Abhishek SINGH, Dhruv JAIN, Kaushal KUMAR, Jyotsna PUNJ

Düşük Doz Kombine Spinal Epidural: Doğuştan Düzeltilmiş Büyük Arter Transpozisyonu ve Şiddetli Pulmoner Stenozu olan Hastada Sezaryen için Bir Anestezi Tekniği

22 yaşında 39. gebelik haftasında bir primigravid, doğumun başlamasından itibaren dispne ile hastaneye yatırıldı. Sistemik değerlendirme ve ekokardiyografide, ciddi pulmoner stenoz ve çift yönlü atriyal ve ventriküler septal defekt ile konjenital düzeltilmiş büyük arter transpozisyonu (CCTGA) tanısı konuldu. Multidisipliner bir ekip ilk semptomatik yönetimi sağladı, riski sınıflandırdı ve sezaryen için plan yaptı. Hem intraoperatif hem de postoperatif stabil hemodinami ile mükemmel cerrahi koşul sağlayan düşük doz sıralı kombine spinal epidural anestezi invaziv monitorizasyon ile kullanıldı.

Low Dose Combined Spinal-Epidural Anesthesia: An Anesthesia Technique for Cesarean Section in a Patient Suffering from Congenitally Corrected Transposition of Great Arteries and Severe Pulmonary Stenosis

A primigravida, aged 22 years, at 39th gestational week was hospitalized with dyspnea sinceonset of labor. On systemic evaluation and echocardiography, she was diagnosed to have congenitally corrected transposition of the great arteries (CCTGA) along with severe pulmonicstenosis and bidirectional ventricular and atrial septal defects. A multidisciplinary team provided initial symptomatic management, stratified the risk and planned for a cesarean section.A low-dose combined sequential spinal-epidural anesthesia with invasive monitoring was usedwhich provided excellent surgical condition with stable intraoperative and postoperative hemodynamics.

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