Journals / Van Tıp Dergisi / 2016 / Cilt: 23 - Sayı: 2

Perioperative Anesthetic Management of a Very Old Age Patient Who Had Cardiac Arrest after Epidural Catheter

Epidural Kateter Sonrası Arrest Olan Çok İleri Yaşta Bir Hastanın Perioperatif Anestezi Yönetimi

Pages
217–218
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this paper a case of cardiac arrest encountered after epidural anesthesia in a very advanced age patient with a low cardiac reserve, and perioperative anesthesia management are presented.

📌 3 Key Takeaways

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Objective & Hypothesis:Epidural block is a well-known and frequently referenced regional anesthesia technique in the field of anesthesia, and has positive effects on the cardiovascular and respiratory systems.
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Key Findings & Data:Epidural anesthesia-induced cardiac arrest rate is stated as approximately 0.01%.
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Conclusion & Impact:In this paper a case of cardiac arrest encountered after epidural anesthesia in a very advanced age patient with a low cardiac reserve, and perioperative anesthesia management are presented.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Epidural block is a well-known and frequently referenced regional anesthesia technique in the field of anesthesia, and has positive effects on the cardiovascular and respiratory systems. While reducing the need for analgesics in patients, there are also negative effects such as hypotension, bradycardia, and cardiac arrest. Epidural anesthesia-induced cardiac arrest rate is stated as approximately 0.01%. The volume decrease in the pre-load of the heart causing secondary vagal response has great effect on cardiac arrest. In this paper a case of cardiac arrest encountered after epidural anesthesia in a very advanced age patient with a low cardiac reserve, and perioperative anesthesia management are presented.

Özet

Epidural blok, anestezi uygulamalarında iyi bilinen ve sık başvurulan bir rejyonal anestezi tekniğidir. Solunum ve kardiyovasküler sistem üzerine pozitif etkileri vardır. Hastada analjezik ihtiyacını azaltırken, hipotansiyon, bradikardi ve kardiyak arrest gibi olumsuz etkileri de vardır. Epidural anesteziye bağlı kardiyak arrest oranı yaklaşık %0,01 olarak belirtilmiştir. Kardiyak arrestte kalbin ön yükündeki volüm azalmasına sekonder gelişen vagal yanıtın etkisi büyüktür. Bu yazıda kardiyak rezervi düşük, çok ileri yaştaki bir olguda uygulanan epidural anestezi sonrası karşılaşılan kardiyak arrest ve perioperatif anestezi yönetimi sunulmuştur.

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Cite This Article

ÇEĞİN, M. B., SOYORAL, L., YÜZKAT, N., KAHRAMAN, A., GÖKTAŞ, U. (2016). Perioperative Anesthetic Management of a Very Old Age Patient Who Had Cardiac Arrest after Epidural Catheter. Van Tıp Dergisi, Cilt: 23 - Sayı: 2, 217–218. https://ajindex.com/articles/334556

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References (6)

  1. Doğru S, Kaya Z, Doğru HY. Epidural anestezinin ciddi komplikasyonları. Dicle Tıp Derg 2012; 39(2): 320-324.
  2. Andres J, Reina MA, Prats A. Epidural space and regional anesthesia. Eur J Pain 2009; 3(2): 55-63. Horlocker TT. Complications of regional anaesthesia. Eur J Pain 2010; 4(4): 227-234.
  3. Auroy Y, Benhamou D, Bargues L, Ecoffey C, Falissard B, Mercier FJ, et al. Major complications of regional anesthesia in France: The SOS Regional Anesthesia Hotline Service. Anesthesiology 2002; 97(5): 1274-1280.
  4. Mathur V, Bravos D, Vallera C, Wu CL. Regional anesthesia and patient outcomes: evidence-based medicine. Tech Reg Anesth Pain Manag 2008; 12(4): 163-170.
  5. Ergin A, Orhan E, Dağlı G. Reflex cardiac arrest (case report). Gulhane Med J 2004; 46(3): 248- 250. Uyar M, Eriş O, Ayanoğlu HÖ, Yegül İ. Alt ekstremite cerrahisinde sürekli spinal ve sürekli epidural anestezinin karşılaştırılması. Ağrı Dergisi 1996; 8: 31-36.
  6. Reisli R, Horasanlı E, Demirbilek S, Dikmen B, Yiğitbaşı B, Göğüş N. Tek doz ve sürekli spinal anestezinin hemodinamik ve anestezik etkilerinin karşılaştırılması. Türk Anest Rean Cem Mecmuası 1999; 27: 21-27. Pollard JB. Common mechanisms and Strategies for Prevention and Treatment of Cardiac Arrest During Epidural Anesthesia. J Clin Anesth 2002; 14(1): 52-56.