Case Report - Anesthetic Challenges of Congenital Diaphragmatic Hernia Repair in an Adult Sinha Smriti1,*, Varghese Zachariah K2 1Assistant Professor, Department of Anesthesiology and Critical Care, Srinivas Institute of Medical Sciences, Mukka, Mangalore 2Head of Department Department of Anesthesiology, Bangalore Baptist Hospital, Hebbal, Bellary Road, Bangalore *Correspondence author: Dr Smriti Sinha, E mail id- smritii576@gmail.com, Ph No: (080)22024700, Fax: 23437970, www.bangalorebaptisthospital.org
Online published on 17 July, 2019. Abstract Congenital diaphragmatic hernia (CDH) usually presents in the neonatal period with respiratory distress. The presentation in adults varies from asymptomatic to unexplained symptoms, which makes CDH difficult to diagnose. We report an anaesthetic management of CDH repair in an adult patient, who presented with abdominal pain. CDH was an incidental finding. The patient was planned for laproscopic CDH repair, keeping thoracotomy as alternative. Anaesthetic management was complicated by pulmonary hypoplasia on affected side, pulmonary hypertension and need of one lung ventilation. Postoperatively analgesia was also a challenge to prevent atelectasis. Top Keywords Congenital diaphragmatic hernia, pulmonary hypoplasia, thoracotomy. Top |