Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Tracheostomy Decannulation

Tracheostomy Decannulation

Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...

Pyloric Obstruction

Pyloric Obstruction

Pyloric obstruction, also referred to as gastric outlet obstruction, is a condition characterized by narrowing or blockage at the pylorus—the muscular valve regulating the flow of stomach contents into the duodenum. When this passage becomes impaired, the stomach cannot effectively empty its contents into the small intestine. This disruption leads to a range of gastrointestinal symptoms, including early satiety, bloating, epigastric pain, postprandial nausea, persistent vomiting, and...

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...

Hiatal Hernia

Hiatal Hernia

A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...

Pulmonary Cycle: Exhalation

Pulmonary Cycle: Exhalation

In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Track your trach: Removal of a fractured tracheostomy tube using a flexible fibreoptic bronchoscope in a patient with severe head injury.

Medical journal, Armed Forces India·2023

Same author

Effect of BMI on patients undergoing transcatheter aortic valve implantation: A systematic review and meta-analysis.

Progress in cardiovascular diseases·2023

Same author

Ameliorative effect of ellagic acid and Vitamin C against malathion-induced toxicity in testis of adult Wistar rats.

Journal of biochemical and molecular toxicology·2023

Same author

A Room-Temperature Spin-Valve with van der Waals Ferromagnet Fe<sub>5</sub> GeTe<sub>2</sub> /Graphene Heterostructure.

Advanced materials (Deerfield Beach, Fla.)·2023

Same author

Clinical presentation and outcomes of chronic kidney disease patients with COVID-19 admitted to the intensive care unit of a teaching hospital of Northern India during the third wave of the pandemic: A retrospective study.

Journal of family medicine and primary care·2023

Same author

Chemotherapy Induced Cardiotoxicity: A State of the Art Review on General Mechanisms, Prevention, Treatment and Recent Advances in Novel Therapeutics.

Current problems in cardiology·2023

Search research articles

Related Experiment Video

Updated: Jun 22, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

Difficult weaning in delayed onset diaphragmatic hernia.

Syed Moied Ahmed¹, Abu Nadeem, Jyotishka Pal

¹Department of Anaesthesiology and Critical Care, JN Medical College, Aligarh Muslim University, Aligarh, India.

Journal of Emergencies, Trauma, and Shock

|June 30, 2009

Summary

Diaphragmatic injuries from trauma are often missed, leading to delayed diagnosis. This case highlights a diaphragmatic hernia presenting as difficult ventilator weaning in a polytrauma patient.

Keywords:

Diaphragm and difficult weaning hernia

More Related Videos

Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs

Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs

Published on: December 22, 2023

Related Experiment Videos

Last Updated: Jun 22, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs

Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs

Published on: December 22, 2023

Area of Science:

Trauma Surgery
Thoracic Surgery
Diagnostic Imaging

Background:

Diaphragmatic injuries (DI) are uncommon consequences of blunt or penetrating trauma.
Diagnosis of DI is frequently delayed due to subtle or absent clinical signs, necessitating a high index of suspicion.
Missed DI can lead to severe complications, including organ herniation and strangulation.

Purpose of the Study:

To report a case of polytrauma with a delayed presentation of diaphragmatic hernia.
To emphasize the diagnostic challenges and clinical manifestations of diaphragmatic injuries.

Main Methods:

Case report of a polytrauma patient.
Clinical assessment and management of respiratory compromise.
Review of diagnostic considerations for diaphragmatic injuries.

Main Results:

The patient presented with rib fractures and polytrauma.
A diaphragmatic hernia was diagnosed late, manifesting as difficulty weaning from mechanical ventilation.
Delayed diagnosis of the diaphragmatic injury contributed to prolonged respiratory support.

Conclusions:

Diaphragmatic injuries can present insidiously, even after initial trauma management.
Difficulties in weaning from ventilatory support should prompt consideration of occult diaphragmatic injuries.
Early and accurate diagnosis of diaphragmatic injuries is crucial to prevent serious sequelae.