| Rupture of Thoracic Empyema for Femur Neck Fracture Surgery under Combined Spinal-Epidural Anesthesia: A case report. |
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Jeong Eun Sohn, Jong Hak Kim, Hee Jung Baik, Youn Jin Kim, Kyoung Hee Lyu |
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Department of Anesthesiology and Pain Medicine, College of Medicine, Ewha Womans University, Seoul, Korea. kjhanes@ewha.ac.kr |
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| Abstract |
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Thoracic empyema can result from the pleural accumulation of infected fluid or the infection of accumulated pleural fluid. The causes of empyema are pneumonia, surgery of lung, mediastinum, diaphragm, trauma, and so on. The impact of anesthetic technique (regional versus general versus combination of both) on the respiratory complication rate has not been established. A 86-yr-old male patient, who had COPD about 15 years and chronic empyema for several months, scheduled to operation for a femur neck fracture. We report a case that this patient with COPD and empyema operated under combined spinal-epidural anesthesia and converted to general anesthesia because of the rupture of the chronic empyema. |
| Key Words:
combined spinal-epidural anesthesia; empyema; femur neck fracture surgery |
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