Emergency Awake Abdominal Surgery Under Thoracic Epidural Anaesthesia in a High-Risk Patient Within a Resource-Limited Setting.
| Autor: | Le Roux JJ; Anaesthesiology, Chris Hani Baragwanath Academic Hospital, Johannesburg, ZAF., Wakabayashi K; Anaesthesiology, Chris Hani Baragwanath Academic Hospital, Johannesburg, ZAF., Jooma Z; Anaesthesia and Critical Care, Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, ZAF.; Anaesthesiology, University of the Witwatersrand, Johannesburg, Johannesburg, ZAF. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Feb 11; Vol. 15 (2), pp. e34856. Date of Electronic Publication: 2023 Feb 11 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.34856 |
| Abstrakt: | Awake abdominal surgery is performed daily around the world for caesarean section surgery under lumbar subarachnoid anaesthesia and/or graded lumbar epidural anaesthesia. Reports of awake abdominal surgery under thoracic epidural anaesthesia (TEA) for patients with bowel obstruction are scarce, as this patient population is at high risk for pulmonary aspiration. In this report, we describe a case in which a graded TEA was successfully used as the sole anaesthetic technique in a patient with severe pulmonary disease undergoing an awake emergency laparotomy for bowel ischaemia for whom no postoperative intensive care monitoring was available. No anaesthetic or surgical complications occurred, and the patient was discharged home seven days after the surgical procedure. A 30-day follow-up revealed no residual anaesthetic or surgical complications, with a return to baseline function. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Le Roux et al.) |
| Databáze: | MEDLINE |
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