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Department of Anesthesia-Resuscitation, Algeria
*Corresponding author:Matouk M, Department of Anesthesia-Resuscitation, Algeria
Submission: January 17, 2022; Published: February 15, 2022
ISSN 2640-9399 Volume2 Issue2
Introduction: Constrictive pericarditis is a rare pathology characterized by a rigid pericardium, the main etiologies of which are infection, chest radiotherapy and cardiac surgery. The clinical presentation is that of heart failure. Pericardiectomy makes this pathology curable, with anesthesia and analgesia, which minimize hemodynamic changes.
The objective of the work: To report the use of an analgesic thoracic epidural in addition to general anesthesia in this indication.
Case report: This is the 16-year-old patient G.C, originally from and living in Bordj Bou Arreridj aux Atcds with post-biopsy traumatic splenectomy. Admitted to the thoracic surgery department for surgical treatment of a constrictive pericardiectomy [1]. The anesthesia consisted of general anesthesia based on titrated Propofol, Vecuronuim, Fentanyl, as well as epidural analgesia based on morphine intraoperatively followed by low concentration Bupivacaine combined with opioid drugs. The operative act consisted of sternotomy and decortication of the entire pericardium. Mainly standard monitoring and invasive blood pressure-based monitoring. The evolution was favorable after a few days [2,3].
Discussion: Analgesia thoracic epidural is based on compliance with contraindications, and collaboration between surgeon and anesthesiologist.
Conclusion: The analgesic epidural could have a place in the peri-operative management.
Keywords: Pain; Epidural; Pericarditis; Constrictive; Surgery
Ph.D in Agriculture from Faculty of Agriculture, Tohoku University
Research Professor, PhD, Holistic Research Institute
Professor, Chief Doctor, Director of Department of Pediatric Surgery, Associate Director of Department of Surgery, Doctoral Supervisor Tongji hospital, Tongji medical college, Huazhong University of Science and Technology
Senior Research Engineer and Professor, Center for Refining and Petrochemicals, Research Institute, King Fahd University of Petroleum and Minerals (KFUPM), Dhahran, Saudi Arabia
Fellow of International Agency for Standards and Ratings (IASR), Edith Cowan University, Sarich Neuroscience Research Institute
Chancellor Emeritus / Professor Emeritus of Chemistry and Physics, University of Missouri–St. Louis
Ph.D in Science from the Federal University of Alagoas, UFAL, Brazil
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Interim Dean, College of Education and Health Sciences, Director of Biomechanics Laboratory, Sport Science Innovation Program, Bridgewater State University
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