1/3. Diaphragmatic rupture after epidural anaesthesia in a patient with diaphragmatic eventration.An 85-year-old man with undiagnosed eventration of the left hemidiaphragm had an above-knee amputation under epidural anaesthesia. His post-operative course was stormy with two episodes of cardiovascular collapse. On the third post-operative day, rupture of the left hemidiaphragm was diagnosed, the bowel had herniated into the left hemithorax. It is proposed that the left hemidiaphragm ruptured spontaneously because of muscular weakness secondary to the thoracic segmental blockade associated with lumber epidural anaesthesia.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |
2/3. Anaesthetic management of tracheobronchial rupture following blunt chest trauma.Injuries to the tracheobronchial tree are a well-recognized sequel of massive blunt trauma to the chest, and although unusual, are life threatening. We report a 16-year-old-boy who developed complete disruption of both bronchi after a motor vehicle accident. After induction of general anaesthesia and oral intubation, ventilation could not be maintained, and oxygenation worsened abruptly with peripheral oxygen saturation values less than 60%. Jet ventilation through two intrabronchial catheters, inserted via emergency thoracotomy, raised the saturation from 60% to 100%, and surgery thereafter was straightforward. The anaesthetic management of tracheobronchial repair is discussed.- - - - - - - - - - ranking = 0.16666666666667keywords = anaesthesia (Clic here for more details about this article) |
3/3. Subglottic stenosis in a child: a complication of prolonged endotracheal intubation.A 1 1/2 year old Nigerian child sustained traumatic rupture of the diaphragm which was repaired under endotracheal anaesthesia. A red rubber endotracheal tube was used for the surgery and a nasotracheal tube was let in situ for 4 days. A post intubation subglottic stenosis which developed was managed with a tracheostomy and a series of 8 tracheal dilatations under hatothane within a period of 5 months. Appropriate choice of tubes and attention to details of humidification may have prevented this serious complication.- - - - - - - - - - ranking = 0.16666666666667keywords = anaesthesia (Clic here for more details about this article) |