Laparoscopic cholecystectomy performed under regional anesthesia in patients with chronic obstructive pulmonary disease

Brasesco, Oscar; Luna, Dr. Amita; Martinessi, Victor; Panebianco, G; Labaque, F.; Rosin, Danny; Rosenthal, Raúl J.; Gramática, Luis

doi:10.1007/s00464-001-8148-0

Cited by 109 publications

(93 citation statements)

References 14 publications

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“…Gramatica et al reported that all 29 patients of his study under thoracic epidural anaesthesia. The blood pressure and heart rate remained stable during the procedure [8]. Pursnani et al reported in his study of laparoscopic cholecystectomy performed under TEA in patients with chronic respiratory disease that all patients under thoracic epidural anaesthesia had no change in their cardio-respiratory status all over the procedure [9].…”

Section: Resultsmentioning

confidence: 94%

“…Thoracic epidural anaesthesia (TEA) has been consistently shown to provide excellent pain relief, to facilitate early ambulation. Many used regional anaesthesia alone for laparoscopic cholecystectomy in patients with chronic obstructive airway disease [4,8,9]. It has been also used in other studies, alone for laparoscopic cholecystectomy in healthy patients [4,10,11].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Comparative Study between Continuous Thoracic Epidural vs. Thoracic Spinal Anaesthesia in Breast Surgery

Ahmed¹,

Ali²,

Helal³

et al. 2017

J Pain Relief

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Section: Resultsmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Comparative Study between Continuous Thoracic Epidural vs. Thoracic Spinal Anaesthesia in Breast Surgery

Ahmed¹,

Ali²,

Helal³

et al. 2017

J Pain Relief

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“…Cholecystectomy with encouraging results 3 . In another series epidural anesthesia was used as sole technique for LC and the authors recommended it for patients who are not good candidates for general anesthesia due to cardio respiratory problems 4 .…”

Section: Discussionmentioning

confidence: 99%

Epidural anesthesia for herniotomy and hernioplasty in moderately compromised cardiac patient: case report and review of literature

Uddin

2014

j Bangladesh Soc Anaesthesiologists

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A 46 years old male patient presenting us with left sided inguinal hernia. On examination he looked ill but lying supine comfortably in bed. On auscultation first and second sounds were audible with no murmur. Blood biochemical analysis showed normal figures. Chest -X-ray showed cardiomegally with pulmonary hypertension. ECG showed bifascicular block with sinus tachycardia.Echocardiography showed global hypokinesias with moderate left ventricular systolic dysfunction (LVEF-30%), moderate TR with mild pulmonary hypertension, mild pericardial effusion and diastolic dysfunction(G-1).Due to his cardiac compromised condition the plan was epidural anesthesia instead of subarachnoid block (SAB). Premedication was given at previous night of oral anxiolytic lexotanil (2.5mg). After proper counseling about the risk of anesthesia and surgery an informed consent was taken from the party.Upon arrival of the patient to operation theatre routine monitoring were established. The measured blood pressure was 110/70 mm of Hg and heart rate 100 beat/min with oxygen saturation on room air was 98%. (JBSA 2011; 24(2): 77-78) placed on sitting position and lumber epidural catheter was placed at L3 and L4 level under complete aseptic technique. Then a test dose of adrenaline mixed 2% lignocane (3ml) was given through the catheter and check for either intrathecal or intravascular placement of a catheter. After appropriate checking catheter was fixed on back by micro pore and patient again back to his supine position. Then local anesthetic 2% lignocane 3 ml and 0.25% bupivacane 7 ml was injected through the catheter. Opioid analgesic fentanyl 50 µgm was also given not only increasing the quality of block but also increasing the prolongation of analgesia. After 25-30 minutes of giving local anesthetic agent incision was given by checking with tooth forceps. Foleys catheter was inserted for bladder rest. The mean range of blood pressure intraoperatively was 90-110 mm of Hg. Sedation was maintained with 25mg pethidine every 30 minutes interval. Total fluid received during peroperative period about 700 ml of crystalloids solution. Total urine output was 300 ml and surgery took about 60 minutes. Through the procedure the vital signs were stable and the patient was comfortable. At the end of the procedure he was transferred to surgical ICU with stable vital signs. Next day he was transferred to surgical floor..

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“…Epidural technique reduces opioid use, provides better muscular relaxation, shorter duration in recovery room, but, on the other hand, discomfort or shoulder pain caused by abdominal distention cannot be completely alleviated with epidural anesthesia and/or analgesia (23)(24)(25). Spinal anesthesia has been used only contemplated in patients where general anesthesia is contraindicated for laparoscopic cholecystectomy, however, a study in 3492 patients has found a number of advantages of spinal anesthesia, and it was concluded that spinal anesthesia should be the anesthesia of choice (26).…”

Section: Anesthetic Management Of Laparoscopic Surgerymentioning

confidence: 99%

Anesthetic Management of Abdominal Surgery

Alagöl¹

2012

Abdominal Surgery

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Laparoscopic cholecystectomy performed under regional anesthesia in patients with chronic obstructive pulmonary disease

Cited by 109 publications

References 14 publications

Comparative Study between Continuous Thoracic Epidural vs. Thoracic Spinal Anaesthesia in Breast Surgery

Comparative Study between Continuous Thoracic Epidural vs. Thoracic Spinal Anaesthesia in Breast Surgery

Epidural anesthesia for herniotomy and hernioplasty in moderately compromised cardiac patient: case report and review of literature

Anesthetic Management of Abdominal Surgery

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