title: Anesthetic management of a patient with congenital diaphragmatic eventration.
abstract: Congenital diaphragmatic eventration is uncommon in adults and is caused by paralysis, aplasia or atrophy of the muscular fibers of the diaphragm. It may cause severe dyspnea, orthopnea and hypoxia in adult patients. Most symptomatic patients may be managed efficiently without the need for surgical correction, although any event that leads to an increase in intra-abdominal pressure puts them at the risk of spontaneous diaphragmatic rupture. This case report presents the successful anesthetic management of an adult female with congenital diaphragmatic eventration undergoing diagnostic laparoscopy and hysteroscopy using a total intravenous anesthesia technique. Essential steps to prevent any rise in intrathoracic and intra-abdominal pressures along with care to minimize intragastric volume were taken.
authors.affiliation: Department of Anesthesia, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India. kapsdr@yahoo.com
authors.forename: Kapil
authors.initials: K
authors.lastname: Chaudhary
authors.forename: Raktima
authors.initials: R
authors.lastname: Anand
authors.forename: Kiran K
authors.initials: KK
authors.lastname: Girdhar
authors.forename: Gunjan
authors.initials: G
authors.lastname: Manchanda
authors.forename: Asish K
authors.initials: AK
authors.lastname: Panda
authors.forename: Anju R
authors.initials: AR
authors.lastname: Bhalotra
mesh_terms: D000771:Anesthesia, Intravenous / Q000379:methods*; D003964:Diaphragm / Q000601:surgery*; D003965:Diaphragmatic Eventration / Q000175:diagnosis* / Q000601:surgery*; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods; D010535:Laparoscopy / Q000379:methods; D055815:Young Adult