Anaesthesia management in a patient of interstitial lung disease with pulmonary hypertension for emergency laparotomy

Hardik A. Parekh; Prajakta D. Latkar; Ameya G. Nalavade; Hemant H. Mehta

doi:10.18203/2320-6012.ijrms20213963

Authors

Hardik A. Parekh Department of Anaesthesia and Pain Management, Sir H N Reliance foundation Hospital, Mumbai, Maharashtra, India
Prajakta D. Latkar Department of Anaesthesia and Pain Management, Sir H N Reliance foundation Hospital, Mumbai, Maharashtra, India
Ameya G. Nalavade Department of Anaesthesia and Pain Management, Sir H N Reliance foundation Hospital, Mumbai, Maharashtra, India
Hemant H. Mehta Department of Anaesthesia and Pain Management, Sir H N Reliance foundation Hospital, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20213963

Keywords:

ILD, Laparotomy, Combined spinal-epidural anaesthesia

Abstract

We report the anesthaetic management of a patient with known case of interstitial lung disease (ILD) with profound fibrotic changes and bullae with severe pulmonary hypertension (PH) posted for exploratory laparotomy for cecal volvulus. Emergency exploratory laparotomy was done under combined spinal-epidural anaesthesia to avoid intra-operative and post-operative pulmonary complications associated with general anaesthesia and mechanical ventilation.

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