Laparoscopic cholecystectomy under epidural anesthesia in patients with chronic respiratory disease

Pursnani, Kishore; Bazza, Y.; Calleja, Michele; Mughal, Muntzer

doi:10.1007/s004649900785

Cited by 112 publications

(98 citation statements)

References 15 publications

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“…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]. The present study did not detect any significant differences between the baseline and 5-minutes intervals within the first hour of surgery in the two groups as regard O 2 saturation measured by pulse oximetry.…”

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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“…However, the anesthetic technique should be tailored to the type of surgery. General anesthesia (balanced anesthesia technique with several intravenous and inhalational agents and the use of muscle relaxants), peripheral nerve blocks, and neuraxial anesthesia as an alternative to general anesthesia for outpatient pelvic laparoscopy, local anesthesia infiltration in microlaparoscopy for limited and precise gynecological procedures, and intravenous sedation can be used with a safe profile for patients and have been described in the literature (LE 5) [364], (LE 4) [365], (LE 2b) [366,367], (LE 1b) [368], (LE 1a) [369], (LE 4) [370], (LE 1b) [371,372], (LE 2b) [373,374], (LE 1b) [375]. Laparoscopy is most commonly performed with the patient under general anesthesia, especially for prolonged and upper abdominal procedures.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic approach to acute abdomen from the Consensus Development Conference of the Società Italiana di Chirurgia Endoscopica e nuove tecnologie (SICE), Associazione Chirurghi Ospedalieri Italiani (ACOI), Società Italiana di Chirurgia (SIC), Società Italiana di Chirurgia d’Urgenza e del Trauma (SICUT), Società Italiana di Chirurgia nell’Ospedalità Privata (SICOP), and the European Association for Endoscopic Surgery (EAES)

et al. 2012

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Background In January 2010, the SICE (Italian Society of Endoscopic Surgery), under the auspices of the EAES, decided to revisit the clinical recommendations for the role of laparoscopy in abdominal emergencies in adults, with the primary intent being to update the 2006 EAES indications and supplement the existing guidelines on specific diseases. Methods Other Italian surgical societies were invited into the Consensus to form a panel of 12 expert surgeons. In order to get a multidisciplinary panel, other stakeholders involved in abdominal emergencies were invited along with a patient's association.

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“…general anesthesia (GA), a gold-standard anesthetic technique. 3 For the both procedures but, it can be extremely challenging for patients with difficult intubation, obstructive pulmonary.…”

Section: Introductionmentioning

confidence: 99%

Low dose spinal anesthesia for open cholecystectomy: a feasibility and safety study

et al. 2017

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Background: Cholecystectomy is performed either open or a laparascopic route. the traditional and invasive open cholecystectomy is still in frequent practice for various reasons. Spinal anesthesia (SA) has been widely used as alternative to General Anesthesia (GA) for laparoscopic cholecystectomy. SA could be a safe and effective anaesthetic procedure for open cholecystectomy. This study was conducted to uncover feasibility and safety of low dose SA for conducting open cholecystectomy.Methods: All consented patients of ASA grade I and II of either sex scheduled for elective open cholecystectomy received SA using 2 ml of 0.5% hyperbaric Bupivacaine mixed with 100 µg Morphine. Peri-operative preparations and management were all standardized. Other drugs being only administered to manage anxiety, pain, nausea/vomiting, hypotension, and any adverse event. Open cholecystectomy by right oblique incision. Intra-operative events and post-operative events were observed for 48 hours, operative difficulty, post operative pain free interval, analgesia requirements, hospital stay and the surgeon and patient satisfaction were studied.Results: 20 patients were included in the study from 1st may 2016 to December 2016. Spinal anesthesia was adequate for surgery in all patients. Operative difficulty scores were minimal and surgery in one patient was converted to open cholecystectomy. Intraoperatively, five patients presented hypotension and Ephedrine was given. Four patients experienced pain and received Fentanyl and midazolam. Postoperatively, pain scores were minimal and paracetamol was not sufficient only in four patients who received ketoprofen and no patient received opioid. One patient required antiemetic for vomiting and two patients suffered urinary retention and one headache. 19 patients were discharged within 48 hours of surgery and patient satisfaction scores were very good.Conclusions: Spinal anesthesia is safe and effective anesthetic technic for uncomplicated open cholecystectomy in terms of peri-operative events and, in prolonged post-operative analgesia, as well as in terms of patient and surgeon’s satisfaction.

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Laparoscopic cholecystectomy under epidural anesthesia in patients with chronic respiratory disease

Abstract: LC can be performed safely under epidural anaesthesia in patients with severe COPD. Intraoperative shoulder tip or abdominal pain does not seem to be a major deterrent and can be effectively controlled with small doses of opioid analgesia.

Cited by 112 publications

References 15 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

Low dose spinal anesthesia for open cholecystectomy: a feasibility and safety study

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