Olgu Sunumu
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Anesthesia in Morgagni hernia with high PIP: A case report

Yıl 2020, Cilt: 4 Sayı: 5, 417 - 419, 01.05.2020

Duygu Demiriz Gulmez Hilal Kırcı Koray Kürekçi Gül Şalcı

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

Öz

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.

Anahtar Kelimeler

congenital diaphragmatic hernia Morgagni hernia Anesthesia

Kaynakça

  • 1. McHoney M. Congenital diaphragmatic hernia, management in the newborn. Pediatr Surg Int. 2015;31:1-9.
  • 2. Rau HG, Schardey HM, Lange V. Laparoscopic repair of a Morgagni hernia. Surg Endosc. 1994;8:1439-42.
  • 3. Nawaz A, Matta H, Jacobsz A, Al-Khouder G, Al-Salem. Congenital Morgagni’s hernia in infants and children. Int Surg. 2000;85:158-62.
  • 4. Al-Salem AH, Nawaz A, Matta H, Jacobsz A. Herniation through the foramen of Morgagni: Early diagnosis and treatment. Pediatr Surg Int 2002;18:93-7.
  • 5. Çiğdem MK, Önen A, Okur H, Otçu S. Associated malformations in Morgagni hernia. Pediatr Surg Int. 2007;23:1101-3.
  • 6. Snoek KG, Reiss IK, Greenough A, Capolupo I, Urlesberger B, Wessel L, et al. Standardized postnatal management of infants with congenital diaphragmatic hernia in Europe: the CDH EURO consortium consensus - 2015 update. Neonatology. 2016;110:66-74.
  • 7. LaRosa DV Jr, Esham RH, Morgan SL, Wing SW. Diaphragmatic hernia of Morgagni. South Med J. 1999;92:409-11.
  • 8. Zani A, Lamas-Pinheiro R, ParaboschiI, King SK, Wolinska J, Zani-Ruttenstock E, et al. Intraoperative acidosis and hypercapnia during thoracoscopic repair of congenital diaphragmatic hernia and esophageal atresia/ tracheoesophageal fistula. Paediatr Anaesth. 2017;27:841-8.
  • 9. Herati AS, Andonian S, Rais-Bahrami S, Attala MA, Srinivasan AK, Richstone I, et al. Use of the valvless trocar system reduces carbon dioxide absorption during laparoscopy when compared with standard trocars. Urology. 2011;77:1126-32.
  • 10. Katz RI, Belenker SL, Poppers PJ. Intraoperative management of a patient with a chronic, previously undiagnosed traumatic diaphragmatic hernia. J Clin Anesth. 1998;10:506-9.
  • 11. Esener ZK. Torasik girişimlerde anestezi. In Esener ZK, ed. Pediatrik Anestezi. Feryal Matbaacılık Ltd. Şti. p. 229-240.
  • 12. Williams DJ, Sandby-Thomas MG. Anaesthetic management of acute gastric volvulus in an adult. Br J Anaesth. 2003;90:96-8.
  • 13. Salas AA, Bhat R, Dabrowska K, Leadford A, Anderson S, Harmon CM, et al. The value of pa(CO2) in relation to outcome in congenital diaphragmatic hernia. Am J Perinatol. 201;7:433-9.
  • 14. Stewart TE, Meade MO, Cook DJ, Granton JT, Hodder RV, Lapinsky SE, et al. Evaluation of a ventilation strategy to prevent barotrauma in patients at high risk for acute respiratory distress syndrome. Pressure- and Volume-Limited Ventilation Strategy Group. N Engl J Med. 1998;338:355-61.
  • 15. Rocha G, Baptista MJ, Correia- Pinto J, Guimaraes H. Congenital diaphragmatic hernia: experience of 14 years. Minerva Pediatr. 2013;65:271-8.

PIP değeri yüksek olan Morgagni hernili hastada anestezi: Olgu sunumu

Yıl 2020, Cilt: 4 Sayı: 5, 417 - 419, 01.05.2020

Duygu Demiriz Gulmez Hilal Kırcı Koray Kürekçi Gül Şalcı

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

Öz

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. 

