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[Anesthetic management for thoracoscopic bullae resection using epidural anesthesia]
K Nagashima1, K Sakurai, K Sengoku
1Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical College, Asahikawa 078-8510.
Abstract:
We report the anesthetic management for elective thoracoscopic bullae resection (TBR) using high thoracic epidural (TE) anesthesia in awake patients. Pain and cough reflex caused by the surgical procedure could be controlled well with high TE anesthesia using 20-25 ml of 2% lidocaine. Respiratory and hemodynamic conditions remained stable during the surgical procedure. High TE anesthesia using a large dose of local anesthetic is thought to be suitable for TBR.