Abdominal Cerrahide Anestezi

Abstract

Günümüzde teknoloji, cerrahi ve anestezideki gelişmeler ameliyat öncesi ve ameliyat sonrası hasta bakımında ilerlemelere neden olmuş ve artık cerrahi en son başvurulan tedavi yöntemi olmaktan çıkmıştır. Abdominal cerrahiye yönelik girişimler mide, safra, karaciğer, dalak, pankreas, ince bağırsak ve kalın bağırsaktaki hastalıkları kapsamakta ve ileri yaş grubunda cerrahi gerektiğinde komorbid hastalıkları nedeniyle ilave sorunları da beraberinde getirmektedir. Acil olduğu durumlarda bu sorunlar daha da artmaktadır. Bu derlemede abdominal cerrahi yapılacak hastalarda perioperatif anestezi yönetimini anlatmayı amaçladık.

 

Keywords

• anestezi,abdominal cerrahi

Anesthesia for Abdominal Surgery

Abstract

Today advances in technology, surgery and anesthesia have led to advances in preoperative  and postoperative patient care and surgery is no longer the last resort.

Procedures for abdominal surgery is included stomach, bile, liver, spleen, pancreas, small intestine, and large intestine surgeries, and because these surgeries are particularly concerned with the advanced age group, they also cause additional problems due to comorbid diseases. In this review we aimed to describe the perioperative anesthesia management in patients who were to undergo abdominal surgery.

Keywords

• Anesthesia,abdomen,surgery

References

1. https://www.intechopen.com/books/abdominal-surgery/anesthetic-management-of- abdominal-surgery, (05/07/2018 tarihinde)
2. Başoğlu ÖK, Bacakoğlu F, Ersin S, et al. Üst karın cerrahisinde postoperatif solunumsal komplikasyon riskinin preoperatif parametrelerle ilişkisi. Toraks Dergisi 2000;2: 17-22.
3. https://www.tard.org.tr/assets/kilavuz/preoperatifdegerlendirme.pdf (16-08-2018 tarihinde)
4. Mansour A, Watson W, Shayani V, Pickleman J. Abdominal operations in patients with cirrhosis: still a major surgical challenge. Surgery 1997;122:730-5.
5. Guyton, A.C., Hall, J.E. Tıbbi Fizyoloji, Nobel Tıp Kitabevi, 2013; s:753-762
6. D Harper, B Chandler. Splanchnic circulation. BJA Education 2016; 16 (2): 66–71.
7. Freise H, Van Aken HK. Risks and benefits of thoracic epidural anaesthesia. Br J Anaesth 2011; 107: 859–68.
8. Wilton C. Levine, Rae M. Allain Theodore A. Alston, Peter F. Dunn, Jean Kwo, Carl E. Rosow (Eds). Clinical Anesthesia Procedures of the Massachusetts General Hospital (5th ed.) Lippincott Williams& wilkins. 1997

9. Babatunde O. Ogunnaike, Charles W. Whitten. Gastrointestinal Disorders. Clinical Anesthesia. (6th ed) Paul G. Barash Bruce F Kullen, Robert K Stoelting, Michael K Cahalan, M. Christine Stock (eds), wolters kluwer/lippincott Williams& Wilkins. 2009; pp 1222-9
10. Adam Carney, Matt Dickinson. Anesthesia for Esophagectomy Anesthesiology Clin 33 (2015) 143–63.
11. Brandes J. Part Two, Procedures. In . Manuel Pardo, James M. Sonner (Eds.) Manual of Anesthesia Practice. Cambridge University Press. 2007;545-7.
12. John J. Nagelhout, Karen Plaus. Handbook of Anesthesia, (5th ed.) Elsevier Inc. 2014; 266-90.
13. Chris Snowden,, James Prentis. Anesthesia for Hepatobiliary Surgery Anesthesiology Clin 33 (2015) 125–41.
14. Gurusamy KS, Li J, Sharma D, et al. Cardiopulmonary interventions to decrease blood loss and blood transfusion requirements for liver resection. Cochrane Database Syst Rev 2009;(4):CD007338.
15. Karthik Raghunathan, Mandeep Singh, Dileep N. Lobo, Fluid Management in Abdominal Surgery What, When, and When Not to Administer Anesthesiology Clin 33 (2015) 51–64.
16. Holte K, Sharrock NE, Kehley H. Pathophysiology and clinical implications of perioperative fluid excess. Br J Anaesth. 2002;89:622–32.
17. Marik PE, Cavallazzi R, Vasu T, et al. Dynamic changes in arterial waveform derived variables and fluid responsiveness in mechanically ventilated patients: a systematic review of the literature. Crit Care Med 2009;37(9):2642–7.
18. Marik PE, Cavallazzi R. Does the central venous pressure predict fluid responsiveness? An updated meta-analysis and a plea for some common sense. Crit Care Med 2013;41(7):1774–81.
19. Cesur S, Çardaközü T, Kuş A, Türkyılmaz N, Yavuz Ö. Comparison of conventional fluid management with PVI-based goal-directed fluid management in elective colorectal surgery. J Clin Monit Comput. 2018 Jun 14. doi: 10.1007/s10877-018-0163-
20. Zeynep Zuhal Aykaç, Mustafa Kemal Arslantaş. Sıvı Tedavisi ve Yönetimi (II) Monitorizasyon ve Sıvı Yanıtlılığının Öngörülmesi GKDA Derg 2018;24(1):1-10
21. https://www.tard.org.tr/assets/kilavuz/6.pdf (16-08-2018 tarihinde)
22. Amato A, Pescatori M. Perioperative blood transfusions for the recurrence of colorectal cancer. Cochrane Database Syst Rev. 2006;(1):CD005033.
23. Ejaz A, Spolverato G, Kim Y, et al. Impact of blood transfusions and transfusion practices on long-term outcome following hepatopancreaticobiliary surgery. J Gastrointest Surg. 2015;19(5):887-96.
24. William J. Fawcett, Gabriele Baldini. Optimal Analgesia During Major Open and Laparoscopic Abdominal Surgery Anesthesiology Clin 33 (2015) 65–78.
25. Marc Beaussier. Chapter 151. Innervation of the Abdominal Wall and Viscera.
26. Arthur Atchabahian, Ruchir Gupta (Eds.) The Anesthesia Guide, McGraw-Hill Medical (https://accessanesthesiology.mhmedical.com/content.aspx?bookid=572§ionid=42543740, 16-08-2018 tarihinde)
27. https://esraworkshops.com/Documents/Kessler-Innsbruck%202018-abdominal%20wall%20blocks.pdf (16-08-2018 tarihinde)
28. http://erassociety.org/guidelines/list-of-guidelines/(16-08-2018 tarihinde)
29. Michael J. Scott, Timothy E. Miller, Pathophysiology of Major Surgery and the Role of Enhanced Recovery Pathways and the Anesthesiologist to Improve Outcomes. Anesthesiology Clin 33 (2015) 79–91.