SERVİKAL EPİDURAL NÖROPLASTİ SIRASINDA KARDİYAK ARREST GELİŞEN HASTADA RESÜSİTASYON SIRASINDA İV LİPİD EMÜLSİYON KULLANIMI

Year 2022, Volume: 1 Issue: 1, 66 - 71, 16.03.2022

Aslı Karslı Koç Hatice Evren Eker , Çağla Etike Bali , Anış Arıboğan Şule Akın

Abstract

'Servikal epidural nöroplasti' servikal diskopati tedavisinde olduğu gibi akciğer kanserinin apeks tutulumlarında özellikle dermatomal ekstremite yayılımlarının tedavisinde uygulanabilen bir tedavi yöntemidir. Servikal lokal anestezik uygulamalarında da lokal anesteziklere ait olumsuz bir yan etki olan sistemik toksik reaksiyon ve kardiyopulmoner arrest gelişebilir. Burada, hızlı müdahalenin, etiyolojik nedenlerin göz önünde bulundurulmasının ve kardiyopulmoner resüsitasyon devam ederken lipid solüsyonunun uygulanmasının başarılı sonuçlar açısından önemini vurgulayan bir olgu sunulmaktadır.

Keywords

Servikal epidural nöroplasti, Lokal anestezik, Kardiyopulmoner resüsitasyon, Lipid emülsiyonu

USE OF IV LIPID EMULSION FOR THE RESUSCITATION OF A PATIENT WHO DEVELOPS CARDIAC ARREST DURING CERVICAL EPIDURAL NEUROPLASTIA

Abstract

Cervical epidural neuroplasty is a treatment method that can be applied in the treatment of apex involvement of lung cancer, especially in the treatment of dermatomal extremity spread, as well as the treatment of cervical discopathy. Systemic toxic reaction and cardiopulmonary arrest, which is an adverse effect of local anaesthetics, may also develop in cervical local anaesthetic applications. Here, we present a case emphasizing the importance of rapid intervention, consideration of etiologic causes, and administration of lipid solution during cardiopulmonary resuscitation for successful outcomes.

Keywords

Cervical epidural neuroplasty, Local anesthetic, Cardiopulmonary resuscitation, Lipid emulsion

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