Flickering diaphragm sign, an indicator of laparoscopy-associated pneumothorax secondary to pleural breach.
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ABSTRACT:
SUBMITTER: Nusrath S
PROVIDER: S-EPMC7179778 | biostudies-literature | 2020 Mar
REPOSITORIES: biostudies-literature
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Flickering diaphragm sign, an indicator of laparoscopy-associated pneumothorax secondary to pleural breach.
Nusrath Syed S Patnaik Sujit Chyau SC Christopher Asiel A Saksena Ajesh Raj AR Thammineedi Subramanyeshwar Rao SR Reddy R Pratap RP
Indian journal of anaesthesia 20200311 3
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 CO<sub>2</sub>(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 anaestheti ...[more]
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