title: [Anesthetic management using epidural anesthesia and dexmedetomidine for thoracoscopic lung resection in a patient with compromised lung functions].
abstract: A 59-year-old man with poor pulmonary functions was scheduled for thoracoscopic lung resection because of right pneumothorax. In order to preserve spontaneous breathing and prevent left pneumothorax, we selected epidural anesthesia and intravenous dexmedetomidine. We could provide appropriate sedative and antianxiety effect without respiratory depression and hemodynamic change. With its unique features, dexmedetomidine is useful for thoracoscopic surgery in a patient with poor lung functions.
authors.affiliation: Department of Anesthesia, Tohoku Kouseinenkin Hospital, Senndai 983-8512.
authors.forename: Manami
authors.initials: M
authors.lastname: Inamoto
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Ito
authors.forename: Kei
authors.initials: K
authors.lastname: Nagaya
mesh_terms: D000767:Anesthesia, Epidural; D020927:Dexmedetomidine / Q000008:administration & dosage*; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage*; D007262:Infusions, Intravenous; D007430:Intraoperative Care; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy; D011030:Pneumothorax / Q000503:physiopathology / Q000601:surgery*; D013906:Thoracoscopy
chemical_list: D006993:Hypnotics and Sedatives; D020927:Dexmedetomidine