Combined epidural anesthesia & general anesthesia for aorto-renal bypass: two case reports.
Aorto-renal bypass surgery is associated with significant hemodynamic alterations as well as other comorbidities due to necessity of aortic cross-clamping and release during vascular anastomosis. Combined epidural and general anesthesia for the aorto-renal bypass surgeries provides not only hemodynamic stability during aortic cross-clamping but is also associated with increased graft blood flow, graft survival and decreased morbidity and mortality in intraoperative and postoperative period. Two cases of aorto-renal bypass are presented, for which combined epidural and general anesthesia techniques were applied.
Pradhan
B
B
Department of Anesthesiology, Institute of Medicine, TUTH, Maharajgunj, Kathmandu, Nepal. biswaspradhan@yahoo.com
D000328:Adult; D000767:Anesthesia, Epidural / Q000379:methods*; D000768:Anesthesia, General / Q000379:methods*; D001012:Aorta, Abdominal / Q000601:surgery; D005260:Female; D006801:Humans; D011183:Postoperative Complications / Q000517:prevention & control; D012077:Renal Artery / Q000601:surgery; D012078:Renal Artery Obstruction / Q000601:surgery*; D013525:Surgical Instruments; D014656:Vascular Surgical Procedures