کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
2741719 | 1148553 | 2008 | 4 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Thoracic Epidural Anesthesia for a Polymyositis Patient Undergoing Awake Mini-thoracotomy and Unroofing of a Huge Pulmonary Bulla Thoracic Epidural Anesthesia for a Polymyositis Patient Undergoing Awake Mini-thoracotomy and Unroofing of a Huge Pulmonary Bulla](/preview/png/2741719.png)
General anesthesia with one-lung ventilation is a conventional anesthetic strategy for most chest surgery, including resection of pulmonary bullae. However, this anesthetic management may cause alveolar barotrauma, hemodynamic instability, pulmonary atelectasis and long-term ventilator dependency. Here, we report a 64-year-old female with polymyositis and bronchiolitis obliterans organizing pneumonia who was scheduled for surgical intervention for a huge pulmonary bulla over the right upper lung. Under thoracic epidural anesthesia, with the patient maintaining clear consciousness and spontaneous breathing, a mini-thoracotomy was accomplished to unroof and partially resect the bulla. There were no perioperative complications, and the patient was satisfied with the anesthetic care. Pulmonary function tests and daily physical performance also improved postoperatively.
Journal: Acta Anaesthesiologica Taiwanica - Volume 46, Issue 1, March 2008, Pages 42-45