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Stevens-Johnson Sendromlu Olguda Anestezik Yaklaşım (Olgu Sunumu)

Anaesthetic Management Of Case With Stevens-Johnson Syndrome (Case Report)

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2004

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Stevens-Johnson Syndrome is characterized by generalized erythema associated with high fever, cataral symptoms and mucositis. Various etiologies have been implicated, particularly numerous medications and infectious agents. Stevens-Johnson Syndrome leads to death in up to 3 to 18 % of cases. We describe the anaesthetic management that a 9-year-old boy with corneal damage accompanied by severe generalised exanthema. He was diagnosed with Stevens-Johnson Syndrome, as a result of following drug administration for the treatment of upper respiratory infection. Anaesthetic management of this syndrome must be accomplished with the minimal applicable dose of the anaesthetic agent, any travmatic process should be avoided, body temperature must be well preserved, preparations should be done for difficult air-way, and the patient must be observed carefully.
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Abstract (Original Language): 
Stevens-Johnson Sendromu yüksek ateş, üst solunum yolu enfeksiyonu ve mukoza tutulumuyla birlikte ciltte eritemlerle karakterizedir. Etyolojide özellikle ilaçlar ve çeşitli enfeksiyon ajanları rol oynamaktadır. Stevens-Johnson Sendromu olguların % 3-18'inde ölüme yol açmaktadır. Yazımızda üst solunum yolu enfeksiyonu nedeniyle ilaç kullanımını takiben yaygın egzantemler ve kornea hasarı gelişerek Stevens-Johnson Sendromu tanısı konulan, 9 yaşındaki erkek olgunun amnioplasti operasyonu için anestezik yaklaşımımızı sunarak literatür bilgileriyle birlikte tartışmayı amaçladık. Bu olgularda anestezi uygulamasını mümkün olan en az ajanla yapmak, travmatik her türlü uygulamadan kaçınmak, vücut ısısını korumak, postoperatif solunum komplikasyonlarına karşı hazırlıklı olarak yakından izlemek gerekmektedir.
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  • 3
185-188
  • Turkish

REFERENCES

References: 

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