2026-10-19T01:52:43Zhttps://ebyu-rdlopen.rawdatalibrary.net/oai/requestoai:ebyu-rdlopen.rawdatalibrary.net:ebyu/154492026-10-18T20:30:17Zopenairedrivercom_ebyu_10000col_ebyu_10001Thoracic epidural analgesia in a patient with multiple comorbidities for subxiphoid incisional hernia repairOnk, DidemEken, HuseyinAyazoglu, Tulin AkarsuKupeli, IlkeKucuksu, ZaferAlagol, AysinHeart failureHigh thoracic epidural anesthesiaMyocardial ischemiaSub-xiphoid incisional herniaacetylsalicylic acidbupivacainecarvedilolephedrinefentanylfurosemideivabradinemetoclopramidemidazolamramiprilranitidinespironolactoneadultArticlecase reportchronic obstructive lung diseasecoronary artery bypass graftcoronary artery occlusionelectrocardiogramepidural anesthesiafluid resuscitationgraft occlusionheart left ventricle hypertrophyheart right bundle branch blockheart ventricle extrasystolehernioplastyAnesthetic preparation before non-cardiac surgery deserves particular attention in patients with cardiac disease as these are prone to develop hemodynamic instability and myocardial ischemia. Risk of complications is not only related to individual patient characteristics, but also to surgery related factors. In this report we present our experience regarding anesthetic management of a patient with multiple comorbidities including advanced chronic obstructive pulmonary disease, severely impaired left ventricular systolic function and occluded bypass grafts. We chose thoracic epidural analgesia for his sub-xiphoid incisional hernia repair. The operative and postoperative course was uneventful.Faculty of Anaesthesia, Pain and Intensive Care, AFMS2015Articlehttps://rdlopen.rawdatalibrary.net/r/ebyu/154491607-8322enAnaesthesia, Pain and Intensive Careinfo:eu-repo/semantics/openAccessinfo:eu-repo/semantics/articlehttps://ebyu-rdlopen.rawdatalibrary.net/tr/items/ebyu/15449