ANESTHETIC MANAGEMENT OF TWO GERIATRIC PATIENTS UNDERGOING ORTHOPEDIC SURGERY: CASE REPORT

Canan Atalay; Ayşenur Sümer Coşkun; İlker İnce; Elif Oral; Orhan Karsan; Hüsnü Kürşad

doi:10.17343/sdutfd.80616

ANESTHETIC MANAGEMENT OF TWO GERIATRIC PATIENTS UNDERGOING ORTHOPEDIC SURGERY: CASE REPORT

Öz

Geriatric patients are at increased risk of mortality and morbidity from anesthesia. Aortic stenosis, this risk increases even more. This case report presents two cases where low-dose spinal anesthesia was used through combined spinal epidural and continuous spinal anesthesia techniques for the lower extremity surgery of elderly patients with severe aortic stenosis. In high-risk cardiac surgery in elderly patients, lower extremity regional anesthesia has been preferred to general anesthesia to maintain hemodynamic stability. Two elderly patients with severe aortic stenosis were operated for hip fracture. Both cases used combined spinal epidural and continuous spinal anesthesia. Vital signs remained stable in both cases.

Anahtar Kelimeler

kombine spinal-epidural anestezi, kontinü spinal anestezi, þiddetli aort darlýðý, geriatrikhasta

Kaynakça

) Denny NM, Selander DE. Continuous spinal anaesthesia. Br J Anaesth 1998;81(4):590-7. (PMID: 9924237)
) Vahanian A, Baumgartner H, Bax J, Butchart E, Dion R, Filippatos G, et al. The Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology (ESC). Guidelines on the management of valvular heart disease (version 2007) European Heart Journal 2007; 28:23068.
) Minville V, Fourcade O, Grousset D, Chassery C, Nguyen L, Asehnoune K, et al. Spinal anesthesia using single injection on small-dose bupivacaine versus continuous catheter injection techniques for surgical repair of hip fracture in elderly patients. Anesth Analg 2006;102:1559-63.
) Donadoni R, Baele G, Devulder J, Rolly G. Coagulation and fibrinolytic parameters in patients under going total hip replacement: Influence of anaesthesia technique. Acta Anaesthesiol Scand 1989 Oct ; 33(7):588-92 (PMID:2683546)
) Collard CD, Eappen S, Lynch EP, Concepcion M. Continuous spinal anesthesia with invasive hemodynamic monitoring for surgical repair of the hip in two patients with severe aortic stenosis. Anesth Analg 1995;81(1):195-8. (PMID: 7598258)
) Parker MJ, Handoll HH, Griffiths R. Anaesthesia for hip fracture surgery in adults. Cochrane Database Syst Rev 2004;18:CD000521 (PMID: 15494999)
) Borghi B, Wulf H. Advantages of unilateral spinal anaesthesia. Anasthesiol Intensivmed Notfallmed Schmerzther 2010;45:182-7. (PMID:20232275)
) Favarel-Garrigues JF, Sztark F, Petitjean ME, Thicoipe M, Lassie P, Dabadie P. Hemodynamic effects of spinal anesthesia in the elderly: single dose versus titration through a catheter. Anesth Analg 1996;82(2):312-6. (PMID: 8561333)

Ayrıntılar

Birincil Dil

İngilizce

Konular

-

Bölüm

-

Yazarlar

Canan Atalay Bu kişi benim

Ayşenur Sümer Coşkun

İlker İnce Bu kişi benim

Elif Oral Bu kişi benim

Orhan Karsan Bu kişi benim

Hüsnü Kürşad Bu kişi benim

Yayımlanma Tarihi

30 Eylül 2012

Gönderilme Tarihi

2 Kasım 2011

Kabul Tarihi

-

Yayımlandığı Sayı

Yıl 2012 Cilt: 19 Sayı: 3

DOI

https://doi.org/10.17343/sdutfd.80616

IZ

https://izlik.org/JA57PL23NS

Kaynak Göster

RIS / Bibtex

APA

Atalay, C., Sümer Coşkun, A., İnce, İ., Oral, E., Karsan, O., & Kürşad, H. (2012). ANESTHETIC MANAGEMENT OF TWO GERIATRIC PATIENTS UNDERGOING ORTHOPEDIC SURGERY: CASE REPORT. Medical Journal of Süleyman Demirel University, 19(3), 103-106. https://doi.org/10.17343/sdutfd.80616

