caa a22 4500 445373954 CHVBK 20180317142956.0 cr unu---uuuuu 170323e20110801xx s 000 0 eng 10.1007/s00540-011-1171-y doi (NATIONALLICENCE)springer-10.1007/s00540-011-1171-y Anesthetic management of a patient with congenital diaphragmatic eventration [Elektronische Daten] [Kapil Chaudhary, Raktima Anand, Kiran Girdhar, Gunjan Manchanda, Asish Panda, Anju Bhalotra] 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. Japanese Society of Anesthesiologists, 2011 Diaphragmatic eventration nationallicence Total intravenous anesthesia nationallicence Laparoscopy nationallicence Hysteroscopy nationallicence Chaudhary Kapil Department of Anesthesia, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India aut Anand Raktima Department of Anesthesia, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India aut Girdhar Kiran Department of Anesthesia, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India aut Manchanda Gunjan Department of Anesthesia, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India aut Panda Asish Department of Anesthesia, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India aut Bhalotra Anju Department of Anesthesia, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India aut Journal of Anesthesia Springer Japan 25/4(2011-08-01), 585-588 0913-8668 25:4<585 2011 25 540 https://doi.org/10.1007/s00540-011-1171-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00540-011-1171-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Chaudhary Kapil Department of Anesthesia, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India aut NATIONALLICENCE 700 1- Anand Raktima Department of Anesthesia, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India aut NATIONALLICENCE 700 1- Girdhar Kiran Department of Anesthesia, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India aut NATIONALLICENCE 700 1- Manchanda Gunjan Department of Anesthesia, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India aut NATIONALLICENCE 700 1- Panda Asish Department of Anesthesia, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India aut NATIONALLICENCE 700 1- Bhalotra Anju Department of Anesthesia, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India aut NATIONALLICENCE 773 0- Journal of Anesthesia Springer Japan 25/4(2011-08-01), 585-588 0913-8668 25:4<585 2011 25 540 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer