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[Combined intrapleural and low epidural anesthesia for upper abdominal surgery]
S Konichezky1, P Szmuk, T Ezri
1General Intensive Care Unit, Kaplan Hospital, Rehovot.
Harefuah
|March 1, 1995
Summary
Intrapleural anesthesia, combined with epidural techniques, offers effective pain relief and anesthesia for complex surgeries. This combined approach is particularly beneficial for patients with severe cardiopulmonary issues, ensuring safety and successful outcomes.
Area of Science:
- Anesthesiology
- Thoracic Surgery
Background:
- Intrapleural local anesthetic administration for postoperative pain management was recently introduced.
- The technique was initially believed to provide analgesia but not surgical anesthesia.
Observation:
- The intrapleural technique has been increasingly utilized for anesthesia during minor surgical procedures.
- A case study involved a patient with severe cardiopulmonary compromise undergoing major abdominal surgery.
Findings:
- Combined bilateral intrapleural and low epidural anesthesia was successfully employed in a patient with significant cardiopulmonary impairment.
- This combined anesthetic approach facilitated a successful splenectomy and cholecystectomy.
Implications:
- Bilateral intrapleural and low epidural anesthesia can be a viable option for high-risk surgical patients.
- This technique may expand anesthetic possibilities for patients with limited cardiopulmonary reserve.