CASE REPORT
Year : 2017  |  Volume : 11  |  Issue : 3  |  Page : 343-345

Epidural for high-dose radiation brachytherapy in a noncompliant, super-obese patient with severe pulmonary hypertension


Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, Madison, WI 53792-3272, USA

Correspondence Address:
Michael C Trawicki
Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, 600, Highland Avenue, B6/319 CSC, Madison, WI 53792-3272
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sja.SJA_51_17

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High-dose radiation brachytherapy is a treatment for inoperable cervical and endometrial carcinoma. A general anesthetic is often utilized for patient comfort, facilitating patient transport to imaging resources, and allowing rapid discharge home after the procedure. Patient comorbidities, however, must be considered for every anesthetic performed. We describe a successful surgical epidural anesthetic for a patient with challenging comorbidities, including cardiac, pulmonary, and hematologic body systems.


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