A successful administration of anesthesia in an urgent spinal surgery of a patient with a high risk of coronary artery and degenerative cardiac valvular diseases

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dc.authorscopusid6507019790
dc.authorscopusid55337167600
dc.authorscopusid25721961000
dc.authorscopusid55336567900
dc.authorscopusid56253149200
dc.authorscopusid35361774100
dc.authorscopusid35387601800
dc.contributor.authorKarcio?lu, Murat
dc.contributor.authorTuzcu, Kasim
dc.contributor.authorDavarci, Işil
dc.contributor.authorBozdo?an, Yusuf Bolkan
dc.contributor.authorTurhano?lu, Selim
dc.contributor.authorAkçay, Adnan Burak
dc.contributor.authorAltaş, Murat
dc.date.accessioned2024-09-19T15:45:39Z
dc.date.available2024-09-19T15:45:39Z
dc.date.issued2011
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractIn noncardiac surgery of cardiac patients, all efforts during the preoperative assessment are to predict, and prevent potential complications An urgent operation was decided to be performed on a 80-year-old female patient with the diagnosis of depression fracture of L1. During assessment of the patient before anesthesia, we learned that patient had coronary artery disease. During the physical examination, pulmonary edema was detected secondary to the congestive heart failure. The patient was sent to coronary intensive care unit after talking with patient's relatives and the attending surgeon. After aggressive treatment about a week, blood gas values were improved and hemodynamic values were stabilized. In this condition, we decided operation for the patient. Invasive monitorization was performed in the operation room. For induction of anesthesia, midazolam, fentanyl, rocuronium, and lidocaine were given. The maintenance of anesthesia provided with sevoflurane plus 50% of air and 50% of oxygen. The patient remained stable during the operation. A three-hour operation was completed without any problem, and she was remained at a steady state up to the discharge. As a conclusion, each patient should be questioned and examined carefully about cardiac manifestations during the preoperative assessment. In the presence of any sign or symptom of congestive heart failure (CHF), non-cardiac surgeries should be postponed if it is not urgent. Such patients should be treated aggressively during the perioperative period according to the functional degree of CHF. In case of emergency, consultation with cardiologists should arrive at a consensus, and patients should be operated under optimal conditions.en_US
dc.identifier.doi10.5222/GKDAD.2011.091
dc.identifier.endpage95en_US
dc.identifier.issn1305-5550
dc.identifier.issue4en_US
dc.identifier.scopus2-s2.0-84865019741en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage91en_US
dc.identifier.urihttps://doi.org/10.5222/GKDAD.2011.091
dc.identifier.urihttps://hdl.handle.net/20.500.12483/14824
dc.identifier.volume17en_US
dc.indekslendigikaynakScopusen_US
dc.language.isotren_US
dc.relation.ispartofGogus-Kalp-Damar Anestezi ve Yogun Bakim Dernegi Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCongestive heart failureen_US
dc.subjectCoronary artery diseaseen_US
dc.subjectPulmonary edemaen_US
dc.subjectUrgent noncardiac surgeryen_US
dc.titleA successful administration of anesthesia in an urgent spinal surgery of a patient with a high risk of coronary artery and degenerative cardiac valvular diseasesen_US
dc.title.alternativeÇok yüksek riskli koroner arter hastali?i ve dejeneratif kalp kapa?i olan bir hastanin acil spinal cerrahisinde başarili bir anestezi uygulamasien_US
dc.typeArticleen_US

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