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[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].
- Source :
-
Masui. The Japanese journal of anesthesiology [Masui] 2012 Aug; Vol. 61 (8), pp. 840-3. - Publication Year :
- 2012
-
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.
- 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
Subjects
Details
- Language :
- Japanese
- ISSN :
- 0021-4892
- Volume :
- 61
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Masui. The Japanese journal of anesthesiology
- Publication Type :
- Academic Journal
- Accession number :
- 22991807