Anesthetic management of nephrectomy in a chronic obstructive pulmonary disease patient with recurrent spontaneous pneumothorax

Santhosh, M.C.B.; Pai, Rohini Bhat; Rao, Raghavendra Pralhada

doi:10.1016/j.bjane.2014.02.002

Cited by 2 publications

(1 citation statement)

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“…Combined spinal epidural anaesthesia has been successfully used as a sole anaesthetic technique in major abdominal surgeries in patients with COPD. [ 46 ] In spite of conflicts in opinion with regards to benefits of epidural analgesia in COPD patients,[ 28 ] recent evidence favours use thoracic epidural anaesthesia and analgesia in these patients to reduce post-operative complications. [ 45 47 ] Use of interscalene block in patients with COPD remains a concern due to ipsilateral phrenic nerve paralysis and loss of sympathetic tone due to stellate ganglion block resulting in bronchospasm.…”

Section: Intraoperative Managementmentioning

confidence: 99%

Anaesthesia for patient with chronic obstructive pulmonary disease

2015

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The chronic obstructive pulmonary disease has become a disease of public health importance. Among the various risk factors, smoking remains the main culprit. In addition to airway obstruction, the presence of intrinsic positive end expiratory pressure, respiratory muscle dysfunction contributes to the symptoms of the patient. Perioperative management of these patients includes identification of modifiable risk factors and their optimisation. Use of regional anaesthesia alone or in combination with general anaesthesia improves pulmonary functions and reduces the incidence of post-operative pulmonary complications.

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