Anesthesia & Clinical Research
Open Access

Giovanni Consani

Publications

• Case Report
  Thoracic Epidural Anaesthesia in Awake Upper Abdominal Surgery: Safety/Validity of Bromage’s Formula
  Author(s): Giovanni Consani, Anna Nunziata, Gabriella Amorese and Ugo BoggiGiovanni Consani, Anna Nunziata, Gabriella Amorese and Ugo Boggi
  
  Objective: Subtotal gastrectomy has been successfully performed using thoracic epidural anaesthesia alone in two high-risk surgical patients. We describe these two cases by using the Bromage’s formula to calculate the required doses for a satisfactory segmental block. Case Report: Two high-risk surgical patients were scheduled for sub-total gastrectomy. They received thoracic epidural anaesthesia alone. An 18-gauge Tuohy needle was introduced at T8/T9 intervertebral space and the tip of the catheter was advanced 3 cm cephalad beyond the tip of the needle (T7/T6). Epidural anaesthesia was established with 0.5% levobupivacaine and sufentanil. The used doses were calculated according to the formula: x mg=(n. of dermatomes+6) ∙ mg/segment. Conclusions: Thoracic epidural anaesthesia provides optimal perioperative anaesthesia and analgesia after thoracic and major abdominal surgery .. View More»
  DOI: 10.4172/2155-6148.1000391

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