strangulation of the herniated abdominal viscera. The presence of a diaphragmatic hernia may necessitate a change in sedation or anesthesia plans to eliminate the use of nitrous oxide during prolonged procedures.