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Review
. 2025 Jul 14;19(7):e02006.
doi: 10.1213/XAA.0000000000002006. eCollection 2025 Jul 1.

Regional Anesthetic Techniques in Chronic Obstructive Pulmonary Disease Patients

Shrisha Chandrakant Hiremath  1 , Raviteja Karru V  1 , Narendra Babu M C  2
Affiliations
Review

Regional Anesthetic Techniques in Chronic Obstructive Pulmonary Disease Patients

Shrisha Chandrakant Hiremath et al. A A Pract. .

Abstract

The growing incidence of chronic obstructive pulmonary disease (COPD) has implications for anesthesia. Historically general anesthesia (GA) was the preferred anesthetic technique for laparoscopic, upper limb orthopedic surgeries, and open abdominal surgeries. However, in severe COPD the incidence of postoperative pulmonary complications (PPC) is increased. Regional anesthetic (RA) techniques offer several advantages by significantly reducing PPCs. We review anesthetic considerations for COPD patients undergoing RA, discussing benefits and anticipated risks, postoperative pain management, and intraoperative use of noninvasive ventilation. .

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Conflict of interest statement

The authors declare no conflicts of interest.

References

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