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Epidural Anesthesia in Patients Undergoing Thoracic Surgery
Barbara K. Temeck, MD;
Paul W. Schafer, MD;
Woo Y. Park, MD;
John W Harmon, MD
Arch Surg. 1989;124(4):415-418.
Abstract
• Epidural anesthesia has been reported to exert beneficial effects in surgical procedures. Over the past 3 years at the Veterans Administration Medical Center in Washington, DC, thoracic surgical procedures have been done using a combined technique of epidural anesthesia with light general anesthesia. A retrospective review of this experience from January 1984 to November 1987 was done in 90 consecutive patients. Postoperative extubation of patients was accomplished immediately in 32%, within 1 hour in 34%, within 3 hours in 28%, within 18 hours in 4%, and was prolonged in only 1% of patients. Mortality was 2% and morbidity was 3%. This analysis indicates that the technique of epidural anesthesia with light general anesthesia provided satisfactory anesthesia with low mortality and morbidity in a high-risk group of patients undergoing surgery.
(Arch Surg. 1989;124:415-418)
Author Affiliations
From the Departments of Surgery (Drs Temeck, Schafer, and Harmon) and Anesthesiology (Dr Park), Veterans Administration Medical Center and Georgetown University School of Medicine, Washington, DC.
Footnotes
Accepted for publication Dec 20, 1988.
Read before the 12th Annual Surgical Symposium of the Association of Veterans Administration Surgeons, Minneapolis, Minn, May 13, 1988.
Reprint requests to Department of Surgery, Veterans Administration Medical Center, 50 Irving St NW, Washington, DC 20422 (Dr Temeck).
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