TY  - JOUR
T1  - Awake Video-assisted Thoracic Surgery with Thoracic Epidural Anesthesia in a Patient with Chronic Obstructive Pulmonary Disease
TT  - Kronik Obstrüktif Akciğer Hastalığı Olan Bir Hastada Torasik Epidural Anestezi ile Uyanık Video Yardımlı Torasik Cerrahi
AU  - Kesici, Sevgi
AU  - Yahşi, Zeynep Ceren
AU  - Miizamov, Kairatbek
AU  - Duymaz, İsmail
AU  - Kaya, Celal
AU  - Derdiyok, Onur
AU  - Oba, Sibel
PY  - 2024
DA  - October
Y2  - 2024
JF  - Aydın Sağlık Dergisi
JO  - Aydın Sağlık
PB  - Istanbul Aydin University
WT  - DergiPark
SN  - 2149-5769
SP  - 287
EP  - 293
VL  - 10
IS  - 3
LA  - en
AB  - Video-assisted thoracic surgery is the gold standard for minimally invasive surgery and can eliminate the need for general anesthesia in high-risk patients. In patients with significant respiratory dysfunction, such as chronic obstructive pulmonary disease, the choice of anesthesia technique is critical for surgical outcomes. This case report examines the application of thoracic epidural anesthesia during awake video-assisted thoracic surgery in a patient with advanced-stage chronic obstructive pulmonary disease. Thoracic epidural anesthesia offers significant advantages, including effective pain management, reduced opioid consumption, and improved postoperative respiratory function. Furthermore, it contributes to the reduction of postoperative complications and acceleration of recovery by minimizing the risks associated with tracheal intubation and mechanical ventilation. This case demonstrates that thoracic epidural anesthesia is safe and effective for video-assisted thoracic surgery with stable hemodynamic and respiratory parameters.
KW  - Awake Surgery
KW  - Thoracic Epidural Anesthesia
KW  - Video-Assisted Thoracic Surgery
KW  - Chronic Obstructive Pulmonary Disease.
N2  - Video yardımlı torasik cerrahi, minimal invaziv cerrahinin altın standardı olup, risk grubundaki hastalarda genel anestezi ihtiyacını ortadan kaldırma potansiyeline sahiptir. Kronik obstrüktif akciğer hastalığı gibi ciddi solunum fonksiyon bozukluğu olan hastalarda, anestezi yöntemi seçimi cerrahi sonuçlar için kritik öneme sahiptir. Bu vaka raporunda, ileri evre kronik obstrüktif akciğer hastalığı olan hastada uyanık video yardımlı torasik cerrahi sırasında torasik epidural anestezinin uygulanması incelenmiştir. Torakal epidural anestezi, etkili ağrı yönetimi, opioid kullanımının azaltılması ve postoperatif solunum fonksiyonlarının iyileştirilmesi gibi önemli avantajlar sunmaktadır. Ayrıca, trakeal entübasyon ve mekanik ventilasyona bağlı riskleri en aza indirerek postoperatif komplikasyonların azalmasına ve iyileşme sürecinin hızlanmasına katkı sağlamaktadır. Bu vaka, stabil hemodinamik ve solunum parametreleri ile birlikte torakal epidural anestezinin video yardımlı torasik cerrahide güvenli ve etkili olduğunu göstermektedir.
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UR  - https://dergipark.org.tr/en/pub/asder/issue//1534326
L1  - https://dergipark.org.tr/en/download/article-file/4149999
ER  -