Thoracic Epidural Analgesia in a Patient with Multiple Comorbidities for Subxiphoid Incisional Hernia Repair. | [Anaesthesia, Pain and Intensive Care • 2015]

Author(s):

1. Didem Onk: Anesthesiology and Reanimation Department, Erzincan University, Erzincan, Turkey

2. Huseyin Eken: Surgery Department, Mengucek Gazi Training and Research Hospital, Erzincan, Turkey

3. Tulin Akarsu Ayazoglu: Mengucek Gazi Training and Research Hospital, Erzincan, Turkey

4. Ilke Kupeli: Anesthesiology and Reanimation Department, Mengucek Gazi Training and Research Hospital, Erzincan, Turkey

5. Zafer Kucuksu: Cardiology Department, Mengucek Gazi Training and Research Hospital, Erzincan, Turkey

6. Aysin Alagol: Anesthesiology and Reanimation Department, Göztepe Training and Research Hospital, Istanbul, Turkey

Abstract:

Anesthetic preparation before non-cardiac surgery deserves particular attention in patients with cardiac disease as these are prone to develop hemodynamic instability and myocardial ischemia. Risk of complications is not only related to individual patient characteristics, but also to surgery related factors. In this report we present our experience regarding anesthetic management of a patient with multiple comorbidities including advanced chronic obstructive pulmonary disease, severely impaired left ventricular systolic function and occluded bypass grafts. We chose thoracic epidural analgesia for his subxiphoid incisional hernia repair. The operative and postoperative course was uneventful.

Page(s): 159-162

DOI: DOI not available

Published: Journal: Anaesthesia, Pain and Intensive Care, Volume: 19, Issue: 2, Year: 2015

Keywords:

Keywords are not available for this article.

References:

[1] 2007.median sternotomy,Hernia -

[2] ., 11 473 -9

[3] 1997.and rehabilitation,Br J Anaesth -

[4] ., 78 606 -17

[5] 1999., 46 409 -14

[6] 2001.,Anesth Analg 93 853 -8

[7] 1990., 71 625 -30

[8] ., -

[9] 2007.and care for non-cardiac surgery: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery),Circulation 116 418 -99

[10] PompeoE,MineoTC, 2008.Awake operative video thoracoscopic pulmonary resections,Thorac Surg Clin 18 311 -20

[11] de Albuquerque MedeirosR,FaresinS,JardimJ, 2001.Postoperative lung complications and mortality in patients with mild-to-moderate COPD undergoing elective general surgery,Arch Bronconeumol 37 227 -34

[12] StensethR,BjellaL,BergEM,ChristensenO,LewangOW,GisvoldSE, 1996.Effects of thoracic epidural analgesia on pulmonary function after coronary artery bypass surgery,Eur J Cardio-thorac Surg 10 859 -865

[13] HareshKS,NamitaC,SumanK,BhushanT,ShirishGC, 2013.Single incision laparoscopic repair of post CABG sternotomy subxiphoid hernia,J Minim Access Surg 9 187 -189

[14] KaulTK,TayalG, 2007.Anaesthetic considerations in cardiac patient undergoing noncardiac surgery,Indian J Anaesth 51 280 -86

[15] SchmidtC,HinderF,Van AkenH, 2005.The effect of high thoracic epidural anesthesia on systolic and diastolic left ventricular function in patients with coronary artery disease,Anesth Analg 100 1561 -9

[16] BerendesE,SchmidtC,Van AkenH,HartlageGM,WirtzS,ReineckeH, 2003.Reversible cardiac sympathectomy by high thoracic epidural anesthesia improves regional left ventricular function in patients undergoing coronary artery bypass grafting: a randomized trial,Arch Surg 138 1283 -1290

[17] ZhaoYJ,LiuFQ,XiuCH,JiangJ,WangJH,XuYS, 2014.The effects of high thoracic epidural anesthesia on sympathetic activity and apoptosis in experimentally induced congestive heart failure,J Cardiothorac Vasc Anesth 28 317 -22

[18] HemmerlingTM,RomanoG,TerrasiniN,NoiseuxN., 2013.Anesthesia for off-pump coronary artery bypass surgery,Ann Card Anaesth 16 28 -39

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