Anahtar Kelimeler

Konjenital diyafragma hernisi Morgagni hernisi Anestezi

Kaynakça

  • 1. McHoney M. Congenital diaphragmatic hernia, management in the newborn. Pediatr Surg Int. 2015;31:1-9.
  • 2. Rau HG, Schardey HM, Lange V. Laparoscopic repair of a Morgagni hernia. Surg Endosc. 1994;8:1439-42.
  • 3. Nawaz A, Matta H, Jacobsz A, Al-Khouder G, Al-Salem. Congenital Morgagni’s hernia in infants and children. Int Surg. 2000;85:158-62.
  • 4. Al-Salem AH, Nawaz A, Matta H, Jacobsz A. Herniation through the foramen of Morgagni: Early diagnosis and treatment. Pediatr Surg Int 2002;18:93-7.
  • 5. Çiğdem MK, Önen A, Okur H, Otçu S. Associated malformations in Morgagni hernia. Pediatr Surg Int. 2007;23:1101-3.
  • 6. Snoek KG, Reiss IK, Greenough A, Capolupo I, Urlesberger B, Wessel L, et al. Standardized postnatal management of infants with congenital diaphragmatic hernia in Europe: the CDH EURO consortium consensus - 2015 update. Neonatology. 2016;110:66-74.
  • 7. LaRosa DV Jr, Esham RH, Morgan SL, Wing SW. Diaphragmatic hernia of Morgagni. South Med J. 1999;92:409-11.
  • 8. Zani A, Lamas-Pinheiro R, ParaboschiI, King SK, Wolinska J, Zani-Ruttenstock E, et al. Intraoperative acidosis and hypercapnia during thoracoscopic repair of congenital diaphragmatic hernia and esophageal atresia/ tracheoesophageal fistula. Paediatr Anaesth. 2017;27:841-8.
  • 9. Herati AS, Andonian S, Rais-Bahrami S, Attala MA, Srinivasan AK, Richstone I, et al. Use of the valvless trocar system reduces carbon dioxide absorption during laparoscopy when compared with standard trocars. Urology. 2011;77:1126-32.
  • 10. Katz RI, Belenker SL, Poppers PJ. Intraoperative management of a patient with a chronic, previously undiagnosed traumatic diaphragmatic hernia. J Clin Anesth. 1998;10:506-9.
  • 11. Esener ZK. Torasik girişimlerde anestezi. In Esener ZK, ed. Pediatrik Anestezi. Feryal Matbaacılık Ltd. Şti. p. 229-240.
  • 12. Williams DJ, Sandby-Thomas MG. Anaesthetic management of acute gastric volvulus in an adult. Br J Anaesth. 2003;90:96-8.
  • 13. Salas AA, Bhat R, Dabrowska K, Leadford A, Anderson S, Harmon CM, et al. The value of pa(CO2) in relation to outcome in congenital diaphragmatic hernia. Am J Perinatol. 201;7:433-9.
  • 14. Stewart TE, Meade MO, Cook DJ, Granton JT, Hodder RV, Lapinsky SE, et al. Evaluation of a ventilation strategy to prevent barotrauma in patients at high risk for acute respiratory distress syndrome. Pressure- and Volume-Limited Ventilation Strategy Group. N Engl J Med. 1998;338:355-61.
  • 15. Rocha G, Baptista MJ, Correia- Pinto J, Guimaraes H. Congenital diaphragmatic hernia: experience of 14 years. Minerva Pediatr. 2013;65:271-8.
Toplam 15 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Anesteziyoloji
Bölüm Olgu sunumu
Yazarlar

Duygu Demiriz Gulmez 0000-0002-0874-7067

Hilal Kırcı 0000-0002-1610-6980

Koray Kürekçi 0000-0003-3548-0051

Gül Şalcı 0000-0001-9929-8369

Yayımlanma Tarihi 1 Mayıs 2020
Yayımlandığı Sayı Yıl 2020 Cilt: 4 Sayı: 5

Kaynak Göster

APA Demiriz Gulmez, D., Kırcı, H., Kürekçi, K., Şalcı, G. (2020). Anesthesia in Morgagni hernia with high PIP: A case report. Journal of Surgery and Medicine, 4(5), 417-419. https://doi.org/10.28982/josam.669774
AMA Demiriz Gulmez D, Kırcı H, Kürekçi K, Şalcı G. Anesthesia in Morgagni hernia with high PIP: A case report. J Surg Med. Mayıs 2020;4(5):417-419. doi:10.28982/josam.669774
Chicago Demiriz Gulmez, Duygu, Hilal Kırcı, Koray Kürekçi, ve Gül Şalcı. “Anesthesia in Morgagni Hernia With High PIP: A Case Report”. Journal of Surgery and Medicine 4, sy. 5 (Mayıs 2020): 417-19. https://doi.org/10.28982/josam.669774.
EndNote Demiriz Gulmez D, Kırcı H, Kürekçi K, Şalcı G (01 Mayıs 2020) Anesthesia in Morgagni hernia with high PIP: A case report. Journal of Surgery and Medicine 4 5 417–419.
IEEE D. Demiriz Gulmez, H. Kırcı, K. Kürekçi, ve G. Şalcı, “Anesthesia in Morgagni hernia with high PIP: A case report”, J Surg Med, c. 4, sy. 5, ss. 417–419, 2020, doi: 10.28982/josam.669774.
ISNAD Demiriz Gulmez, Duygu vd. “Anesthesia in Morgagni Hernia With High PIP: A Case Report”. Journal of Surgery and Medicine 4/5 (Mayıs 2020), 417-419. https://doi.org/10.28982/josam.669774.
JAMA Demiriz Gulmez D, Kırcı H, Kürekçi K, Şalcı G. Anesthesia in Morgagni hernia with high PIP: A case report. J Surg Med. 2020;4:417–419.
MLA Demiriz Gulmez, Duygu vd. “Anesthesia in Morgagni Hernia With High PIP: A Case Report”. Journal of Surgery and Medicine, c. 4, sy. 5, 2020, ss. 417-9, doi:10.28982/josam.669774.
Vancouver Demiriz Gulmez D, Kırcı H, Kürekçi K, Şalcı G. Anesthesia in Morgagni hernia with high PIP: A case report. J Surg Med. 2020;4(5):417-9.
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