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Lower Thoracic Epidural Block in Diaphragmatic Plication: A Case Report
Jes Jose1, Nagarjuna Panidapu1, Soundarya Murgesh Kalligudd1
1Department of Cardiac Anaesthesiology and Critical Care, Amrita Institute of Medical Sciences, Amrita Lane, Kochi, Kerala, India.
Abstract:
Acquired diaphragmatic eventration (DE) is an uncommon condition characterized by all or a portion of the diaphragmatic muscle replaced by a thin fibroelastic sheath, resulting in an abnormal elevation of the hemidiaphragm. Currently, the treatment of choice for symptomatic DE is a minimally invasive diaphragmatic plication via a video-assisted thoracoscopic or robotic approach. Surgical diaphragmatic plication is often associated with increased intra-abdominal pressure (IAP) and associated complications. This report describes the usefulness of lower thoracic epidural block in the management of raised IAP following surgical plication of the diaphragm.
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