Anesthetic experience of a patient with relapsing polychondritis -A case report
| Autor: | In Ki Kim, Min Soo Kim, Yong Seon Choi, Yang-Sik Shin |
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| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: | |
| Zdroj: | Korean Journal of Anesthesiology, Vol 63, Iss 5, Pp 465-468 (2012) |
| Druh dokumentu: | article |
| ISSN: | 2005-6419 2005-7563 |
| DOI: | 10.4097/kjae.2012.63.5.465 |
| Popis: | 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. |
| Databáze: | Directory of Open Access Journals |
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