title: [Epidural Anesthesia with Non-invasive Positive Pressure Ventilation for Laparotomy in a Patient with Amyotrophic Lateral Sclerosis].
abstract: In patients with amyotrophic lateral sclerosis (ALS), general anesthesia carries a significant risk of respiratory complications and may result in prolonged intubation. Epidural anesthesia may be a feasible alternative in selected cases but may impair respiratory function by producing intercostal muscle weakness. Here, we present a case of ALS who underwent emergency laparotomy that was successfully managed with epidural anesthesia and non-invasive positive pressure ventilation.
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Arai
authors.forename: Tasuku
authors.initials: T
authors.lastname: Yoshida
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Mizuno
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Miyashita
authors.forename: Takahisa
authors.initials: T
authors.lastname: Goto
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000690:Amyotrophic Lateral Sclerosis / Q000601:surgery*; D000767:Anesthesia, Epidural; D005260:Female; D006801:Humans; D007813:Laparotomy / Q000379:methods*; D063087:Noninvasive Ventilation / Q000379:methods*; D011175:Positive-Pressure Respiration / Q000379:methods*