Anesthetic Management of a Patient with Behçet’s Disease Undergoing Beating Heart Coronary Artery Bypass Grafting
| Autor: | Deniz Avan, Tülay Örki |
|---|---|
| Jazyk: | turečtina |
| Rok vydání: | 2018 |
| Předmět: |
lcsh:Diseases of the circulatory (Cardiovascular) system
medicine.medical_specialty Beating heart Bypass grafting business.industry lcsh:R coronary artery bypass grafting lcsh:Medicine Anesthetic management Behcet's disease anesthetic management medicine.disease beating heart Surgery Tıp Behçet’s disease Behçet hastalığı atan kalp koroner arter baypas anestezi yönetimi medicine.anatomical_structure lcsh:RC666-701 Medicine Behçet’s disease beating heart coronary artery bypass grafting anesthetic management business Artery |
| Zdroj: | Volume: 21, Issue: 3 247-249 Koşuyolu Heart Journal Koşuyolu Heart Journal, Vol 21, Iss 3, Pp 247-249 (2018) |
| ISSN: | 2149-2972 2149-2980 |
| Popis: | Generalanesthesia was planned for elective beating heart coronary artery bypassgrafting in a 32-year-old patient with Behçet’s disease receiving colchicineand salazopyrin therapy for 13 years. After consultation with neurologists,dermatologists, and internal medicine physicians, the colchicine andsalazopyrin therapy was terminated a week before surgery. The surgery wasperformed with the beating heart technique following standard sternotomy andheparinization. Postoperatively, there were no new lesions of the skin andoropharynx due to invasive procedures. The patient was discharged without anycomplications on postoperative day 4. In conclusion, the choice of theanesthetic method and medications as well as postoperative follow-up beatingheart coronary artery bypass grafting can be safely performed in patients withBehçet’s disease via meticulous preoperative evaluations and consultations. Otuziki yaşında, 13 yıldır kolşisin ve salozoprin tedavisi alan Behçet hastasınaelektif şartlarda atan kalpte koroner arter baypas ameliyatı için genelanestezi planlandı. Nöroloji, dermatoloji ve dahiliye bölümlerince konsülteedilerek kolşisin ve salozoprin tedavisi operasyondan bir hafta önce kesildi.Operasyon standart sternotomi ve heparinizasyonu takiben atan kalptegerçekleştirildi. Postoperatif dönemde invaziv girişimlere ve entübasyona bağlıciltte ve orofarenkste yeni lezyonlara rastlanmadı. Hasta postoperatif 4. günkomplikasyonsuz olarak taburcu edildi. Sonuç olarak, Behçet hastalarındaanestezi öncesi yapılan dikkatli bir preoperatif değerlendirme, istenenkonsültasyonlar, seçilen anestezi yöntemi ve ilaçlar ve postoperatif takip ileatan kalpte koroner arter baypas operasyonu güvenle uygulanabilir. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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