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Anesthesia Management in Case of Bochdalek's Diaphragmatic Hernia
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| Author:
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KULSUM KULSUM, ELIZAR ELIZAR, TAUFIK SURYADI
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| Abstract:
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Background: Diaphragmatic hernia is a congenital defect that occurs with an estimated 1 case out of 2,500 - 5,000 live births. Types of diaphragmatic hernias are Morgagni and Bochdalek hernias where Bochdalek's diaphragmatic hernias are most commonly reported. Bochdalek's diaphragmatic hernia is caused by failure to close the posterolateral wall, resulting in protrusion of the abdominal organs into the thoracic cavity. This can lead to congenital hypoxia to pulmonary hypertension. Perioperative management of patients with diaphragmatic hernias often presents with intraoperative complications including hypoxia and hypercarbia. Case presentation: a baby 3 month old weighing 4,000 grams delivered by his parents due to flatulence and repeated vomiting since 1 day before. The patient was initially diagnosed with hypertrophic pyloric stenosis and underwent examination until it was confirmed as Bochdalek's diaphragmatic hernia. Discussion: Preoperative assessment shows the patient is still in optimal condition. General anesthesia technique was performed for controlled breath intubation. Durante surgery stable hemodynamic. After surgery, the patient is still intubated and is being treated at the Pediatric Intensive Care Unit. The examination showed that the patient was hemodynamically good and could be transferred to a normal ward.
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| Keyword:
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Bochdalek's diaphragmatic hernia, perioperative management, hypoxia.
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| EOI:
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-
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| DOI:
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https://doi.org/10.31838/ijpr/2021.13.02.473
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| Download:
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