Anesthetic management of a case of spontaneous rupture of diaphragm

Sir, A 58-year-old male patient presented with a history of sudden onset of the left upper quadrant pain and vomiting from 6 days following the lifting of bucket filled with water. Spontaneous rupture can be due to violent cough, [1],[2] during vaginal delivery [3] physical activity, [2] violent vom...

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Bibliographic Details
Published inSaudi journal of anaesthesia Vol. 8; no. Suppl 1; pp. S128 - S129
Main Authors Goyal, Vipin Kuamr, Solanki, Sohan Lal
Format Journal Article
LanguageEnglish
Published India Medknow Publications and Media Pvt. Ltd 01.11.2014
Medknow Publications & Media Pvt. Ltd
Medknow Publications & Media Pvt Ltd
Wolters Kluwer Medknow Publications
Subjects
Abdomen
Anesthesia
Central nervous system agents
Constipation
Letters to Editor
Mortality
Postoperative period
Ventilation
Vomiting
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Summary:Sir, A 58-year-old male patient presented with a history of sudden onset of the left upper quadrant pain and vomiting from 6 days following the lifting of bucket filled with water. Spontaneous rupture can be due to violent cough, [1],[2] during vaginal delivery [3] physical activity, [2] violent vomiting and defecation. Anesthetic management of these patients is quite challenging in view of an emergency nature of surgery with inadequate time to patient optimization, unstable hemodynamics, high probability of hypoxemia and rapid desaturation, full stomach, fluid deficit, electrolyte imbalance and need for one lung ventilation.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:1658-354X
0975-3125
DOI:10.4103/1658-354X.144110