Priyesh R Patel*, Heather D McFarland, Nicholas L Pesa and Nicole D Snyder
Department of Anesthesiology and Perioperative Medicine, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, USAFulltext PDF
Patients with severe pulmonary disease are sometimes denied necessary surgical procedures given the foreseen perioperative complications of general anesthesia, including respiratory failure, atelectasis, and pneumonia.Little data has been reported on the use of neuraxial anesthesia in attempt to avoid general anesthesia and the associated use of muscle relaxants and endotracheal intubation in this patient population. Our case report demonstrates the use of epidural anesthesia with the complete avoidance of general anesthesia in a patient with severe pulmonary disease, undergoing a hemicolectomy and end ileostomy for a high-grade adenocarcinoma of the colon.
Patel PR, McFarland HD, Pesa NL, Snyder ND. Avoiding General Anesthesia for a Patient with Severe Pulmonary Compromise. Ann Clin Case Rep. 2017; 2: 1420.