Ömer Karaca1, Hüseyin Ulaş Pınar1, Enes Duman2, Rafi Doğan1

1Department of Anesthesiology and Reanimation, Başkent University Faculty of Medicine, Konya, Turkey
2Department of Radiology, Başkent University Faculty of Medicine, Konya, Turkey

Keywords: Chronic obstuctive pulmoner disease, laparoscopic gastrostomy; lung cancer; throcal epidural anaesthesia.

Abstract

General anesthesia is the first choice as an anesthesia method particularly for abdominal operations. However, because neuromuscular blockade induced during general anesthesia will increase atelectasis in a patient with pulmonary disease, it will also increase postoperative ventilator dependence, which will be even more apparent in cases of chronic obstructive pulmonary disease (COPD) that pose a risk, particularly for postoperative complications. Herein, thoracic epidural anesthesia (TEA) was found to be a better option for our patient with severe COPD and stage IV lung cancer, as it provided sufficient anesthesia and better postoperative care for laparoscopic gastrostomy.