Abstract

CONGENITAL DIAPHRAGMATIC HERNIA: ANAESTHETIC MANAGEMENT

Dr.Mohammed Shahid, Dr.Sharath Krishnaswami, Dr.Ravi Madhusudhana*, Dr.Manjunath Basvapatna, Dr.Dinesh Krishnamurthy, Dr.Rajanna Kapanaiah

ABSTRACT

Anomalous closure of pericardio-peritoneal canal can result in Congenital Diaphragmatic Hernia. It is associated with a high degree of mortality and morbidity because of associated pulmonary hypertension and pulmonary hypoplasia. The management poses a challenge to the Anaesthesiologist due to hypoxia and hypercarbia which leads to pulmonary hypertension and right to left shunt. Here we describe the successful anaesthetic management of a three day old female child with Congenital Diaphragmatic hernia.

Keywords: Congenital Diaphragmatic hernia, pulmonary hypertension, hypoxia, Pulmonary hypoplasia.