Successful anesthetic management in a patient with chronic obstructive pulmonary disease (COPD) using dexmedetomidine and combined spinal-epidural anesthesia for low anterior resection of the rectum
Kitamura, H.; Kitayama, M.; Tanimo, T.; Yamaki, R.; Komatsu, H.
Masui. Japanese Journal of Anesthesiology 61(8): 840-843
2012
ISSN/ISBN: 0021-4892 PMID: 22991807 Document Number: 658189
A 70-year-old man with a severe COPD was scheduled for low anterior resection of the rectum because of rectal cancer. After a week of respiratory rehabilitation, respiratory function was much improved. We selected combined spinal-epidural anesthesia (CSEA) and dexmedetomidine to preserve spontaneous breathing. We obtained appropriate sedative and antianxiety effect without causing respiratory depression and hemodynamic changes. Dexmedetomidine was useful for anesthesia for a patient with severe COPD without causing respiratory depression.