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1. [Successful anesthetic management in a patient with chronic obstructive pulmonary disease (COPD) using dexmedetomidine and combined spinal-epidural anesthesia for low anterior resection of the rectum].

Author

Kitamura H, Kitayama M, Tanimo T, Yamaki R, and Komatsu H

Subjects
Aged, Humans, Male, Perioperative Care, Pulmonary Disease, Chronic Obstructive rehabilitation, Rectal Neoplasms complications, Severity of Illness Index, Anesthesia, Epidural, Anesthesia, Spinal, Conscious Sedation, Dexmedetomidine, Pulmonary Disease, Chronic Obstructive complications, Rectal Neoplasms surgery, Rectum surgery
Abstract

A 70-year-old man with a severe COPD was scheduled for low anterior resection of the rectum because of rectal cancer. After a week of respiratory rehabilitation, respiratory function was much improved. We selected combined spinal-epidural anesthesia (CSEA) and dexmedetomidine to preserve spontaneous breathing. We obtained appropriate sedative and antianxiety effect without causing respiratory depression and hemodynamic changes. Dexmedetomidine was useful for anesthesia for a patient with severe COPD without causing respiratory depression.

Published
2012

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