Key result
Segmental thoracic epidural block was successfully used for cholecystectomy in a pregnant patient with a twin gestation, highlighting the importance of a multidisciplinary approach.
Case Report (n=1)
Highlights the perioperative anesthetic management and multidisciplinary approach for cholecystectomy in a twin gestation pregnancy.
May support thoracic epidural in select twin pregnancies for cholecystectomy; leaves open need for prospective safety data.
Cholecystectomy represents the second most common surgery during pregnancy. Both general and regional anesthetic techniques have been successfully used for cholecystectomy in pregnant patients. Authors present here a case of a pregnant patient carrying twin gestation who underwent cholecystectomy, which is not frequently encountered by the anesthesiologists. This report enumerates the perioperative issues relating to anesthesia given to a pregnant patient in addition to emphasizing the importance of multidisciplinary approach when such a case is encountered.
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Selvan et al. (2012) conducted a case report in Cholecystectomy during twin gestation pregnancy (n=1). Segmental thoracic epidural block was evaluated on Perioperative issues relating to anesthesia. Segmental thoracic epidural block was successfully used for cholecystectomy in a pregnant patient with a twin gestation, highlighting the importance of a multidisciplinary approach.
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