Epidural block for hemicolectomy in a patient with bilateral diaphragmatic paralysis1

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A patient with respiratory function embarrassed by bilateral diaphragmatic paralysis after cardiac surgery was anesthetized for colectomy with a combined epidural-general technique using controlled ventilation. Spontaneous respiration resumed quickly after surgery, acceptable levels of blood gases were maintained postoperatively, and the overall perioperative course was uneventful.



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