Open AccessAnesthetic management of a case of congenital diaphragmatic hernia; delayed diagnosis
Author(s) -
Sneha Joshi,
Arun George
Publication year - 2013
Publication title -
medical journal of dr. d y patil university/medical journal of dr. d.y. patil university
Language(s) - English
Resource type - Journals
eISSN - 2278-7119
pISSN - 0975-2870
DOI - 10.4103/0975-2870.114644
Subject(s) - hypercarbia , medicine , congenital diaphragmatic hernia , pulmonary hypoplasia , pulmonary hypertension , diaphragmatic breathing , diaphragmatic hernia , surgery , shunt (medical) , anesthesia , hernia , hypoplasia , right to left shunt , cardiology , hypoxemia , pregnancy , fetus , alternative medicine , patent foramen ovale , percutaneous , pathology , biology , genetics
Congenital diaphragmatic hernia results from the anomalous closure of pericardioperitoneal canal. There are various challenges faced by anesthesiologists during management of such cases which include intraoperative complications including hypoxia and hypercarbia, which leads to pulmonary hypertension and right to left shunt. Mortality remains high because of associated pulmonary hypoplasia and pulmonary hypertension. Here, we describe anesthetic management of a 2-month-old female child with difficulty in breathing since birth following feeding, due to congenital diaphragmatic hernia