Monitored anesthesia care for unilateral inguinal herniorrhaphy in high risk patients: Two cases report
Anesthesia and Pain Medicine
;
: 240-243, 2011.
Article
in Korean
| WPRIM
| ID: wpr-14762
ABSTRACT
Remifentanil, an ultra-short acting opioid, exhibits at low doses distinct sedative properties that may be useful for supplementation of regional or local anesthesia. We described two patients suffered from serious underlying medical problems who underwent unilateral inguinal herniorrhaphy. One of them was 61 year-old male patient who had type B viral hepatitis, Child class B liver cirrhosis and rheumatoid arthritis with severe joint deformity including instability of cervical vertebrae. The other patient was 73 year-old man who had severe coronary artery occlusive disease which was recently managed with coronary stent and was underwent hemodialysis three times a week due to chronic renal failure. Monitored anesthesia care (MAC) with remifentanil through target controlled infusion (TCI) and local infiltration and ilioinguinal-hypogastric nerve block (IHNB) were done for herniorrhaphy. The operations were performed successfully without any complications such as respiratory depression or hypoxia and all patients and surgeon were very satisfied with MAC.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Piperidines
/
Arthritis, Rheumatoid
/
Respiratory Insufficiency
/
Congenital Abnormalities
/
Stents
/
Cervical Vertebrae
/
Renal Dialysis
/
Coronary Vessels
/
Herniorrhaphy
/
Hepatitis
Type of study:
Diagnostic study
/
Etiology study
Limits:
Child
/
Female
/
Humans
/
Male
Language:
Korean
Journal:
Anesthesia and Pain Medicine
Year:
2011
Type:
Article
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