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CASE REPORT
Year : 2011  |  Volume : 5  |  Issue : 2  |  Page : 204-206

Giant cervical lipoma excision under cervical epidural anesthesia: A viable alternative to general anesthesia


1 Department of Anaesthesiology and Intensive Care, Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh, India
2 Department of Surgery, Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh, India

Correspondence Address:
Ram Pal Singh
Assistant Professor, Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh - 243 006
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0259-1162.94781

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The technique of Cervical Epidural Anesthesia (CEA) was first described by Dogliotti in 1933 for upper thoracic procedures. Administration of local anesthetic into cervical epidural space results in anesthesia of the neck, upper extremity, and upper thoracic region. CEA provides high-quality analgesia and anesthesia of above dermatomes and, at the same time, it has favorable effect on hemodynamic variable by blocking sympathetic innervation of the heart. CEA is not practiced routinely because of its potential complications. We selected this technique of CEA for excision of giant cervical lipoma on the back of the neck in an adult patient, as the patient was unwilling for general anesthesia. CEA was induced with 10 ml of 1% lignocaine-adrenaline mixture administered into C7-T1 space through 18G Tuohy needle. Our patient maintained vital parameters throught the procedure. The added advantage of epidural anesthesia was that the patient was awake and comfortable throughout the procedure.


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