Thoracic Epidural Anesthesia for a Polymyositis Patient Undergoing Awake Mini-thoracotomy and Unroofing of a Huge Pulmonary Bulla

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. H...

Full description

Saved in:
Bibliographic Details
Published inActa anaesthesiologica Taiwanica Vol. 46; no. 1; pp. 42 - 45
Main Authors Yen, Chia-Rong, Tsou, Mei-Yung, Lin, Su-Man, Chan, Kwok-Hon, Chu, Ya-Chun
Format Journal Article
LanguageEnglish
Published China (Republic : 1949- ) Elsevier B.V 01.03.2008
Subjects
Anesthesia, Epidural - methods
anesthesia, epidural: thoracic
Blister - surgery
bronchiolitis obliterans organizing pneumonia
Female
Humans
Lung Diseases - surgery
Middle Aged
polymyositis
Polymyositis - surgery
thoracotomy
Thoracotomy - methods
Wakefulness
polymyositis
thoracotomy
anesthesia, epidural: thoracic
bronchiolitis obliterans organizing pneumonia
Online AccessGet full text

Cover

More Information
Summary: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.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:1875-4597
1875-452X
DOI:10.1016/S1875-4597(08)60020-X