[Nephrectomy in pulmonary tuberculosis patients: an anesthesiological approach]

Abstract

Authors report a case of renal cell carcinoma in a patient suffering from cavitary tuberculosis. Nephrectomy was carried out in epidural anaesthesia together with Propofol continuous infusion and maintaining the patient in spontaneous breathing. The epidural anaesthesia avoided the possible pulmonary complications due to Nitrous Oxide and artificial ventilation. The combination of epidural anaesthesia with Propofol infusion gave both a better operability and a higher therapeutic compliance. The indications to this anaesthesiological method are analysed and discussed herein.