Torakal Epidural Anestezi Eþliðinde Bül Rezeksiyonu

Kronik obstrüktif akciðer hastalýðý (KOAH), toraks dýþý cerrahi giriþimlerde anestezi uygulamasýndaki önemli risk faktörlerinden biridir. Göðüs cerrahisinde bu risk belirgin olarak artmaktadýr. KOAH’lý hastalarda hem operasyon sýrasýnda hem de postoperatif dönemde atelektazi, pnömoni gibi komplikasyonlar sýk görüldüðünden anestezi yaklaþýmý oldukça önemlidir. Burada sað akciðerde amfizem, sað hemitoraksta pnömotoraks ve kalp fonksiyonlarý bozulmuþ olan, torakal epidural anestezi kullanýlarak bül rezeksiyonu yapýlan 70 yaþýndaki erkek hasta sunulmuþtur.

Resection of Bullae Under Thoracic Epidural Anesthesia

Chronic obstructive pulmonary disease (COPD) is one of the important risk factors for anesthetic applications in non-thoracic surgical procedures. This risk is significantly increased in thoracic surgery. Since in patients with COPD, complications such as atelectasis, and pneumonia are frequently seen during the operation and the postoperative period, anesthetic approach is very important Here, we reported a 70-year-old male patient with right emphysema and pneumothorax at the right hemitorax and impaired cardiac function who had undergone resection of bullae under thoracic epidural anesthesia.