Post-herniorrhaphy Extubation Technique in Pediatric Patient with Congenital Diaphragmatic Hernia and VACTERL Association: A Case Report

Overview

Journal Ann Med Surg (Lond)

Publisher Wolters Kluwer

Specialty Medical Education

Date 2021 Sep 20

PMID 34540207

Citations 1

Authors

Diajeng Putri Iracily

Desy Rusmawatiningtyas

Firdian Makrufardi

Intan Fatah Kumara

Nurnaningsih

Edy Moeljono

Affiliations

Soon will be listed here.

Abstract

Introduction: and importance: Congenital diaphragmatic hernia (CDH) is a condition characterized by a defect in the diaphragm causing protrusion of abdominal organs into the thoracic cavity. Comprehensive management, definitive surgical procedures and postoperative care are able to significantly reduce morbidity and mortality in post-herniorrhaphy patients. Here, we reported a case of post herniorrhaphy pediatric patient with a challenge in extubation.

Case Presentation: A 4-month-old girl with a chief complaint of respiratory distress from was admitted to our Pediatric Intensive Care Unit. The diagnosis of diaphragmatic hernia was confirmed through small bowel follow-through radiological examination. Definitive treatment of laparotomy and herniorrhaphy were then done. The special technique for extubation was applied. Currently, the patient survives without any sequelae awaiting stoma closure.

Clinical Discussion: Extubation is the removal of an endotracheal tube when it is no longer needed. In mechanically ventilated patients, extubation can be performed in two ways, either using the tracheal suction catheter (TSC) or positive pressure breath (PPB) techniques. Studies show that the PBB extubation technique has better patient outcomes compared to the TSC technique. However, the TSC technique is more commonly done by medical professionals. We used the PPB technique because there were recurrent atelectases in the left lung.

Conclusion: This case report illustrates extubation technique in a post-herniorrhaphy patient with congenital diaphragmatic hernia and VACTERL association. Moreover, several options of extubation techniques can be used for extubation procedure in pediatric patient with CDH.

Citing Articles

Positive versus negative pressure during removal of endotracheal-tube on prevention of post-extubation atelectasis in ventilated neonates: A randomized controlled trial.

Farhadi R, Nakhshab M, Hojjati A, Khademloo M Ann Med Surg (Lond). 2022; 76:103573.

PMID: 35495371 PMC: 9052286. DOI: 10.1016/j.amsu.2022.103573.

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