Perioperative management of a patient with severe bronchial asthma attack.

What Researchers Did

Researchers reported the anesthetic management for a 50-year-old female with severe bronchial asthma undergoing Miles' operation.

What They Found

They found that a combination of spinal anesthesia (15 mg hyperbaric tetracaine with epinephrine) and epidural anesthesia (3 ml of 2% mepivacaine with epinephrine, achieving analgesia up to Th 6) was successfully used. The patient underwent surgery safely without asthmatic attacks and was discharged 50 days later in a favorable condition.

Canadian Relevance

This study has no direct Canadian connection as it is a case report from Japan.

Study Limitations

The primary limitation of this study is its nature as a single case report, which limits the generalizability of its findings to a broader patient population.