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Case Studies | Anaesthesiology | India | Volume 12 Issue 9, September 2023 | Popularity: 4.8 / 10
60 Year Old Male with Cholelithiasis with K / C / O COPD for Laparoscopic Cholecystectomy under Regional Anaesthesia
Dr Ritu Sharma
Abstract: We report here in, 60 years old male with cholelithiasis with k/c/o COPD posted for laproscopic cholecystectomy. Patient managed for surgery under regional anaesthesia in order to prevent pulmonary complications following surgery, and are more susceptible tohypoxemia, laryngospasm, barotrauma, bronchospasm, and cardiovascular instability. COPD severity assessed with a preoperative exam, including a comprehensive medical history, spirometry, and measurement of arterial blood gas. It is well known that advanced COPD patients have adverse outcomes when given GA with tracheal intubation and intermittent positive pressure ventilation (IPPV). Epidural anesthesia is more advantageous thangeneral anesthesia because it decreases anesthesia respiratory complications, specifically pneumonia, atelectasis, and hypoxemia, in patient at risk for pulmonary complications. This results in a quicker recovery and less postoperative pain.
Keywords: Cholelithiasis, laparoscopic cholecystectomy, COPD
Edition: Volume 12 Issue 9, September 2023
Pages: 1026 - 1027
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