CASE REPORT
Year : 2020  |  Volume : 14  |  Issue : 1  |  Page : 115-116

Spinal anesthesia is a viable option for emergent laparoscopic procedure in high-risk patients


Department of Medicine, DIMED, Section of Anesthesiology and Intensive Care, University of Padova, Padova, Italy

Correspondence Address:
Dr. Alessandro De Cassai
Department of Medicine, DIMED, Section of Anesthesiology and Intensive Care, University of Padova, Padova
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sja.SJA_468_19

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General anesthesia is the gold-standard for laparoscopic procedures. Spinal anesthesia is usually not used and hypotension and impairment of spontaneous breathing are the most feared complications. A 86-year-old patient with a history of stage four chronic obstructive pulmonary disease (FEV1 28%) underwent emergent surgery for acute abdominal pain. A combined spinal-epidural anesthesia was successfully performed, surgery lasted ninety minutes without any surgical difficulties. Patient was discharged from the hospital on the third postoperative day. Our case depicts well how spinal anesthesia may be a viable option for high risk patients undergoing emergent laparoscopic surgery.


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