Düzeltilmemiş Büyük Arter Transpozisyonu ve Pulmoner Hipertansiyonu olan Gebenin Sezaryenle Doğumunda Anestezi Yönetimi

Öz

Düzeltilmemiş Büyük Arter Transpozisyonu ve Pulmoner Hipertansiyonu olan Gebenin Sezaryenle Doğumunda Anestezi Yönetimi Bu olgu sunumunda konjenital büyük arter transpozisyonu ve pulmoner hipertansiyonu olan gebenin sezaryenle doğumunda perinatoloji, kardiyoloji ve anestezi ekibinin multidisipliner yönetimini sunmayı amaçladık. ASA IV 36 haftalık düzeltilmemiş büyük arter transpoziyonu ve PH tanısı olan gebenin sezaryenle doğumu için kombine spinal epidural blok tekniğini ve uterotonik olarak sentetik oksitosin analoğu karbetosini tercih ederek anne ve bebek için sorunsuz başarılı bir per- ve postoperatif yönetim gerçekleştirdik.

Anahtar Kelimeler

• Anahtar Kelimeler: Sezaryen doğum
• Kombine spinal epidural anestezi
• büyük arter transpozisyonu
• pulmoner hipertansiyon

Management of Anesthesia During Cesarean Delivery of a Pregnant Woman with Uncorrected Transposition of the Great Arteries and Pulmonary Hypertension

Öz

In this case report, we aimed to present the multidisciplinary management of the perinatology, cardiology and anesthesia team during the cesarean delivery of a pregnant woman with congenital great artery transposition and pulmonary hypertension (PH). We achieved a smooth and successful per- and postoperative management for the mother and the baby by choosing the combined spinal epidural block technique and the synthetic oxytocin analogue carbetocin as an uterotonic for the cesarean delivery of an ASA IV 36-week pregnant woman diagnosed with uncorrected great artery transposition and PH.

Anahtar Kelimeler

• Key words: Caesaren delivery
• combined spinal epidural anaesthesia
• transposition of great arteries
• pulmonary hypertension

Kaynakça

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