Buradasınız

Anasayfa » Content

Dilate Kardiyomiyopatili Bir Hastada Anestezik Yaklaşım

Anaesthetic Management of a Patient with Dilated Cardiomyopathy

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2008

Key Words:

Keywords (Original Language):

Author Name
Abstract (2. Language): 
Dilated cardiomyopathy is associated with depressed ventricular systolic function and large ventricular cavity dimension. Anaesthesia for patients with dilated cardiomyopathy presents considerable challenges to the clinicians. Maintanence of anaesthesia without depression in myocardial functions and changes in hemodynamic values is necessary. Effective preoperative preparation of the patient to attenuate the signs of congestive heart failure, overall monitoring of hemodynamics, prevention of arrhythmias, balanced use of anesthetic agents in the doses that exert no cardiosuppressive effect, preload optimization and postload reduction are the essential points in patients with dilated cardiomyopathy during anaesthesia. Here we aimed to report our anaesthetic management of an elderly patient with dilated cardiomyopathy.
Bookmark/Search this post with
Abstract (Original Language): 
Dilate kardiyomiyopati, ventriküler sistolik fonksiyonlarda depresyon ve geniş ventriküler kavite boyutu ile birliktedir. Dilate kardiyomiyopatili hastada anestezi, klinisyenler için önemli zorluklar taşır. Miyokard fonksiyonlarında depresyon ve hemodinamik değerlerde değişiklik olmaksızın anestezinin idamesi gereklidir. Konjestif kalp yetmezliği bulgularını hafifletmek için hastanın operasyon öncesinde etkin şekilde hazırlanması, tam hemodinamik monitorizasyon, aritmilerin önlenmesi, anestezik ajanların kardiyak fonksiyonları baskılamayacak dozlarda dengeli kullanımı, önyükün en uygun değerde tutulması ve ard yükün azaltılması dilate kardiyomiyopatili hastalarda anestezi sırasında en önemli noktalardır. Bu olguda dilate kardiyomiyopatili yaşlı bir hastada olan anestezik yaklaşımımızı sunmayı amaçladık.
FULL TEXT (PDF): 
PDF icon arastirmax-dilate-kardiyomiyopatili-bir-hastada-anestezik-yaklasim.pdf
  • 4
287-290
  • Turkish

REFERENCES

References: 

1. Ramasubu K, Bozkurt B, Mann DL. Mechanism of idiopathic dilated
cardiomyopathies. Curr Opin Organ Transplant 2006; 11: 553-9.
2. Saxon LA, Stevenson WG, Middlekauff HR, Fonarow G, Woo M, Moser D,
Stevenson LW. Predicting death from progressive heart failure secondary to
ischemic or idiopathic dilated cardiomyopathy. Am J Cardiol 1993; 72: 62-5.
3. Ayoub CM, Jalbout MI, Baraka AS. The pregnant cardiac woman. Curr
Opin Anaesthesiol 2002; 15: 285-91.
4. McCarroll CP, Paxton LD, Elliott P, Wilson DB. Use of remifentanil in a
patient with peripartum cardiomyopathy requiring Caesarean section. Br J
Anaesth 2001; 86: 135-8.
5. Pryn A, Bryden F, Reeve W, Young S, Patrick A, McGrady EM.
Cardiomyopathy in pregnancy and caesarean section: four case reports. Int J
Obstet Anesth 2007; 16: 68-73.
6. Schechter WS, Kim C, Martinez M, Gleason BF, Lund DP, Burrows FA.
Anaesthetic induction in a child with end-stage cardiomyopathy. Can J
Anaesth 1995; 42: 404-8.
7. Tomicheck RC, Rosow CE, Philbin DM, Moss J, Teplick RS, Schneider RC.
Diazepam-fentanyl interaction-hemodynamic and hormonal effects in
coronary artery surgery. Anesth Analg 1983; 62: 881-4.
8. Heikkila H, Jalonen J, Arola M, Kanto J, Laaksonen V. Midazolam as
adjunct to high-dose fentanyl anaesthesia for coronary artery bypass grafting
operation. Acta Anaesthesiol Scand 1984; 28: 683-9.
9. Nauta J, Stanley TH, de Lange S, Koopman D, Spierdijk J, van Kleef J.
Anaesthetic induction with alfentanil: comparison with thiopental,
midazolam and etomidate. Can Anaesth Soc J 1983; 30: 53-60.
10. Pagel P, Hettrick DA, Kertsen JR, Tessmer JP, Lowe D, Warltier DC.
Etomidate adversely alters determinants of left ventricular afterload in dogs
with dilated cardiomyopathy. Anesth Analg 1998; 86: 932-8.
11. Pagel P, Hettrick DA, Kertsen JR, Lowe D, Warltier DC. Cardiovascular
effects of propofol in dogs with dilated cardiomyopathy. Anesthesiology
1998; 88: 180-9.

Thank you for copying data from http://www.arastirmax.com