Epidural Anesthesia in a Patient with High Cardiac Risk

We consider that epidural anesthesia is preferable as an alternative regarding the risks of spinal anesthesia and general anesthesia for high cardiac risky patients.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Cardiac morbidity is the most common cause postoperative mortality furthermore anesthesia technics are associated with cardiac morbidity and mortality.

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Temel Bulgular & Veri:A 48-year-old male, 90 kg, ASA physical status IV patient underwent femoropopliteal bypass under epidural anesthesia.

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Sonuç & Katkı:We consider that epidural anesthesia is preferable as an alternative regarding the risks of spinal anesthesia and general anesthesia for high cardiac risky patients.

🔬Tür:Araştırma Makalesi

📍Kapsam:Genişletilmiş Akademik Örneklem

⚙️Değişkenler:Alan Parametreleri

Abstract

Cardiac morbidity is the most common cause postoperative mortality furthermore anesthesia technics are associated with cardiac morbidity and mortality. A 48-year-old male, 90 kg, ASA physical status IV patient underwent femoropopliteal bypass under epidural anesthesia. Comorbidities included atrial fibrillation, dilated cardiomyopathy and 20% left ventricular ejection fraction. Epidural anesthesia was established with bupivacaine and fentanyl at L3-L4 intervertebral space. Hemodynamic stability and pain relief were established during and after the surgery. We consider that epidural anesthesia is preferable as an alternative regarding the risks of spinal anesthesia and general anesthesia for high cardiac risky patients.

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Bu Makaleye Atıf Yap

DOĞU, T., ŞAHİN, H., KURT, T., KİRAZ, H. A., ALTINIŞIK, U., TOMAN, H., ŞİMŞEK, T., ALTİNİSİK, H. B., YENER, A. Ü., ERBAŞ, M. (2015). Epidural Anesthesia in a Patient with High Cardiac Risk. Acta Medica Anatolia, Cilt: 3 - Sayı: 3, 102–104. https://ajindex.com/articles/143165

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Kaynakça (8)

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