title: [Thoracic epidural anesthesia for open cholecystectomy in severe lung disease. Description of a case and review of the literature].
abstract: The incidence of chronic obstructive pulmonary disease has increased in the last decade. The anesthetic management of these patients in upper abdomen surgery is a challenge to the anesthesiologist, since general anesthesia is associated with a high possibility of severe pulmonary complications. The search for a suitable alternative has been a subject of study for years. The case is presented of a patient with chronic obstructive pulmonary disease, who required an urgent cholecystectomy. The treatment of the case and brief review of the literature is presented.
authors.affiliation: Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Galdakao-Usansolo, Galdakao-Usansolo, Vizcaya, España. Electronic address: iratxe.gonzalezmendibil@osakidetza.net.
authors.forename: I
authors.initials: I
authors.lastname: Gonzalez-Mendibil
authors.affiliation: Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Galdakao-Usansolo, Galdakao-Usansolo, Vizcaya, España.
authors.forename: S
authors.initials: S
authors.lastname: Postigo-Morales
authors.affiliation: Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Galdakao-Usansolo, Galdakao-Usansolo, Vizcaya, España.
authors.forename: I
authors.initials: I
authors.lastname: Gonzalez-Larrabe
authors.affiliation: Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Galdakao-Usansolo, Galdakao-Usansolo, Vizcaya, España.
authors.forename: A
authors.initials: A
authors.lastname: Arizaga-Maguregi
mesh_terms: D000368:Aged; D000767:Anesthesia, Epidural / Q000379:methods*; D054537:Atrioventricular Block / Q000150:complications; D001993:Bronchodilator Agents / Q000627:therapeutic use; D002763:Cholecystectomy; D002764:Cholecystitis / Q000150:complications / Q000601:surgery*; D003131:Combined Modality Therapy; D004232:Diuretics / Q000627:therapeutic use; D004417:Dyspnea / Q000209:etiology / Q000628:therapy; D005440:Fluid Therapy; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D008297:Male; D010102:Oxygen Inhalation Therapy; D059408:Pain Management; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications*; D013904:Thoracic Vertebrae
chemical_list: D001993:Bronchodilator Agents; D004232:Diuretics
keywords: Anestesia epidural; Cholecystectomy; Chronic obstructive pulmonary disease; Colecistectomía; Enfermedad pulmonar obstructiva crónica; Epidural anesthesia