- 期刊
Thoracic Epidural Anesthesia for a Polymyositis Patient Undergoing Awake Mini-thoracotomy and Unroofing of a Huge Pulmonary Bulla
並列摘要
General anesthesia with one-lung ventilation is a conventional anesthetic strategy for most chest surgery, including resection of pulmonary bullae. However, this anesthetic management may cause alveolar barotrauma, hemodynamic instability, pulmonary atelectasis and long-term ventilator dependency. Here, we report a 64-year-old female with polymyositis and bronchiolitis obliterans organizing pneumonia who was scheduled for surgical intervention for a huge pulmonary bulla over the right upper lung. Under thoracic epidural anesthesia, with the patient maintaining clear consciousness and spontaneous breathing, a mini-thoracotomy was accomplished to unroof and partially resect the bulla. There were no perioperative complications, and the patient was satisfied with the anesthetic care. Pulmonary function tests and daily physical performance also improved postoperatively.
延伸閱讀
- 陳素霞（2005）。Nursing Care of a Patient with Rupture of Intra-cranial Aneurysm Complicated with Neurogenic Pulmonary Edema in the Critical Care Unit。榮總護理，22(2)，159-167。https://doi.org/10.6142/VGHN.22.2.159
- Vilallonga, R., Fort, J. M., Caubet, E., Gonzalez, O., Balibrea, J. M., Ciudin, A., & Armengol, M. (2015). Robotically Assisted Single Anastomosis Duodenoileal Bypass after Previous Sleeve Gastrectomy Implementing High Valuable Technology for Complex Procedures. Journal of Obesity, 2015(), 231-236. https://doi.org/10.1155/2015/586419
- Chiang, C. L., Chao, H. S., Huang, C. S., & Chang, S. C. (2013). Penetration of Liver, Diaphragm and Lung by Tube Thoracostomy in a Mechanicaly Ventilated Patient: A Rare Case of Chest Tube Malposition. 胸腔醫學, 28(6), 370-374. https://www.airitilibrary.com/Article/Detail?DocID=10239855-201312-201311200013-201311200013-370-374
- Yen, M. H., Liu, J. S., Chen, P. J., & Ko, Y. K. (2016). Minimally Postoperative Pain After Huge Pulmonary Tumor Resection Under Subxyphoid Uniportal Video-assisted Thoracoscopic Surgery-A Case Report. 疼痛醫學雜誌, 26(2), 106-109. https://www.airitilibrary.com/Article/Detail?DocID=10217959-201609-201701230009-201701230009-106-109
- Chen, P. T., Chang, W. K., Hsu, W. H., Sung, C. S., Chan, K. H., & Tsai, S. K. (2004). Anesthetic Management of a Patient Undergoing Segmental Resection of Trachea with an Endotracheal Neurofibroma and Nearly Total Occlusion of Trachea. Acta Anaesthesiologica Taiwanica, 42(4), 233-236. https://www.airitilibrary.com/Article/Detail?DocID=02541319-200412-42-4-233-236-a