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- Teru Yamaguchi, Nobutaka Kariya, Yasuko Miyagawa, Motoi Itani, Tsuneo Tatara, and Chikara Tashiro.
- Department of Anesthesiology, Hyogo College of Medicine, Nishinomiya 663-8501.
- Masui. 2010 Oct 1;59(10):1291-3.
AbstractA radical hysterectomy was performed in a patient complicated with bronchiectasis, under combined spinal-epidural anesthesia. The patient was asymptomatic and preoperatively diagnosed with bronchiectasis on an anesthetic consultation with an anesthesiologist. An epidural catheter was inserted between T12 and L1, and spinal anesthesia was subsequently performed with 0.5% bupivacaine 2.8 ml and fentanyl 10 microg. It was necessary to administer a supplemental epidural dose of 0.375% ropivacaine fifty minutes after the start of the operation. Postoperative epidural analgesia was effective and no perioperative complications were observed.
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