title: [Successful anesthetic management in a patient with chronic obstructive pulmonary disease (COPD) using dexmedetomidine and combined spinal-epidural anesthesia for low anterior resection of the rectum].
abstract: A 70-year-old man with a severe COPD was scheduled for low anterior resection of the rectum because of rectal cancer. After a week of respiratory rehabilitation, respiratory function was much improved. We selected combined spinal-epidural anesthesia (CSEA) and dexmedetomidine to preserve spontaneous breathing. We obtained appropriate sedative and antianxiety effect without causing respiratory depression and hemodynamic changes. Dexmedetomidine was useful for anesthesia for a patient with severe COPD without causing respiratory depression.
authors.affiliation: Department of Anesthesiology, Hyogo Prefectural Amagasaki Hospital, Amagasaki 660-0828.
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Kitamura
authors.forename: Mayuko
authors.initials: M
authors.lastname: Kitayama
authors.forename: Takashi
authors.initials: T
authors.lastname: Tanimo
authors.forename: Ryouichi
authors.initials: R
authors.lastname: Yamaki
authors.forename: Hisao
authors.initials: H
authors.lastname: Komatsu
mesh_terms: D000368:Aged; D000767:Anesthesia, Epidural; D000775:Anesthesia, Spinal; D016292:Procedural Sedation; D020927:Dexmedetomidine; D006801:Humans; D008297:Male; D019990:Perioperative Care; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications* / Q000534:rehabilitation; D012004:Rectal Neoplasms / Q000150:complications / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D012720:Severity of Illness Index
chemical_list: D020927:Dexmedetomidine