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A Prospective Study of Thoracic Epidural Anaesthesia for Upper Abdominal Surgeries

Shashank M , Shivananda PT1 , Shashank M2

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Indian Journal of Anesthesia and Analgesia 6(1):p 333-340, Jan-Feb 2019. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.6119.46

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Shivananda PT, Shashank M. A Prospective Study of Thoracic Epidural Anaesthesia for Upper Abdominal Surgeries. Indian J Anesth Analg. 2019;6(1):333-340.

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Abstract

Background: Upper abdominal surgeries were coneventionally done under general anaesthesia. Now a days epidural anaesthesia is being used for upper abdominal surgeries as it can be used for both intraoperative anaesthesia & postoperative analgesia thus decreasing postoperative morbidity. Materials & methods: 50 patients in the age group of 20 to 50 years of either sex, with ASA physical status score 1 or 2, scheduled to undergo elective upper abdominal surgeries were included in the study. Epidural catheter was inserted in T8-T9 interspace in all patients considered for the study. 10cc 0.5% bupivacaine was given in all patients. All the observations were noted down & results analysed. Conclusion: Thoracic epidural anaesthesia is an excellent option for upper abdominal surgeries. It provides good intraoperative anaesthesia & postoperative analgesia facilitating early recovery. It prevents the risks associated with general anesthesia. Hence, we conclude that thoracic epidural anaesthesia should be a part of the armamentarium of anaesthesiologists in upper abdominal surgeries.

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Shivananda PT, Shashank M. A Prospective Study of Thoracic Epidural Anaesthesia for Upper Abdominal Surgeries. Indian J Anesth Analg. 2019;6(1):333-340.

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.6119.46

Keywords

Epidural; Thoracic; Upper Abdominal Surgery.

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