Combined spinal and epidural anesthesia for laparotomy in a geriatric patient with severe obstructive lung disease

Takeshi Yokoyama, Hideko Arita, Tomoki Nishiyama, Kenichi Kishida, Kazuo Hanaoka

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

Asthma and heavy smoking are the risk factors for postoperative respiratory distress, especially after general anesthesia. We experienced a case of sigmoidectomy in a geriatric patient with severe obstructive lung disease accompanied by asthma and a long history of smoking. The patient was a 70 year old man with 1 second volume of less than 0.6 l, because of asthma and long smoking history of 40 pieces of cigarettes a day for 50 years. We considered that general anesthesia with trachéal intubation might worsen the respiratory state after surgery and chose combined spinal and epidural anesthesia. He received sigmoidectomy under spinal anesthesia with 0.3 % dibucaine 2.4 ml combined with epidural anesthesia. As the level of analgesia went up to Th4, the patient complained of dyspnea and he discharged a plenty of sputum. Without any special treatment his dyspnea disappeard spontaneously. During and after the surgery, no exacerbation occurred in his respiratory state. It is suggested that spinal anesthesia combined with epidural anesthesia is useful for a patient with severe obstructive lung disease.

Original languageEnglish
Pages (from-to)411-412
Number of pages2
JournalJapanese Journal of Anesthesiology
Volume46
Issue number3
Publication statusPublished - 1997
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

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