Continuous spinal anesthesia application in a patient with high cardiac risk

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dc.authoridColak, Alkin/0000-0001-9103-4844
dc.authorwosidColak, Alkin/R-8739-2017
dc.contributor.authorColak, Alkin
dc.contributor.authorInal, Mehmet Turan
dc.contributor.authorArar, Cavidan
dc.contributor.authorOguzhan, Nihal
dc.contributor.authorPamukcu, Zafer
dc.date.accessioned2024-06-12T10:51:40Z
dc.date.available2024-06-12T10:51:40Z
dc.date.issued2007
dc.departmentTrakya Üniversitesien_US
dc.description13th Congress of the Cardiovascular-Anesthesiology-and-Critical-Care-Society -- APR 20-23, 2006 -- Bolu, TURKEYen_US
dc.description.abstractRegional techniques are preferred to general anesthesia in lower-extremity surgery. Especially in elderly patients with high cardiac risk, the main objective is to supply sufficient anesthesia preserving hemodynamic stability. A 63-year-old female patient in whom emergency right leg amputation above the knee was planned, was treated for myocardial infarction without ST elevation 6 days ago. She had type 2 diabetes mellitus for 15 years, and hypertension for 10 years. She underwent a coronary bypass operation for two vessels and mitral annuloplasty two years ago and right leg amputation below the knee two months ago. An intrathecal cathater was placed at the right lateral position from L3-4 intervertebral space through the cathater by the needle technique. After cerebrospinal fluid flow was observed, we administered 2,5 mg 0.5% bupivacaine. Anesthesia was maintained by performing 2.5 mg of bupivacain every five minutes at a total dose of 7.5 mg until adequate sensory block was reached. The patient was given a supine positione after the sensory block reached T-10 level. The patient was hemodynamically stable during-the-operation and did not require additional drug from the catheter. The patient was sent to the ward after removing spinal cathater at the end of a one hour operation. In conclusion, especially in old patients with high cardiac risk, we think that continuous spinal anesthesia should be the method of choice for anesthesia in lower-extremity surgery.en_US
dc.description.sponsorshipCardiovasc Anesthesiol & Crit Care Socen_US
dc.identifier.endpage152en_US
dc.identifier.issn1301-3149
dc.identifier.issue2en_US
dc.identifier.startpage150en_US
dc.identifier.urihttps://hdl.handle.net/20.500.14551/18447
dc.identifier.volume24en_US
dc.identifier.wosWOS:000257676900011en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isotren_US
dc.publisherEkin Tibbi Yayincilik Ltd Sti-Ekin Medical Publen_US
dc.relation.ispartofTrakya Universitesi Tip Fakultesi Dergisien_US
dc.relation.publicationcategoryKonferans Öğesi - Uluslararası - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAnesthesiaen_US
dc.subjectContinuous Spinal Anesthesiaen_US
dc.subjectHigh Cardiac Risken_US
dc.titleContinuous spinal anesthesia application in a patient with high cardiac risken_US
dc.typeConference Objecten_US

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