Laparoscopic gastrostomy under awake thoracic epidural anesthesia: A successful experience Uyanık thorakal epidural anestezi altında laparotomik gastrostomi: Başarılı bir deneyim
Agri, cilt.30, sa.3, ss.138-141, 2018 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 30 Sayı: 3
- Basım Tarihi: 2018
- Doi Numarası: 10.5505/agri.2017.49091
- Dergi Adı: Agri
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.138-141
- Anahtar Kelimeler: Chronic obstuctive pulmoner disease, Laparoscopic gastrostomy, Lung cancer, Throcal epidural anaesthesia
- Hacettepe Üniversitesi Adresli: Evet
Özet
General anesthesia is the first choice as an anesthesia method particularly for abdominal operations. However, because neuro-muscular blockade induced during general anesthesia will increase atelectasis in a patient with pulmonary disease, it will also increase postoperative ventilator dependence, which will be even more apparent in cases of chronic obstructive pulmonary disease (COPD) that pose a risk, particularly for postoperative complications. Herein, thoracic epidural anesthesia (TEA) was found to be a better option for our patient with severe COPD and stage IV lung cancer, as it provided sufficient anesthesia and better postoperative care for laparoscopic gastrostomy.