• A&A practice · Apr 2024

    Case Reports

    Cervical Epidural Anesthesia Combined with Sedation for Neck Cancer Surgery: A Case Report.

    • Gina Coral and Marcela Ayala.
    • From the Department of Anesthesiology, Hospital Universitario San José Infantil, University Foundation Health Sciences, Bogotá, Colombia.
    • A A Pract. 2024 Apr 1; 18 (4): e01775e01775.

    AbstractCervical epidural anesthesia (CEA) is a well-established technique and is suitable for various surgeries, including carotid, thyroid, airway, neck cancer, breast, and upper limb procedures. We report the case of an elderly woman with a recurrent neck mass secondary to metastatic papillary thyroid carcinoma causing neurovascular compression, who underwent surgery under CEA. Five milliliters of 0.5% bupivacaine and 5 mL of 2% lidocaine (total 10 mL) were administered into the cervical epidural space. Combined with sedation, CEA in our case provided optimal anesthetic conditions, maintaining spontaneous ventilation, preventing airway collapse, ensuring patient comfort, and facilitating surgery.Copyright © 2024 International Anesthesia Research Society.

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