Segmental spinal anaesthesia for cholecystectomy in a patient with severe lung disease.
Occasionally patients awaiting heart or lung transplant because of terminal disease require other types of surgery, but present significant challenges to the anaesthetist because of impaired organ function. Regional anaesthesia may have much to offer such patients and we here report one who underwent successfully a laparoscopic cholecystectomy under segmental subarachnoid (spinal) anaesthesia performed at the low thoracic level. The anatomical and physiological consequences of such a technique are discussed.
van Zundert
A A J
AA
Department of Anesthesiology, ICU and Pain Therapy, Catharina Hospital-Brabant Medical School, Michelangelolaan 2, NL-5623 EJ Eindhoven, The Netherlands. zundert@iae.nl
Stultiens
G
G
Jakimowicz
J J
JJ
van den Borne
B E E M
BE
van der Ham
W G J M
WG
Wildsmith
J A W
JA
D000767:Anesthesia, Epidural / Q000379:methods; D000775:Anesthesia, Spinal / Q000379:methods*; D002245:Carbon Dioxide / Q000097:blood; D017081:Cholecystectomy, Laparoscopic; D041761:Cholecystolithiasis / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010100:Oxygen / Q000097:blood; D010313:Partial Pressure; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications* / Q000503:physiopathology; D015656:Respiratory Mechanics
D002245:Carbon Dioxide; D010100:Oxygen