OPEN CHOLECYSTECTOMY UNDER THORACIC ANESTHESIA IN A PATIENT WHO HAS CHRONIC OPSTRACTIVE PULMONARY DISEASE WITH HEART FAILURE AND DEVELOPED RESPIRATORY DISTRESS-A CASE REPORT

For decades, the management of symptomatic cholelithiasis in high surgical risk patients has remained contentious. Cholecystectomy become firmly established as a procedure choice cholelithiasis. The usually necessitates general anesthesia and endotracheal intubation to prevent aspiration respiratory embarrassment secondary induction pneumoperitoneum. Open cholecystectomy (OC) embarrassment. We report our preliminary experience with open using thoracic cardiac failure previous history smoking. A 78-year-old mal (weight 81 kg, height 176 cm) abdominal pain applied emergency department. After surgery infectious disease consultations, he was admitted intensive care unit because infection parameters condition disorder. He had frequent at right hypochondriac region ultrasonography documented calculi gallbladder for two years heart failure. With patient lateral decubitus position, EA performed 18-G catheter inserted 4cm towards cephalad-direction from T7/T8 successfully. completion procedure, removed, shifted post-anesthesia (PACU) further observation. hemodynamically stable comfortable during 1 hour PACU. In this case report, we wanted demonstrate an epidemic anesthesia, poor septic shock.