Document Detail

Anesthesia for patients with diaphragmatic hernia and severe dyspnea.
MedLine Citation:
PMID:  1585603     Owner:  NLM     Status:  MEDLINE    
Problems facing a patient with severe dyspnea secondary to diaphragmatic herniation are hypoxia, hypercarbia and respiratory acidosis, and cardiovascular instability. It is easy to precipitate a crisis in these patients during anesthetic induction as a result of stress, bad positioning, induction of pneumothorax, or inappropriate anesthetic technique. These patients require a smooth, stress-free perianesthetic period with preoxygenation, positioning with the affected side down, rapid intravenous induction, endotracheal intubation, and mechanical ventilation. Maintenance with isoflurane is preferred, and nitrous oxide should be avoided. Close monitoring of the cardiovascular and pulmonary systems is essential. Recovery from anesthesia should include oxygen supplementation, pleural drainage, and local analgesia if required.
D V Wilson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Veterinary clinics of North America. Small animal practice     Volume:  22     ISSN:  0195-5616     ISO Abbreviation:  Vet. Clin. North Am. Small Anim. Pract.     Publication Date:  1992 Mar 
Date Detail:
Created Date:  1992-06-12     Completed Date:  1992-06-12     Revised Date:  2003-11-14    
Medline Journal Info:
Nlm Unique ID:  7809942     Medline TA:  Vet Clin North Am Small Anim Pract     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  456-9     Citation Subset:  IM    
Department of Large Animal Clinical Sciences, Michigan State University College of Veterinary Medicine, East Lansing.
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MeSH Terms
Anesthesia / veterinary*
Anoxia / etiology,  physiopathology,  veterinary
Cat Diseases / etiology,  physiopathology*,  therapy
Dog Diseases / etiology,  physiopathology*,  therapy
Dyspnea / etiology,  physiopathology,  therapy,  veterinary*
Hernia, Diaphragmatic / complications,  veterinary*
Monitoring, Intraoperative / veterinary
Oxygen Inhalation Therapy / veterinary
Respiration, Artificial / veterinary
Shock / etiology,  physiopathology,  veterinary
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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