Aort yetersizliğinin eşlik ettiği bir feokromositoma hastasında anestezi yaklaşımı (Olgu sunumu)
Küçük Resim Yok
Dosyalar
Tarih
2002
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Türk Pediatri Arşivi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Abstract: Pheochromocytoma is an uncommon neuroectodermic tumour of adrenal medulla. Additional cardiac problems malta anaesthesia management of pheochromocytoma more complicated. We aimed to present the anaesthetic management of pheochromocytoma patient with aortic valve insufficiency (AVI). A 45 years-old, 6.5 kg, female patient with third degree of AVI was admitted for pheochromocytoma surgery. Before surgery, she was pre-treated with phenoxybenzamine and nicardipine for a week. In the operation room, thoracic epidural analgesia was maintained with 10 mL 0.5 % bupivacaine loading dose, followed by 5 mL 0.5 % bupivacaine for every hour during surgery. Then anaesthesia ivas induced with midazolum, droperidol, fentanyl, vecuronium, metoprolol and lidocaine. High dose fenlanyl anaesthesia ivith 0.5-1.5 % isoflurane were preferred for maintenance of anaesthesia. Haemodynamic stability was obtained with this anaesthesia management with lower dose vasodilators until, tlie resection of adrenal mass. After the resection, severe hypotension was controlled with inotropic agents. Surgery was completed uneventfully and patient was transferred to ICU. In phaeochromoytoma cases with. AVI, we think that appropriate (uiuesthetic approach is the thoracal epidural analgesia and high dose fentanyl anaesthesia with support of vasodilatators or vasoactive agents.
Açıklama
Yıl: 2002Cilt: 30Sayı: 8ISSN: 1306-0015 / 1308-6278Sayfa Aralığı: 388 - 390Metin Dili:Türkçe
Anahtar Kelimeler
Kaynak
Türk Pediatri Arşivi
WoS Q Değeri
Scopus Q Değeri
Cilt
30
Sayı
8
Künye
BUT A. K,DURMUŞ M,GEDİK E,KARAASLAN K,TOPRAK H. İ,ERSOY M. Ö (2002). Aort yetersizliğinin eşlik ettiği bir feokromositoma hastasında anestezi yaklaşımı (Olgu sunumu). Türk Pediatri Arşivi, 30(8), 388 - 390.
