Füsun GÜZELMERİÇ, Tuncer KOÇAK, Hasan Basri ERDOĞAN

Kardiyak acillerde anestezik yaklaşım

Acil durumlarda güvenli havayolunu sağlamada standart bir yöntem yoktur. Acil entübasyon için nöromusküler blokerler, indüksiyon ajanları ve yardımcı ilaçların birlikte kullanımı gerekebilir. Bu ilaçlar kardiyovasküler sisteme çeşitli etkilerde bulunabileceğinden, kardiyovasküler acillerde havayolu güvenliğini sağlamak için özel bir dikkat gerekir. Altta yatan patolojinin iyi değerlendirilmemesi ve uygun ilaçlar verilmemesi ciddi sorunlara neden olabilir. Hastalığın fizyopatolojisinin bilinmesi, hızlı değerlendirme, uygun farmakolojik yaklaşım acil entübasyonu daha güvenli hale getirecektir.

Anesthesiologic approach to cardiac emergencies

There is not a single standard method to provide a safe air-way in emergency conditions. Combination of neuromuscular blockers, induction agents, and adjuvant drugs may be necessary for urgent intubation. Since all these drugs exert various effects on the cardiovascular system, special attention should be given to airway safety in cardiac emergencies. Insufficient evaluation of the underlying pathology and the use of inappropriate drugs may result in serious consequences. A good knowledge of the pathophysiology, rapid evaluation, and an appropriate pharmacological approach will make emergent intubation safer.

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