Anesthesia management of a patient undergoing exploration-decompression spinal canal and lumbar fusion procedure with diaphragmatic hernia

Abstract

A diaphragmatic hernia is an abnormality of abdominal organs entering the thoracic cavity due to a defect in the diaphragm. Diaphragmatic hernias are divided into congenital or acquired that can develop from blunt or sharp trauma. In hernias due to blunt trauma, the common symptoms reported are limited to gastric disorders. The patient can come to the health facility for other reasons and, in this case, is a radicular pain due to spondylolisthesis. In this case report, a 67-year-old woman suffered from spondylolisthesis, which would carry out a decompression-stabilization and fusion procedure in a prone position, and at the time of preoperative examination was found to have a diaphragmatic hernia comorbid. Anesthetic management in cases of comorbid diaphragmatic hernias must emphasize the possibility of a full gastric condition. With careful anesthesia management, the challenges to overcome the condition in this patient can be done properly.

Keywords

• diaphragmatic hernia
• general anesthesia
• prone position
• spondylolisthesis