Anesthetic experience of a patient with relapsing polychondritis: A case report.
10.4097/kjae.2012.63.5.465
- Author:
In Ki KIM
1
;
Min Soo KIM
;
Yong Seon CHOI
;
Yang Sik SHIN
Author Information
1. Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea. yschoi@yuhs.ac
- Publication Type:Case Report
- Keywords:
Epidural analgesia;
Relapsing polychondritis
- MeSH:
Amides;
Analgesia, Epidural;
Anesthesia, General;
Ear;
Female;
Fentanyl;
Humans;
Inflammation;
Injections, Epidural;
Middle Aged;
Nose;
Polychondritis, Relapsing;
Rare Diseases;
Stomach;
Tracheal Stenosis
- From:Korean Journal of Anesthesiology
2012;63(5):465-468
- CountryRepublic of Korea
- Language:English
-
Abstract:
Relapsing polychondritis is a rare disease characterized by progressive inflammation and destruction of cartilaginous structures such as ears, nose, and tracheolaryngeal structures. As a result, tracheolaryngeal involvement makes anesthetic management a challenge. Anesthetic management of a patient with relapsing polychondritis may encounter airway problems caused by severe tracheal stenosis. We present the case of a 60-year-old woman with relapsing polychondritis who underwent wedge resection of the stomach under epidural analgesia. Thoracic epidural blockade of the T4-10 dermatome was achieved by epidural injection of 7 ml of 0.75% ropivacaine and 50 microg of fentanyl. The patient was tolerable during the operation. We suggest that epidural analgesia may be an alternative to general anesthesia for patients with relapsing polychondritis undergoing upper abdominal surgery.
