Total radical gastrectomy under continuous thoracic epidural anaesthesia

Parthasarathy, Srinivasan; Ravishankar, M; Aravindan, U

doi:10.4103/0019-5049.68385

Cited by 2 publications

(3 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These have included a reduction in neurohormonal response to surgical stimuli, preservation of spontaneous breathing and airway reflexes, decreased blood loss and postoperative pain, a reduced risk of thromboembolism, and a more rapid recovery of gastrointestinal motility [9]. Many studies have evaluated the usefulness of continuous epidural analgesia as the predominant anesthetic technique in abdominal surgery [10-12]. Other studies demonstrated that the postoperative deterioration of respiratory function and pulmonary complications decreased with thoracic epidural analgesia compared to general anaesthesia in abdominal or breast surgery [13,14].…”

Section: Discussionmentioning

confidence: 99%

Anesthetic experience of a patient with relapsing polychondritis -A case report-

Kim

Choi

et al. 2012

Korean J Anesthesiol

View full text Add to dashboard Cite

Relapsing polychondritis is a rare disease characterized by progressive inflammation and destruction of cartilaginous structures such as ears, nose, and tracheolaryngeal structures. As a result, tracheolaryngeal involvement makes anesthetic management a challenge. Anesthetic management of a patient with relapsing polychondritis may encounter airway problems caused by severe tracheal stenosis. We present the case of a 60-year-old woman with relapsing polychondritis who underwent wedge resection of the stomach under epidural analgesia. Thoracic epidural blockade of the T4-10 dermatome was achieved by epidural injection of 7 ml of 0.75% ropivacaine and 50 µg of fentanyl. The patient was tolerable during the operation. We suggest that epidural analgesia may be an alternative to general anesthesia for patients with relapsing polychondritis undergoing upper abdominal surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

Anesthetic experience of a patient with relapsing polychondritis -A case report-

Kim

Choi

et al. 2012

Korean J Anesthesiol

View full text Add to dashboard Cite

show abstract

“…Some techniques of regional anesthesia may provide adequate surgical anesthesia for operations of the upper abdominal region. Th e most commonly described technique is thoracic epidural anesthesia 1 . Th is technique results in bilateral symmetric anesthesia, but also in sympathetic blockade and is often accompanied by hemodynamic instability.…”

Section: Introductionmentioning

confidence: 99%

“…Th is technique results in bilateral symmetric anesthesia, but also in sympathetic blockade and is often accompanied by hemodynamic instability. Th ere is also the possibility of causing an epidural hematoma or nerve damage 1,2 . Paravertebral block (PVB) is achieved by injection of local anesthetic in a space just lateral to the spinal canal, where the spinal nerves emerge from the intervertebral foramina.…”

Section: Introductionmentioning

confidence: 99%

Gastrostomy Under Paravertebral Block in High-Risk Patients with Esophageal Cancer – Two Case Reports

Župčić

Korušić

Barišin

et al. 2017

ACC

View full text Add to dashboard Cite

Here we present two cases of gastrostomy insertion via laparotomy in patients with malignant esophageal disease. Patients were ASA (American Society of Anesthesiologists) physical status III and IV. The patients presented as very high risk for general anesthesia, so we decided to use unilateral left sided paravertebral block (PVB) on four thoracic levels along with contralateral local infiltration at the gastrostomy insertion site. We present two cases, one of them a 57-year-old male ASA III patient scheduled for a gastrostomy procedure due to esophageal cancer with infiltration of the trachea. We also present a case of a 59-year-old male patient, ASA IV status, scheduled for the same procedure due to advanced esophageal cancer with a fistula between the left main bronchus and the esophagus and metastases in the left lung. The paravertebral space was identified with the use of an 8 Hertz (Hz) linear ultrasound probe and a nerve stimulator. Paravertebral block was successfully used for insertion of a gastrostomy, thereby enabling adequate anesthesia and perioperative analgesia without hemodynamic or respiratory complications.

show abstract

Total radical gastrectomy under continuous thoracic epidural anaesthesia

Cited by 2 publications

References 4 publications

Anesthetic experience of a patient with relapsing polychondritis -A case report-

Anesthetic experience of a patient with relapsing polychondritis -A case report-

Gastrostomy Under Paravertebral Block in High-Risk Patients with Esophageal Cancer – Two Case Reports

Contact Info

Product

Resources

About