Thoracic epidural analgesia in a patient with multiple comorbidities for subxiphoid incisional hernia repair

  • Didem Onk Anesthesiology and Reanimation Department, Erzincan University, Erzincan, Turkey
  • Huseyin Eken Surgery Department
  • Tulin Akarsu Ayazoglu Department, Göztepe Training and Research Hospital, Istanbul, Turkey
  • Ilke Kupeli Anesthesiology and Reanimation Department
  • Zafer Kucuksu Cardiology Department Mengucek Gazi Training and Research Hospital, Erzincan (Turkey)
  • Aysin Alagol Anesthesiology and Reanimation Department, Erzincan University, Erzincan, Turkey
Keywords: Sub-xiphoid incisional hernia, high thoracic epidural anesthesia, heart failure, myocardial ischemia

Abstract

Anesthetic preparation before non-cardiac surgery deserves particular attention in patients with
cardiac disease as these are prone to develop hemodynamic instability and myocardial ischemia. Risk
of complications is not only related to individual patient characteristics, but also to surgery related
factors. In this report we present our experience regarding anesthetic management of a patient with
multiple comorbidities including advanced chronic obstructive pulmonary disease, severely impaired left
ventricular systolic function and occluded bypass grafts. We chose thoracic epidural analgesia for his subxiphoid
incisional hernia repair. The operative and postoperative course was uneventful.

Published
01-26-2019
How to Cite
Onk, D., Eken, H., Ayazoglu, T. A., Kupeli, I., Kucuksu, Z., & Alagol, A. (2019). Thoracic epidural analgesia in a patient with multiple comorbidities for subxiphoid incisional hernia repair. Anaesthesia, Pain & Intensive Care, 159-162. Retrieved from https://mail.apicareonline.com/index.php/APIC/article/view/292
Issue
Vol.19 No.2(2015): April-June
Section
Case Reports