Regional Anesthesia for Abdominal Surgery in a Patient with Severe Chronic Respiratory Failure: A Case Report

Abstract

General anesthesia is associated with a risk for postoperative pulmonary complications. The risk is even higher in patients with chronic respiratory failure, and postoperative mortality rates are high. Proper perioperative anesthetic management is important in such patients. Therefore, it is essential to optimize the patient’s physical status before anesthesia and to determine the optimal anesthesia technique based on the pre-anesthesia evaluation of the patient’s pulmonary function. We successfully performed abdominal surgery under spinal anesthesia in a patient with severe chronic respiratory failure.

Thoracic Segmental Spinal Anesthesia for Emergency Cholecystectomy: A Case Report

“…Pre-anesthesia respiratory function testing and the patient's general condition optimization are essential. Additionally, the best anesthetic approach must be chosen to mitigate the anesthesia effects on respiratory function [7].…”