Anesthetic experience of a patient with relapsing polychondritis: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 465-468, 2012.
Article
in English
| WPRIM
| ID: wpr-227532
ABSTRACT
Relapsing polychondritis is a rare disease characterized by progressive inflammation and destruction of cartilaginous structures such as ears, nose, and tracheolaryngeal structures. As a result, tracheolaryngeal involvement makes anesthetic management a challenge. Anesthetic management of a patient with relapsing polychondritis may encounter airway problems caused by severe tracheal stenosis. We present the case of a 60-year-old woman with relapsing polychondritis who underwent wedge resection of the stomach under epidural analgesia. Thoracic epidural blockade of the T4-10 dermatome was achieved by epidural injection of 7 ml of 0.75% ropivacaine and 50 microg of fentanyl. The patient was tolerable during the operation. We suggest that epidural analgesia may be an alternative to general anesthesia for patients with relapsing polychondritis undergoing upper abdominal surgery.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Polychondritis, Relapsing
/
Stomach
/
Tracheal Stenosis
/
Injections, Epidural
/
Analgesia, Epidural
/
Fentanyl
/
Nose
/
Rare Diseases
/
Ear
/
Amides
Limits:
Female
/
Humans
Language:
English
Journal:
Korean Journal of Anesthesiology
Year:
2012
Type:
Article
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