Korean J Anesthesiol.  2006 Nov;51(5):647-650. 10.4097/kjae.2006.51.5.647.

Rupture of Thoracic Empyema for Femur Neck Fracture Surgery under Combined Spinal-Epidural Anesthesia: A case report

• Sohn JE
• Kim JH
• Baik HJ
• Kim YJ
• Lyu KH

• KMID: 2034407
• DOI: http://doi.org/10.4097/kjae.2006.51.5.647

Abstract

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.

Keyword

combined spinal-epidural anesthesia; empyema; femur neck fracture surgery

MeSH Terms

Anesthesia*
Anesthesia, General
Diaphragm
Empyema
Empyema, Pleural*
Femoral Neck Fractures*
Femur Neck*
Femur*
Humans
Lung
Male
Mediastinum
Pneumonia
Pulmonary Disease, Chronic Obstructive
Rupture*