Abstract

LOPEZ BARRUECO, Lisset; FERNANDEZ RAMOS, Humberto  and  LOPEZ RIVERO, Jaime. Epidural anesthesia for videolaparoscopic cholecystectomy: a case report. AMC [online]. 2011, vol.15, n.6, pp. 1046-1053. ISSN 1025-0255.

Background: general anesthesia constitutes the election technique for videolaparoscopic cholecystectomy. However, regional anesthesia offers some advantages; one of them is the handling of the airway. In patients with difficult airway anatomically, the use of regional anesthesia may involve several problems, due to own complications of the anesthetic method which often requires the permeability of the airway; this situation might endanger the patient if proper precautions are not taken. Clinical case: a masculine patient of 67 year-old is presented with vesicular lithiasis as diagnosis, who a laparoscopic cholecystectomy using epidural anesthesia with minimal dose of local anesthetic was carried out, due to difficulties with airway management. Conclusions: the surgery was successfully performed; the patient was discharged from hospital in 24 hours since all the necessary measures to avoid complications were taken.

Keywords : ANESTHESIA, EPIDURAL; CHOLECYSTECTOMY, LAPAROSCOPY; ANESTHESIA, CONDUCTION; LITHIASIS; AGED; CASE STUDIES.

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