Surgeon Makes Tutorial DVD For Conscious Open-Heart Surgery
Lanxon writes "Swaroup Anand, 23, from Bangalore, was fully conscious as he underwent open-heart surgery. An epidural to the neck, administered at the city’s Wockhardt Hospital, numbed his body during the procedure. Dr Vivek Jawali pioneered the technique ten years ago and has recently released a tutorial on DVD, which gives a step-by-step guide to the procedure for other surgeons to watch and learn from."
I cannot imagine anything more dangerous than a 'neck down' regional anesthetic. Now, IAAA (I am an anesthesiologist) and from my experience, the risk of a general anesthetic for open heart surgery would be far less than the risk of this. In order to be high enough, the block would have to deprive the patient of one remarkably important activity involved in being awake, the ability to breathe. Additionally, if a selective block could be done that would permit enough muscle strength to breathe, there are serious problems in trying to breathe with an open chest. Without a sealed cavity, the lungs simply collapse. If the surgeon could stay extra-pleural, and you had a remarkably healthy and motivated patient it possibly could be done, I just cannot imagine why. Maybe this was all explained in TFA, but this is slashdot after all........