title: Anesthetic considerations in the patients of chronic obstructive pulmonary disease undergoing laparoscopic surgeries.
abstract: The aim of this study was to review the various anesthetic options which can be considered for laparoscopic surgeries in the patients with the chronic obstructive pulmonary disease. The literature search was performed in the Google, PubMed, and Medscape using key words "analgesia, anesthesia, general, laparoscopy, lung diseases, obstructive." More than thirty-five free full articles and books published from the year 1994 to 2014 were retrieved and studied. Retrospective data observed from various studies and case reports showed regional anesthesia (RA) to be valid and safer option in the patients who are not good candidates of general anesthesia like patients having obstructive pulmonary diseases. It showed better postoperative patient outcome with respect to safety, efficacy, postoperative pulmonary complications, and analgesia. So depending upon disease severity RA in various forms such as spinal anesthesia, paravertebral block, continuous epidural anesthesia, combined spinal epidural anesthesia (CSEA), and CSEA with bi-level positive airway pressure should be considered.
authors.affiliation: Department of Anaesthesia and Critical Care, Government Medical College, Amritsar, Punjab, India.
authors.forename: Ranjana
authors.initials: R
authors.lastname: Khetarpal
authors.affiliation: Department of Medicine, PIMS, Jalandhar, Punjab, India.
authors.forename: Kusum
authors.initials: K
authors.lastname: Bali
authors.affiliation: Department of Anaesthesia and Critical Care, Government Medical College, Amritsar, Punjab, India.
authors.forename: Veena
authors.initials: V
authors.lastname: Chatrath
authors.affiliation: Department of Anaesthesia and Critical Care, Government Medical College, Amritsar, Punjab, India.
authors.forename: Divya
authors.initials: D
authors.lastname: Bansal
keywords: Analgesia; anesthesia; general; laparoscopy; lung diseases; obstructive