• Arch Surg Chicago · Apr 1989

    Epidural anesthesia in patients undergoing thoracic surgery.

    • B K Temeck, P W Schafer, W Y Park, and J W Harmon.
    • Department of Surgery, Veterans Adminstration Medical Center, Washington, DC 20422.
    • Arch Surg Chicago. 1989 Apr 1; 124 (4): 415-8.

    AbstractEpidural 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.

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