Anesthetic implications of traumatic pulmonary hernia repair.
Traumatic pulmonary herniation involves the protrusion of lung parenchyma beyond the normal borders of the thoracic cage through a defect in the musculoskeletal wall. Anesthetic management involves airway protection, lung isolation, and avoidance of distension of the herniated segment. We report the successful anesthetic management during surgical management of pulmonary herniation.
Fitzsimons
Michael G
MG
Department of Anesthesia and Critical Care, Massachusetts General Hospital, Boston, MA 02114, USA. mfitzsimons@partners.org
Baker
Keith H
KH
Peralta
Ruben
R
D000063:Accidents, Traffic; D000758:Anesthesia / Q000379:methods*; D018686:Anesthetics, Intravenous / Q000008:administration & dosage; D001279:Atracurium / Q000008:administration & dosage / Q000031:analogs & derivatives; D006547:Hernia / Q000175:diagnosis / Q000209:etiology; D059685:Herniorrhaphy; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging / Q000601:surgery*; D055370:Lung Injury; D008297:Male; D008875:Middle Aged; D009466:Neuromuscular Blocking Agents / Q000008:administration & dosage; D010388:Pelvis / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D010880:Piperidines / Q000008:administration & dosage; D011030:Pneumothorax / Q000175:diagnosis / Q000209:etiology; D011175:Positive-Pressure Respiration / Q000379:methods; D015742:Propofol / Q000008:administration & dosage; D000077208:Remifentanil; D012121:Respiration, Artificial / Q000379:methods; D012253:Rib Fractures / Q000175:diagnosis / Q000209:etiology; D013908:Thoracotomy / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods
D018686:Anesthetics, Intravenous; D009466:Neuromuscular Blocking Agents; D010880:Piperidines; D001279:Atracurium; D000077208:Remifentanil; C101584:cisatracurium; D015742:Propofol