End-stage pulmonary disease and brachial plexus regional anesthesia: their implications on perioperative pulmonary function

Seminars in Cardiothoracic and Vascular Anesthesia
Maricela SanchezLudwig Lin

Abstract

The authors present the challenging clinical scenario of managing a patient with end-stage chronic obstructive pulmonary disease requiring anesthesia for a proximal humerus open reduction and internal fixation who likely would have failed to wean from mechanical ventilation if general anesthesia and endotracheal intubation had been chosen as the maintenance technique. They discuss the effects of general and regional anesthesia on respiratory physiology and describe the perioperative implications of severe pulmonary disease. They also review the various brachial plexus block options that could achieve a satisfactory outcome, with the objective of helping guide practitioners to a rational choice of anesthetic techniques when caring for patients with end-stage pulmonary disease.

References

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Citations

Oct 29, 2015·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Amar KrishnaswamySamir R Kapadia
Mar 20, 2021·Anaesthesia Reports·J QuerneyI Sebbag

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Methods Mentioned

BETA
biopsy
X ray
sedation

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