AI Article Synopsis

  • A 49-year-old man had a severe allergy to propofol and remifentanil, which are common anesthesia drugs.
  • He successfully underwent awake minimally invasive mitral valve surgery utilizing thoracic epidural anesthesia instead of traditional general anesthesia.
  • The procedure aimed to manage spontaneous breathing during surgery while the patient remained awake and free from endotracheal intubation.

Article Abstract

Herein, we report the case of a 49-year-old man with a potentially fatal allergy to propofol and remifentanil who underwent awake minimally invasive mitral valve surgery with cardiopulmonary bypass using thoracic epidural anesthesia, without the need for endotracheal general anesthesia. The aim was the management of spontaneous respiration during cardiopulmonary bypass surgery in an awake patient.

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http://dx.doi.org/10.1016/j.athoracsur.2018.07.090DOI Listing

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