Anesthetic management of nephrectomy in a chronic obstructive pulmonary disease patient with recurrent spontaneous pneumothorax

Mysore Chandramouli Basappaji Santhosh; Rohini Bhat Pai; Raghavendra P. Rao

doi:10.1016/j.bjane.2014.02.002

Clinical Informations

Anesthetic management of nephrectomy in a chronic obstructive pulmonary disease patient with recurrent spontaneous pneumothorax

Controle anestésico de nefrectomia em paciente com doença pulmonar obstrutiva crônica e pneumotórax espontâneo recorrente

Mysore Chandramouli Basappaji Santhosh; Rohini Bhat Pai; Raghavendra P. Rao

http://dx.doi.org/10.1016/j.bjane.2014.02.002 Braz J Anesthesiol, vol.66, n4, p.423-425, 2016

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Abstract

Abstract Nephrectomies are usually performed under general anesthesia alone or in combination with regional anesthesia and rarely under regional anesthesia alone. We report the management of a patient with chronic obstructive pulmonary disease with a history of recurrent spontaneous pneumothorax undergoing nephrectomy under regional anesthesia alone.

Keywords

Chronic obstructive pulmonary disease, Pneumothorax, Nephrectomy, Regional anesthesia

Resumo

Resumo Geralmente, as nefrectomias são feitas sob anestesia geral, isoladamente ou em combinação com anestesia regional, e raramente sob anestesia regional sozinha. Relatamos o tratamento de um paciente com doença pulmonar obstrutiva crônica e história de pneumotórax espontâneo recorrente submetido à nefrectomia sob anestesia regional isolada.

Palavras-chave

Doença pulmonar obstrutiva crônica, Pneumotórax, Nefrectomia, Anestesia por condução

References

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Henzler D, Dembinski R, Kuhlen R. Anesthetic considerations in patients with chronic pulmonary disease. Minerva Anestesiol. 2004;70:279-84.

Johnson TV, Bond N, Master VA. Radical nephrectomy via epidural-only anesthesia. Can J Urol. 2010;17:5401-2.

Tabuchi Y, Masui TY. Perioperative management for nephrectomy using combined spinal-epidural anesthesia with sedation in a patient with cerebral palsy under maintenance hemodialysis. Masui. 2002;51:1268-71.

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Tschopp JM, Rami-Porta R, Noppen M. Management of spontaneous pneumothorax: state of the art. Eur Respir J. 2006;28:637-50.

Fossard JP, Samet A, Meistelman C. Life-threatening pneumothorax of the ventilated lung during thoracoscopic pleurectomy. Can J Anaesth. 2001;48:493-6.

Anesthetic management of nephrectomy in a chronic obstructive pulmonary disease patient with recurrent spontaneous pneumothorax

Controle anestésico de nefrectomia em paciente com doença pulmonar obstrutiva crônica e pneumotórax espontâneo recorrente

Mysore Chandramouli Basappaji Santhosh; Rohini Bhat Pai; Raghavendra P. Rao

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