AMA

1.Atalay C, Sümer Coşkun A, İnce İ, Oral E, Karsan O, Kürşad H. ANESTHETIC MANAGEMENT OF TWO GERIATRIC PATIENTS UNDERGOING ORTHOPEDIC SURGERY: CASE REPORT. SDÜ Tıp Fak Derg. 2012;19(3):103-106. doi:10.17343/sdutfd.80616

Chicago

Atalay, Canan, Ayşenur Sümer Coşkun, İlker İnce, Elif Oral, Orhan Karsan, ve Hüsnü Kürşad. 2012. “ANESTHETIC MANAGEMENT OF TWO GERIATRIC PATIENTS UNDERGOING ORTHOPEDIC SURGERY: CASE REPORT”. Medical Journal of Süleyman Demirel University 19 (3): 103-6. https://doi.org/10.17343/sdutfd.80616.

EndNote

Atalay C, Sümer Coşkun A, İnce İ, Oral E, Karsan O, Kürşad H (01 Eylül 2012) ANESTHETIC MANAGEMENT OF TWO GERIATRIC PATIENTS UNDERGOING ORTHOPEDIC SURGERY: CASE REPORT. Medical Journal of Süleyman Demirel University 19 3 103–106.

IEEE

[1]C. Atalay, A. Sümer Coşkun, İ. İnce, E. Oral, O. Karsan, ve H. Kürşad, “ANESTHETIC MANAGEMENT OF TWO GERIATRIC PATIENTS UNDERGOING ORTHOPEDIC SURGERY: CASE REPORT”, SDÜ Tıp Fak Derg, c. 19, sy 3, ss. 103–106, Eyl. 2012, doi: 10.17343/sdutfd.80616.

ISNAD

Atalay, Canan - Sümer Coşkun, Ayşenur - İnce, İlker - Oral, Elif - Karsan, Orhan - Kürşad, Hüsnü. “ANESTHETIC MANAGEMENT OF TWO GERIATRIC PATIENTS UNDERGOING ORTHOPEDIC SURGERY: CASE REPORT”. Medical Journal of Süleyman Demirel University 19/3 (01 Eylül 2012): 103-106. https://doi.org/10.17343/sdutfd.80616.

JAMA

1.Atalay C, Sümer Coşkun A, İnce İ, Oral E, Karsan O, Kürşad H. ANESTHETIC MANAGEMENT OF TWO GERIATRIC PATIENTS UNDERGOING ORTHOPEDIC SURGERY: CASE REPORT. SDÜ Tıp Fak Derg. 2012;19:103–106.

MLA

Atalay, Canan, vd. “ANESTHETIC MANAGEMENT OF TWO GERIATRIC PATIENTS UNDERGOING ORTHOPEDIC SURGERY: CASE REPORT”. Medical Journal of Süleyman Demirel University, c. 19, sy 3, Eylül 2012, ss. 103-6, doi:10.17343/sdutfd.80616.

Vancouver

1.Canan Atalay, Ayşenur Sümer Coşkun, İlker İnce, Elif Oral, Orhan Karsan, Hüsnü Kürşad. ANESTHETIC MANAGEMENT OF TWO GERIATRIC PATIENTS UNDERGOING ORTHOPEDIC SURGERY: CASE REPORT. SDÜ Tıp Fak Derg. 01 Eylül 2012;19(3):103-6. doi:10.17343/sdutfd.80616