Epidural analgesia for percutaneous kyphoplasty in a patient with multiple medical comorbidities

Kyphoplasty is a minimally invasive procedure intended to stabilize the fractured bone and restore bone height. It involves percutaneous introduction of an inflatable bone tamp into a fractured vertebral body, followed by injection of bone cement into the ballooned pocket. Anesthetic options typical...

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Autores principales:	Waseem S Alfahel, Alia S Dabbous, Mark E Thompson
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical and Scientific Publishers Pvt. Ltd. 2019
Materias:	epidural frailty kyphoplasty regional anesthesia Medicine R
Acceso en línea:	https://doaj.org/article/b9ecf39898f0455f8cee8a4860f1cddf
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spelling	oai:doaj.org-article:b9ecf39898f0455f8cee8a4860f1cddf2021-12-02T17:58:13ZEpidural analgesia for percutaneous kyphoplasty in a patient with multiple medical comorbidities2231-07702249-446410.4103/ajm.AJM_73_18https://doaj.org/article/b9ecf39898f0455f8cee8a4860f1cddf2019-04-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.4103/ajm.AJM_73_18https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464Kyphoplasty is a minimally invasive procedure intended to stabilize the fractured bone and restore bone height. It involves percutaneous introduction of an inflatable bone tamp into a fractured vertebral body, followed by injection of bone cement into the ballooned pocket. Anesthetic options typically considered for this procedure include intravenous sedation or general anesthesia. These patients are often elderly, frail, in significant pain, and may poorly tolerate sedation or general anesthesia in the prone position. Spinal anesthesia has been suggested as an alternative method. However, it has major limitations. We would like to report a case of a 79-year-old patient with multiple comorbidities, who presented for kyphoplasty, where epidural anesthesia was conducted and successfully provided adequate analgesia as well as optimal surgical conditions. Key messages: Epidural anesthesia can provide successful operating conditions for kyphoplasty. General anesthesia need not be a default technique in medically complex patients. There may be many other procedures where regional techniques may provide surgical anesthesia.Waseem S AlfahelAlia S DabbousMark E ThompsonThieme Medical and Scientific Publishers Pvt. Ltd.articleepiduralfrailtykyphoplastyregional anesthesiaMedicineRENAvicenna Journal of Medicine, Vol 9, Iss 02, Pp 75-77 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	epidural frailty kyphoplasty regional anesthesia Medicine R
spellingShingle	epidural frailty kyphoplasty regional anesthesia Medicine R Waseem S Alfahel Alia S Dabbous Mark E Thompson Epidural analgesia for percutaneous kyphoplasty in a patient with multiple medical comorbidities
description	Kyphoplasty is a minimally invasive procedure intended to stabilize the fractured bone and restore bone height. It involves percutaneous introduction of an inflatable bone tamp into a fractured vertebral body, followed by injection of bone cement into the ballooned pocket. Anesthetic options typically considered for this procedure include intravenous sedation or general anesthesia. These patients are often elderly, frail, in significant pain, and may poorly tolerate sedation or general anesthesia in the prone position. Spinal anesthesia has been suggested as an alternative method. However, it has major limitations. We would like to report a case of a 79-year-old patient with multiple comorbidities, who presented for kyphoplasty, where epidural anesthesia was conducted and successfully provided adequate analgesia as well as optimal surgical conditions. Key messages: Epidural anesthesia can provide successful operating conditions for kyphoplasty. General anesthesia need not be a default technique in medically complex patients. There may be many other procedures where regional techniques may provide surgical anesthesia.
format	article
author	Waseem S Alfahel Alia S Dabbous Mark E Thompson
author_facet	Waseem S Alfahel Alia S Dabbous Mark E Thompson
author_sort	Waseem S Alfahel
title	Epidural analgesia for percutaneous kyphoplasty in a patient with multiple medical comorbidities
title_short	Epidural analgesia for percutaneous kyphoplasty in a patient with multiple medical comorbidities
title_full	Epidural analgesia for percutaneous kyphoplasty in a patient with multiple medical comorbidities
title_fullStr	Epidural analgesia for percutaneous kyphoplasty in a patient with multiple medical comorbidities
title_full_unstemmed	Epidural analgesia for percutaneous kyphoplasty in a patient with multiple medical comorbidities
title_sort	epidural analgesia for percutaneous kyphoplasty in a patient with multiple medical comorbidities
publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate	2019
url	https://doaj.org/article/b9ecf39898f0455f8cee8a4860f1cddf
work_keys_str_mv	AT waseemsalfahel epiduralanalgesiaforpercutaneouskyphoplastyinapatientwithmultiplemedicalcomorbidities AT aliasdabbous epiduralanalgesiaforpercutaneouskyphoplastyinapatientwithmultiplemedicalcomorbidities AT markethompson epiduralanalgesiaforpercutaneouskyphoplastyinapatientwithmultiplemedicalcomorbidities
_version_	1718379011127640064

Epidural analgesia for percutaneous kyphoplasty in a patient with multiple medical comorbidities

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