Missed injuries and delayed diagnosis are still common problems in the treatment of trauma patients especially, polytrauma. Diaphragmatic quite one most important missed injuries. It can result from either blunt or penetrating trauma. Traumatic diaphragmatic (TDI) may go unnoticed initially later present as life-threatening conditions. Here we such a case fatal injury, which was diagnosed durin...

Congenital diaphragmatic hernia / hiatal (Congenital Diaphragmatic Hernia CDH) alters normal cardiopulmonary physiology in neonates or pediatric patients due to pressure from the abdomen into thoracic cavity. The open surgical and laparoscopic approaches pose challenges for anesthesiologist team because of complications CDH surgery itself. We present a case successful anesthetic management 2-ye...

Introduction: Interventions for older adults with multiple medical diagnoses may need to have a more general focus that can be applied across broad range of conditions. Ba-Duan-Jin (BDJ), non-disease specific Tai Chi-QI Gong based mind-body training coordinated deep breathing, good choice. Case Description: A 79-year-old white female patient, cardiopulmonary, gastrointestinal, and perceived sle...

OBJECTIVE To investigate the applicability of ultrasound imaging of the diaphragm in interstitial lung disease (ILD). METHODS Using ultrasound, we compared ILD patients and healthy volunteers (controls) in terms of diaphragmatic mobility during quiet and deep breathing; diaphragm thickness at functional residual capacity (FRC) and at total lung capacity (TLC); and the thickening fraction (TF,...

Background: Diaphragmatic excursion during spontaneous ventilation (SV) in normal supine volunteers is greatest in the dependent regions (bottom). During positive pressure ventilation (PPV) after anesthesia and neuromuscular blockade and depending on tidal volume, the nondependent region (top) undergoes the greatest excursion, or the diaphragm moves uniformly. The purpose of this study was to c...

Thoracobiliary fistula is a rare complication of hydatid cyst of the liver especially in the calcified form. Surgery is the only medical option. The treatment consists of radical surgical procedures in the majority of the patients. Conservative surgical treatments are performed with high mortality rate. Herein, we will describe two patients of calcified hydatid cysts of the liver whose conditio...

introduction: diaphragmatic hernia could be caused by congenital disorders, blunt trauma or penetrating injuries. the diagnosis of traumatic diaphragmatic hernia is normally neglected during the first presentation leading to late complications and considerably increased mortality and morbidity among the patients. materials and methods: in this retrospective, descriptive study, we reviewed the m...

OBJECTIVES Compare the surgical morbidity of diaphragmatic peritonectomy versus full thickness diaphragmatic resection with pleurectomy at radical debulking. DESIGN Prospective cohort study at the Oxford University Hospital. METHODS All debulking with diaphragmatic peritonectomy and/or full thickness resection with pleurectomy in the period from April 2009 to March 2012 were part of the stu...

OBJECTIVE To evaluate diaphragmatic motion via M-mode ultrasonography and to correlate it with pulmonary function in stroke patients. METHODS This was a preliminary study comprised of ten stroke patients and sixteen healthy volunteers. The M-mode ultrasonographic probe was positioned in the subcostal anterior region of the abdomen for transverse scanning of the diaphragm during quiet breathin...

An 81-year-old man was admitted to our hospital because of right quadrant abdominal pain. On admission, his liver function was Child-Pugh grade C (10 points). Computed tomography (CT) revealed a diaphragmatic herniation of bowel loops into the right thoracic cavity, accompanied by pleural effusion. Although diaphragmatic hernia was successfully repaired by emergency surgery, he died of liver fa...