- 期刊
Salvage of Hemodynamic Instability Using an Alveolar Recruitment Maneuver During Laparoscopic Repair of Late-Presenting Congenital Diaphragmatic Hernia: A Case Report
摘要
In the early neonatal period, congenital diaphragmatic hernia (CDH) can be detected via antenatal sonography. However, cases of late-presenting CDH without pulmonary hypoplasia have also been reported. Once patients are diagnosed with late-presenting CDH, they will undergo laparotomy, laparoscopic, and thoracoscopic surgery. In most cases, the procedures are uneventful, and no complications occur. However, in the case of our patient, a massive amount of inflated air leaked into the pleural cavity during laparoscopic repair, which caused carbon dioxide pneumothorax; this resulted in severe hemodynamic instability. Thus, an alveolar recruitment maneuver was performed, and the patient's vital signs gradually normalized. The patient was then discharged without complications.
延伸閱讀
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