Flickering diaphragm sign, an indicator of laparoscopy-associated pneumothorax secondary to pleural breach
During laparoscopic mobilisation of the oesophagus around hiatus in transhiatal oesophagectomy; commonly the pleura is breached causing iatrogenic pneumothorax. Often small breaches in pleura goes unnoticed till the attention is drawn by anaesthetist when pressures drop with building up of end-tidal...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Indian Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2020;volume=64;issue=3;spage=233;epage=235;aulast=Nusrath |
| _version_ | 1818311179708137472 |
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| author | Syed Nusrath Sujit Chyau Patnaik Asiel Christopher Ajesh Raj Saksena Subramanyeshwar Rao Thammineedi R Pratap Reddy |
| author_facet | Syed Nusrath Sujit Chyau Patnaik Asiel Christopher Ajesh Raj Saksena Subramanyeshwar Rao Thammineedi R Pratap Reddy |
| author_sort | Syed Nusrath |
| collection | DOAJ |
| description | During laparoscopic mobilisation of the oesophagus around hiatus in transhiatal oesophagectomy; commonly the pleura is breached causing iatrogenic pneumothorax. Often small breaches in pleura goes unnoticed till the attention is drawn by anaesthetist when pressures drop with building up of end-tidal CO2(etCO2) and other haemodynamic changes occur. We describe the flickering movements of the diaphragm associated with the pleural breach, a useful sign to alert the surgeon and anaesthetist to detect pneumothorax earlier than it is clinically evident. |
| first_indexed | 2024-12-13T07:57:51Z |
| format | Article |
| id | doaj.art-83ab0db50da648589739488fa16c8a2b |
| institution | Directory Open Access Journal |
| issn | 0019-5049 0976-2817 |
| language | English |
| last_indexed | 2024-12-13T07:57:51Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Anaesthesia |
| spelling | doaj.art-83ab0db50da648589739488fa16c8a2b2022-12-21T23:54:30ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50490976-28172020-01-0164323323510.4103/ija.IJA_675_19Flickering diaphragm sign, an indicator of laparoscopy-associated pneumothorax secondary to pleural breachSyed NusrathSujit Chyau PatnaikAsiel ChristopherAjesh Raj SaksenaSubramanyeshwar Rao ThammineediR Pratap ReddyDuring laparoscopic mobilisation of the oesophagus around hiatus in transhiatal oesophagectomy; commonly the pleura is breached causing iatrogenic pneumothorax. Often small breaches in pleura goes unnoticed till the attention is drawn by anaesthetist when pressures drop with building up of end-tidal CO2(etCO2) and other haemodynamic changes occur. We describe the flickering movements of the diaphragm associated with the pleural breach, a useful sign to alert the surgeon and anaesthetist to detect pneumothorax earlier than it is clinically evident.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2020;volume=64;issue=3;spage=233;epage=235;aulast=Nusrathlaparoscopy-associated pneumothoraxpleural breachpneumothorax |
| spellingShingle | Syed Nusrath Sujit Chyau Patnaik Asiel Christopher Ajesh Raj Saksena Subramanyeshwar Rao Thammineedi R Pratap Reddy Flickering diaphragm sign, an indicator of laparoscopy-associated pneumothorax secondary to pleural breach Indian Journal of Anaesthesia laparoscopy-associated pneumothorax pleural breach pneumothorax |
| title | Flickering diaphragm sign, an indicator of laparoscopy-associated pneumothorax secondary to pleural breach |
| title_full | Flickering diaphragm sign, an indicator of laparoscopy-associated pneumothorax secondary to pleural breach |
| title_fullStr | Flickering diaphragm sign, an indicator of laparoscopy-associated pneumothorax secondary to pleural breach |
| title_full_unstemmed | Flickering diaphragm sign, an indicator of laparoscopy-associated pneumothorax secondary to pleural breach |
| title_short | Flickering diaphragm sign, an indicator of laparoscopy-associated pneumothorax secondary to pleural breach |
| title_sort | flickering diaphragm sign an indicator of laparoscopy associated pneumothorax secondary to pleural breach |
| topic | laparoscopy-associated pneumothorax pleural breach pneumothorax |
| url | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2020;volume=64;issue=3;spage=233;epage=235;aulast=Nusrath |
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