The feasibility of epidural anesthesia without endotracheal intubation for abdominal surgery in patients with collagen diseases

H. Nakashima, H. Ueo, N. Karimine, T. Asoh, M. Mori, T. Akiyoshi, K. Sugimachi

研究成果: ジャーナルへの寄稿記事

3 引用 (Scopus)

抄録

Background/Aims: Patients with collagen diseases are generally regarded as high-risk surgical candidates. Material and Methods: To evaluate the feasibility of epidural anesthesia and to determine the risk factors in abdominal surgery for patients with collagen diseases, 20 patients with collagen diseases who underwent elective abdominal surgery were examined for their surgical outcomes and clinical characteristics. Among the 20 cases, 12 received epidural anesthesia alone without endotracheal intubation, 3 received general anesthesia only, 4 received general anesthesia with epidural anesthesia and one received lumbar anesthesia. Results: Only one patient receiving epidural anesthesia died after operation. The mortality in patients receiving epidural anesthesia was 8.3% (1/12) while the overall mortality was 5.0% (1/20). No significant difference was observed either in the mortality or incidence of postoperative complications among the 4 groups according to the method of anesthesia. Patients with a dysfunction of the vital organs more often had postoperative complications than those without a dysfunction of the vital organs (p = 0.043). Conclusions: Although only a small number of patients were included in this study, these results suggested that 1) elective abdominal surgery can be as safely performed under epidural anesthesia alone as with general anesthesia even for patients with collagen diseases, and 2) the patients with collagen diseases, who preoperatively showed a dysfunction of the vital organs, might be at a higher risk for abdominal surgery.

元の言語英語
ページ(範囲)121-126
ページ数6
ジャーナルHepato-gastroenterology
44
発行部数13
出版物ステータス出版済み - 3 11 1997

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Collagen Diseases
Intratracheal Intubation
Epidural Anesthesia
General Anesthesia
Mortality
Anesthesia

All Science Journal Classification (ASJC) codes

  • Hepatology
  • Gastroenterology

これを引用

Nakashima, H., Ueo, H., Karimine, N., Asoh, T., Mori, M., Akiyoshi, T., & Sugimachi, K. (1997). The feasibility of epidural anesthesia without endotracheal intubation for abdominal surgery in patients with collagen diseases. Hepato-gastroenterology, 44(13), 121-126.

The feasibility of epidural anesthesia without endotracheal intubation for abdominal surgery in patients with collagen diseases. / Nakashima, H.; Ueo, H.; Karimine, N.; Asoh, T.; Mori, M.; Akiyoshi, T.; Sugimachi, K.

:: Hepato-gastroenterology, 巻 44, 番号 13, 11.03.1997, p. 121-126.

研究成果: ジャーナルへの寄稿記事

Nakashima, H, Ueo, H, Karimine, N, Asoh, T, Mori, M, Akiyoshi, T & Sugimachi, K 1997, 'The feasibility of epidural anesthesia without endotracheal intubation for abdominal surgery in patients with collagen diseases', Hepato-gastroenterology, 巻. 44, 番号 13, pp. 121-126.
Nakashima, H. ; Ueo, H. ; Karimine, N. ; Asoh, T. ; Mori, M. ; Akiyoshi, T. ; Sugimachi, K. / The feasibility of epidural anesthesia without endotracheal intubation for abdominal surgery in patients with collagen diseases. :: Hepato-gastroenterology. 1997 ; 巻 44, 番号 13. pp. 121-126.
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