The application of epidural anesthesıa in pregnant woman with uncorrected tetralogy of Fallot : a case report
نویسنده
چکیده
Fallot tetralojisi en sık görülen siyanotik doğumsal kalp hastalığıdır. Bu hastalarda doğum sonrası meydana gelen ani hemodinamik değişiklikler ciddi, yaşamı tehdit eden multiorgan komplikasyonlarına yol açar. Bu yüzden anestezi seçimi zordur. Otuz üç haftalık düzeltilmemiş Fallot tetralojili gebe sezeryan operasyonuna alındı. Sorunsuz bir şekilde epidural anestezi uygulandı. Hastanın vital bulguları ve genel durumu stabil seyretti ve ameliyat sonrası yoğun bakımda dört gün takipten sonra kadın doğum servisine devredildi. Fallot tetralojili gebe hastada epidural anestezi uygulamasında bölünmüş ve artan dozlarda levobupivakain uygulamasının güvenli olduğu kanısındayız. Bununla birlikte, bizim bu verilerimiz klinik uygulama miktarının artırılması ile daha da güçleneceğini düşünüyoruz.
منابع مشابه
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Tetralogy of Fallot (TOF) is the commonest congenital heart abnormality beyond the age of one year. Cases of Tetralogy of Fallot can present during pregnancy following successful surgical repair in childhood or occasionally as uncorrected TOF presenting for the first time during pregnancy, indeed the most frequently encountered congenital cyanotic heart lesion during pregnancy is cyanotic TOF. ...
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