Ho A M-H, Karmakar M K, Cheung M, Lam G C S
Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong Kong SAR, People's Republic of China.
Br J Anaesth. 2004 Sep;93(3):458-61. doi: 10.1093/bja/aeh212. Epub 2004 Jun 25.
Haemostatic deficiencies, common among cirrhotic patients, may deteriorate further after hepatectomy, increasing the bleeding risk associated with the use of thoracic epidural analgesia. We describe two patients who enjoyed immediate post-operative tracheal extubation and satisfactory analgesia using mainly right thoracic paravertebral analgesia after right lobe hepatectomy.