Sostituzione valvolare aortica in due pazienti ottuagenari coscienti senza intubazione tracheale in anestesia peridurale toracica

摘要: The association of advanced age with various comorbidities increases the risk mortality and morbidity in cardiac surgery. utilization high thoracic epidural anesthesia (HTEA) this setting presents numerous potential benefits, including early recovery consciousness spontaneous ventilation, hemodynamic stability, enhanced analgesia, improved pulmonary function, earlier recovery. Moreover, anesthesiological technique allows performance surgical procedures on conscious patient, thus making continuous monitoring cerebral function feasible. We have employed HTEA without tracheal intubation 2 gravely compromised octogenarian patients who underwent aortic valve replacement for critical stenosis. Epidural these permitted avoidance general anesthetics allowed evaluation their cognitive function. Further, by avoiding positive pressures mechanical ventilators, contributed to preserve physiologic intrapulmonary pressures, positively affecting circulation. In our opinion, may decrease selected patients.