bandage-green

Diaphragmatic Plication

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Lateral, one arm extended
Time : 2-4 hours (long)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Considerations : Arterial line, One-Lung Ventilation / Lung Isolation

Anesthetic Approaches

1GETT
2GETT, Epidural
The Surgery

Confirmation of the diagnosis - a raised hemidiaphragm on plain film is confirmed as paralyzed by fluoroscopic or ultrasound sniff testing, which shows the paradoxical upward movement on a sharp...

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