Key result
The combination of general and epidural anesthesia provided hemodynamic stability, satisfactory analgesia, and reduced intravenous opioid use, allowing the patient to wake up without ICU transfer.
Why the study?
Elderly patients have increased perioperative morbidity and altered sensitivity to anesthetic agents, necessitating investigation of combined anesthesia approaches.
Case Report (n=1)
No
May enable stable, opioid-sparing anesthesia without ICU in select cases; leaves open confirmation in prospective trials.
Aging involves a progressive loss of functional reserve in all organ systems, to variable extend. Moreover, perioperative morbidity becomes more frequent in the elderly with steep increases after the age of 75. The elderly are more sensitive to anesthetic agents and generally require smaller doses for the same clinical effect, and drug action is usually prolonged. In the study, a 78-year-old man with Chronic obstructive pulmonary disease (COPD) and a cardiac history underwent a right colectomy with a combination of general and epidural anesthesia. The purpose of this paper is to investigate the beneficial effects of epidural anesthesia when it acts in combination with general anesthesia in elderly patients.
No takes yet. Share an insight, caveat, or question.
Maria I Dalamagka (2022) conducted a case report in Right colectomy in a patient with COPD and cardiac history (n=1). Combination of general and epidural anesthesia was evaluated on Hemodynamic stability, analgesia, and reduced intravenous opioid administration. The combination of general and epidural anesthesia provided hemodynamic stability, satisfactory analgesia, and reduced intravenous opioid use, allowing the patient to wake up without ICU transfer.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: