Laparoscopic cholecystectomy under epidural anesthesia: a clinical feasibility study / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 383-388, 2010.
Artigo
em Inglês
| WPRIM
| ID: wpr-187725
ABSTRACT
BACKGROUND:
Laparoscopic cholecystectomy (LC) has traditionally been performed under general anesthesia, however, owing in part to the advancement of surgical and anesthetic techniques, many laparoscopic cholecystectomies have been successfully performed under the spinal anesthetic technique. We hoped to determine the feasibility of segmental epidural anesthesia for LC.METHODS:
Twelve American Society of Anesthesiologists class I or II patients received an epidural block for LC. The level of epidural block and the satisfaction score of patients and the surgeon were checked to evaluate the efficacy of epidural block for LC.RESULTS:
LC was performed successfully under epidural block, with the exception of 1 patient who required a conversion to general anesthesia owing to severe referred pain. There were no special postoperative complications, with the exception of one case of urinary retention.CONCLUSIONS:
Epidural anesthesia might be applicable for LC. However, the incidence of intraoperative referred shoulder pain is high, and so careful patient recruitment and management of shoulder pain should be considered.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Complicações Pós-Operatórias
/
Estudos de Viabilidade
/
Incidência
/
Colecistectomia Laparoscópica
/
Seleção de Pacientes
/
Dor de Ombro
/
Dor Referida
/
Anestesia Epidural
/
Anestesia Geral
Tipo de estudo:
Estudo de incidência
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Inglês
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
2010
Tipo de documento:
Artigo
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