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Journals / Aydın Sağlık Dergisi / 2024 / Cilt: 10 Sayı: 3

Awake Video-assisted Thoracic Surgery with Thoracic Epidural Anesthesia in a Patient with Chronic Obstructive Pulmonary Disease

Kronik Obstrüktif Akciğer Hastalığı Olan Bir Hastada Torasik Epidural Anestezi ile Uyanık Video Yardımlı Torasik Cerrahi

Zeynep Ceren Yahşi(UNIVERSITY OF HEALTH SCIENCES, İSTANBUL ŞİŞLİ HAMİDİYE ETFAL HEALTH RESEARCH CENTER)0009-0000-5051-0031
Kairatbek Miizamov(UNIVERSITY OF HEALTH SCIENCES, İSTANBUL ŞİŞLİ HAMİDİYE ETFAL HEALTH RESEARCH CENTER)0009-0007-4187-8126
İsmail Duymaz(UNIVERSITY OF HEALTH SCIENCES, İSTANBUL ŞİŞLİ HAMİDİYE ETFAL HEALTH RESEARCH CENTER)0009-0005-5526-5377
Celal Kaya(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL TAKSİM SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ)0000-0002-3626-1283
Onur Derdiyok(Health Sciences University Sisli Hamidiye Etfal Training and Research Hospital)0000-0001-9994-8501
Sevgi Kesici(SBÜ, Hamidiye Etfal Eğitim ve Araştırma Hastanesi)0000-0002-8276-6039
Sibel Oba(UNIVERSITY OF HEALTH SCIENCES, İSTANBUL ŞİŞLİ HAMİDİYE ETFAL HEALTH RESEARCH CENTER)0000-0002-5466-1715
Pages
287–293
Publication Date
2024-10-31
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

This case demonstrates that thoracic epidural anesthesia is safe and effective for video-assisted thoracic surgery with stable hemodynamic and respiratory parameters.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Video-assisted thoracic surgery is the gold standard for minimally invasive surgery and can eliminate the need for general anesthesia in high-risk patients.
📊
Key Findings & Data:In patients with significant respiratory dysfunction, such as chronic obstructive pulmonary disease, the choice of anesthesia technique is critical for surgical outcomes.
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Conclusion & Impact:This case demonstrates that thoracic epidural anesthesia is safe and effective for video-assisted thoracic surgery with stable hemodynamic and respiratory parameters.
🔬Design:Olgu Sunumu
📍Scope:Comprehensive Sample
⚙️Variables:Uyanık Cerrahi · Torasik Epidural Anestezi · Video Yardımlı Torasik Cerrahi

Abstract

Video-assisted thoracic surgery is the gold standard for minimally invasive surgery and can eliminate the need for general anesthesia in high-risk patients. In patients with significant respiratory dysfunction, such as chronic obstructive pulmonary disease, the choice of anesthesia technique is critical for surgical outcomes. This case report examines the application of thoracic epidural anesthesia during awake video-assisted thoracic surgery in a patient with advanced-stage chronic obstructive pulmonary disease. Thoracic epidural anesthesia offers significant advantages, including effective pain management, reduced opioid consumption, and improved postoperative respiratory function. Furthermore, it contributes to the reduction of postoperative complications and acceleration of recovery by minimizing the risks associated with tracheal intubation and mechanical ventilation. This case demonstrates that thoracic epidural anesthesia is safe and effective for video-assisted thoracic surgery with stable hemodynamic and respiratory parameters.

Özet

Video yardımlı torasik cerrahi, minimal invaziv cerrahinin altın standardı olup, risk grubundaki hastalarda genel anestezi ihtiyacını ortadan kaldırma potansiyeline sahiptir. Kronik obstrüktif akciğer hastalığı gibi ciddi solunum fonksiyon bozukluğu olan hastalarda, anestezi yöntemi seçimi cerrahi sonuçlar için kritik öneme sahiptir. Bu vaka raporunda, ileri evre kronik obstrüktif akciğer hastalığı olan hastada uyanık video yardımlı torasik cerrahi sırasında torasik epidural anestezinin uygulanması incelenmiştir. Torakal epidural anestezi, etkili ağrı yönetimi, opioid kullanımının azaltılması ve postoperatif solunum fonksiyonlarının iyileştirilmesi gibi önemli avantajlar sunmaktadır. Ayrıca, trakeal entübasyon ve mekanik ventilasyona bağlı riskleri en aza indirerek postoperatif komplikasyonların azalmasına ve iyileşme sürecinin hızlanmasına katkı sağlamaktadır. Bu vaka, stabil hemodinamik ve solunum parametreleri ile birlikte torakal epidural anestezinin video yardımlı torasik cerrahide güvenli ve etkili olduğunu göstermektedir.

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Cite This Article

Yahşi, Z. C., Miizamov, K., Duymaz, İ., Kaya, C., Derdiyok, O., Kesici, S., Oba, S. (2024). Awake Video-assisted Thoracic Surgery with Thoracic Epidural Anesthesia in a Patient with Chronic Obstructive Pulmonary Disease. Aydın Sağlık Dergisi, Cilt: 10 Sayı: 3, 287–293. https://ajindex.com/articles/1458606

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