Anesthesia in Morgagni hernia with high PIP: A case report

Year 2020, , 417 - 419, 01.05.2020

Duygu Demiriz Gulmez , Hilal Kırcı , Koray Kürekçi , Gül Şalcı

https://doi.org/10.28982/josam.669774

Abstract

Morgagni hernia, a congenital diaphragmatic hernia, is usually asymptomatic. Surgery should be planned as soon as possible after diagnosis. The observation of variable degrees of pulmonary dysplasia and increased vascular resistance, and the presence of heart or other organ disorders make anesthesia management important. We describe the anesthetic management of a 2.5-month-old patient operated due to Morgagni hernia. Following intubation, peak inspiratory pressure was high, but rapidly returned to normal levels after the abdomen was opened. No complications were observed during this process in terms of anesthesia management.

Keywords

congenital diaphragmatic hernia, Morgagni hernia, Anesthesia

PIP değeri yüksek olan Morgagni hernili hastada anestezi: Olgu sunumu

Abstract

Konjenital diyafragma hernilerinden biri de morgagni hernisi olup genellikle asemptomatik seyreder. Tanı konulduktan sonra cerrahi en yakın zamanda planlanmalıdır. Değişken derecelerde pulmoner displazi ve artmış vasküler direnç varlığının gözlenmesi, kalp veya başka organ bozukluklarının mevcudiyeti anestezi yönetimini önemli kılar. Biz de olgumuzda morgagni hernisi nedeniyle opere olan 2,5 aylık hastamızın anestezi yönetimini paylaşmayı amaçladık. Olgumuzun entübasyon sonrası ölçülen PIP değeri yüksek olup batın açıldıktan sonra normal düzeylere hızlı bir şekilde ulaştı. Bu süreçte anestezi yönetimi açısından herhangi bir komplikasyon gözlenmedi. 

Keywords

Konjenital diyafragma hernisi, Morgagni hernisi, Anestezi

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