Inscrivez-vous ou connectez-vous pour rejoindre votre communauté professionnelle.
t is possible to have an epidural, but not advisable. Today, at least in the US, most cholecystectomies are done via laparoscopy, much quicker and easier. Recovery is much faster.To do laparoscopy, most anesthesiologists prefer general anesthesia, because of the air insufflation into the abdomen to be able to see the organs.
answer is yes theoretically via regional anesthesia though in practice it needs General Anesthesia
in spinal aneasthia or local infiltration and sadatio
yes of course you can do it without gneral anesthesia in the presence of epidural anesthesia with concomitant epidural catheter in the epidural space for postoperative pain control which is of great importance for such type of surgeries, but keep in mind that this choice (epidural anesthesia) is not suitable for the surgery if it is planned to be done laparascopically.
NO? even with loco-regional anesthesia, the patient will feel pain
it can be done under combined spinal epidural with local Aneshesia infiltration in gall bladder area.
YES
FOR OPEN LAPROSCOPY REGIONAL TECHNIQUE CAN BE USED,HIGH SPINALOR EPIDURAL FOR SLECTED PATIENT E.G NON OBESE PATIENT,BUT IT NEED SKILLFUL SURGON TO AVOID IRRITATION OF DIAPHRAGM AND EXCEESIVE MANIBULATION,HOWEVER UPPER ABDOMINL SURGERY ASSOCIATED WITH INCREASE INSIDENCE OF RESPIRATORY COMPERMIZED POSTOPERATIVE,PONV.
REGIONAL TECHINQUE WITH LAPROSCOPIC CHOLE CAN BE DONE WITH DECREASED INSUFLATION PRESSURE OF CO28-10 mmhg,UNDER CERTAIN CONDITIONS SUCH AS ; PT SELECTION, GOOD PERIOPERATIVE ASSESSMENT WITH GOOD ANTI EMETIV,DECREASED SURGICAL MANIBULATION.....
