Awake Video-assisted Thoracic Surgery with Thoracic Epidural Anesthesia in a Patient with Chronic Obstructive Pulmonary Disease

Authors : Zeynep Ceren Yahşi, Kairatbek Miizamov, İsmail Duymaz, Celal Kaya, Onur Derdiyok, Sevgi Kesici, Sibel Oba

Pages : 287-293

View : 46 | Download : 54

Publication Date : 2024-10-31

Article Type : Other Papers

Abstract :Video-assisted thoracic surgery is the gold standard for minimally invasive surgery and can eliminate the need for general anesthesia in high-risk patients. In patients with significant respiratory dysfunction, such as chronic obstructive pulmonary disease, the choice of anesthesia technique is critical for surgical outcomes. This case report examines the application of thoracic epidural anesthesia during awake video-assisted thoracic surgery in a patient with advanced-stage chronic obstructive pulmonary disease. Thoracic epidural anesthesia offers significant advantages, including effective pain management, reduced opioid consumption, and improved postoperative respiratory function. Furthermore, it contributes to the reduction of postoperative complications and acceleration of recovery by minimizing the risks associated with tracheal intubation and mechanical ventilation. This case demonstrates that thoracic epidural anesthesia is safe and effective for video-assisted thoracic surgery with stable hemodynamic and respiratory parameters.
Keywords : Uyanık Cerrahi, Torasik Epidural Anestezi, Video Yardımlı Torasik Cerrahi, Kronik Obstrüktif Akciğer Hastalığı