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CASE REPORT
Year : 2009  |  Volume : 53  |  Issue : 4  |  Page : 478-481

Combined Spinal Epidural Anaesthesia with BiPAP-Three Case Reports


1 Senior Consultant and Head, Department of Anaesthesia, Tata Motors Hospital, Jam shedpur- 831001, Jharkhand, India
2 P. G Stu dent, Department of Anaesthesia, Tata Motors Hospital, Jam shedpur- 831001, Jharkhand, India

Correspondence Address:
Ashok Jadon
44, Beldih Lake Flats, Dhatkidih, Jamshedpur-831001, , Jharkhand
India
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Source of Support: None, Conflict of Interest: None


PMID: 20640212

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We report three cases where BiPAP (bi-level positive airway pressure) was used with CSEA (combined spinal epidural anaesthesia) to over come the hypoventilation due to preoperative poor respiratory reserves and additive effect of sedation. Combination of BiPAP with spinal, epidural and CSEA have been used successfully in patients of severe COPD (chronic obstructive pulmonary disease) for various surgical procedures. This combination provides safe alternative to conventional general anaesthesia, as it avoids need for postoperative ventilatory support and its deleterious effects.


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