Ömer KARACA, Hüseyin Ulaş PINAR, Enes DUMAN, Rafi DOĞAN

Laparoscopic gastrostomy under awake thoracic epidural anesthesia: A successful experience

General anesthesia is the first choice as an anesthesia method particularly for abdominal operations. However, because neuromuscular blockade induced during general anesthesia will increase atelectasis in a patient with pulmonary disease, it will also increase postoperative ventilator dependence, which will be even more apparent in cases of chronic obstructive pulmonary disease (COPD) that pose a risk, particularly for postoperative complications. Herein, thoracic epidural anesthesia (TEA) was found to be a better option for our patient with severe COPD and stage IV lung cancer, as it provided sufficient anesthesia and better postoperative care for laparoscopic gastrostomy.

Uyanık thorakal epidural anestezi altında laparotomik gastrostomi: Başarılı bir deneyim

Genel anestezi, özellikle batın operasyonları için ilk tercih edilen anestezi yöntemidir. Ancak akciğer hastalığı olan birinde, genel anestezi esnasında sağlanacak neuromusculer blokaj atelektaziyi artıracağından, postoperatif ventilatör bağımlılığını artıracaktır. Özellikle postoperatif komplikasyonlar için risk oluşturan kronik obstruktif akciğer hastalığı (COPD) olgularında bu ihtiyaç daha belirgin olacaktır. Thoracal epidural anaesthesia (TEA), üst abdominal operasyonlar için yeterli anestezi sağladığından, ciddi akciğer hastalığı ve evre 4 akciğer kanseri olan hastamız için en iyi seçenektir.

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