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Anaesthesia for bullectomy
Author(s) -
HASENBOS M. A. W. M.,
GIELEN M. J. M.
Publication year - 1985
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1985.tb10552.x
Subject(s) - medicine , anesthesia
Summary A patient with severe bullous emphysema in whom one bulla occupied more than 25% of the hemithorax. with a shift of the mediastinum to the opposite side, was anaesthetised for bullectomy with a combination of intravenous gamma‐hydroxybutyric acid and a high thoracic extradural catheter technique. During the operation the patient breathed 100% oxygen through a double‐lumen endobronchial tube in the lateral thoracotomy position. Extradural analgesia during the operation was provided by bupivacaine 0.25%, with adrenaline 1:200 000 and, postoperatively, with nicomorphine diluted in dextrose 5%. The advantages of this technique are described.