Thoracic Segmental Spinal Anesthesia for Laparoscopic Cholecystectomy: A Case Report

Authors

  • Nitendra Raj Bajracharya Department of Anesthesiology, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu, Nepal
  • Pankaj Joshi Department of Anesthesiology, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu, Nepal
  • Biplov Neupane Department of Anesthesiology, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu, Nepal
  • Reshma Shrestha Department of Anesthesiology, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu, Nepal
  • Milan KC Department of General Surgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu, Nepal
  • Bashudev Parajuli Department of Anesthesiology, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu, Nepal

Keywords:

COPD, Laparoscopic cholecystectomy, Thoracic segmental spinal anesthesia

Abstract

Laparoscopic surgery is normally performed under general anesthesia. Thoracic segmental spinal anesthesia (TSSA) can be a suitable alternative to general anesthesia for patients with respiratory diseases, as it avoids the risk of general anesthesia. We successfully managed a 74-year-old lady with COPD undergoing elective laparoscopic cholecystectomy with TSSA at T8-T9 interspace using 1.7 ml of hyperbaric bupivacaine 0.5% with 0.3 ml (15mcg) of fentanyl. Some discomfort was managed with 1mg midazolam and 50 mcg fentanyl intravenously. There was no neurological deficit and major hemodynamic fluctuations intra and post-operatively and recovery was uneventful.

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Published

2024-04-30

How to Cite

Bajracharya, N. R., Joshi, P., Neupane, B., Shrestha, R., KC, M., & Parajuli, B. (2024). Thoracic Segmental Spinal Anesthesia for Laparoscopic Cholecystectomy: A Case Report. Journal of Institute of Medicine Nepal, 46(1), 79–82. Retrieved from https://www.nepjol.info/index.php/JIOM/article/view/79585

Issue

Vol. 46 No. 1 (2024)

Section

Case Reports

License

Copyright (c) 2024 The Author(s)

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