Ayda TÜRKÖZ, M. Özcan ERSOY, A. Kadir BUT, Ayşe KAFKASLI, Türkan TOĞAL

Dilate kardiyomiyopatide kombine spinal-epidural anestezi ( Olgu sunumu )

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.

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

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.

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