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DİLATE KARDİYOMİYOPATİDE KOMBİNE SPİNAL-EPİDURAL ANESTEZİ (OLGU SUNUMU)

Anesthetic management of a patient with dilated cardiomyopathy by combined spinal-epidural anesthesia (case report)

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Abstract (2. Language): 
We reported the anesthetic management of caesarean section in a pregnant with dilated cardiomyopathy. She had no dyspnea and chest pain which were signs of congestive heart failure. Digitalis has been given to provide hemodynamic stabilization. Combined spinal-epidural block had been succesfully used in this case. There were no significant cardiovascular and respiratory changes in the mother and the baby during the operation. In the anesthesiological management of caesarean sections with dilated cardiomyopathy, combined spinal-epidural anesthesia can be used not only to minimize cardiovascular changes in the mother, but also to keep the neonate from respiratory depression.
Abstract (Original Language): 
Dilate kardiyomiyopatili bir gebede sezaryende anestezi uygulamasını rapor ettik. Dispne ve göğüs ağrısı şikayeti olmayan hastaya hemodinamik stabilizasyon için dijital preparatı verilmekteydi. Hastada kombine spinal-epidural blok başarıyla uygulandı. Operasyon sırasında annede ve bebekte belirgin bir kardiyovasküler ve respiratuar değişiklik izlenmedi. Dilate kardiyomiyopatili sezaryenda kombine spinal-epidural anestezi annedeki kardiyovasküler değişiklikleri azaltmak ve yenidoğanı solunum depresyonundan korumak için kullanılabilir.
289-292

REFERENCES

References: 

1. Morgan G E, Mikhail M S. Clinical Anesthesiology, Connecticut - USA, Second Edition, Appleton &Lange 1996; 341-376.
2. Clark L S. Cardiac disease in pregnancy. Critical Care Clinics 1991; 7:777¬799.
3. Lampert M B, Lang R M. Peripartum cardiomyopathy. Am Heart J 1995;130:860-870.
4. Kurki T S 0. Preoperative assessment of patients with cardiac disease undergoing noncardiac surgery patient. Anesth Clin N Am 1997; 15(1): 1¬13.
5. Hess W. Cardiovascular diseases during pregnancy. Considerations for the anesthesiologist. Anaesthesist 1995; 44: 395-404.
6. Hug CC. Anesthesia for adult cardiac surgery. In: Miller R (ed). Anesthesia, Newyork, Third Edition, Churchill Livingstone 1990; 1624-35.
7. Hase K, Yoshioka H, Wachi Y, Kugimiya T. Anesthetic management of 6 cases with dilated cardiomyopathy for non-cardiac surgery. Masui 1996; 45:741-5.
8. Breen T W, Janzen J A. Pulmonary hypertension and cardiomyopathy: anaesthetic management for caesarean section. Can J Anaesth 1991; 38:814-6.
9. Felsby S, Juelsgaard P. Combined spinal and epidural anesthesia. Anesth Analg 1995; 80(4): 821-6.
10. Kanmura Y, Hagihira Y, Higashi M, Yamashita K, Sameshima K, Toda H, Yoshimura N. Anesthetic management of cesarean section in a patient with dilated cardiomyopathy. Masui 1995; 44:407-10.
11. Fujino Y, Kishi Y, Kashihara H, Kuroda S, Aoki M, Nishio M, Mima T. Anesthetic management of patients with dilated cardiomyopathy. Masui 1994; 43:1754-7.
12. Ornaque I, Sala X, Nalda MA. Peridural anesthesia for subcostal cholecystectomy in patients with dilated cardiomyopathy. Rev Esp Anestesiol Reanim 1996; 43:216-8.

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