Mehmet BAYRAM, Salih YILDIRIM, Fikret ÖZKAN, Yılmaz APAYDIN, Cevdet DÜĞER, Birsen KÖSE

Ağır evre KOAH'lı hastada iyi anestezi yönetimine rağmen derin ven trombozu proflaksisi yapılmaması sonucu gelişen pulmoner emboli

Kronik obstrüktif akciğer hastalığı (KOAH) ilerleyici bir hastalık olup hastalığın ileri evrelerinde hiperkarbik, hipok- sik solunum yetmezliği gelişir. Bu evrede hastaların fonksiyonel kısıtlılığı nedeniyle en ufak eforu, invaziv işlemleri tolere edemezler. Ağır evre KOAH'lı hastada spinal anestezi ile başarılı bir intraoperatif ve erken postoperatif evrenin ardından derin ven trombozu (DVT) proflaksisi yapılmaması nedeni ile postoperatif 14. günde gelişen pulmoner emboli komplikasyonunu sunduk. Bu olgu ile KOAH ‘LI hastalarda DVT riski ve proflaksisinin de anestezi yönetimi kadar önemli olduğuna dikkat çekmek istedik.

Pulmonary embolism due to no prophylaxis of deep vein trombosis despite good anesthesia management

Chronic obstructive pulmonary disease (COPD) is a progressive disease hypercarbic hypoxic respiratory failure develops in the later stages of the disease. At this stage, due to the functional limitation of the slightest effort, they can not tolerate the invasive procedures. Here, we presented a complication of pulmonary embolism at postoperative 14th day due to no prophylaxis of deep vein trombosis (DVT) after a successfull intraoperative and early postoperative stage of a heavy-stage COPD patient with spinal anesthesia. We wanted to indicate that DVT risk and prophylaxis is as important as anesthesia management.

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