VENTRİKULER TAŞİKARDİSİ OLAN GEBENİN ANESTEZİ YÖNETİMİ

Öz

Gebelikte ventriküler taşikardi (VT), maternal ve fetal morbiditeye veya mortaliteye neden olabilecek bir patolojidir(1). Çoğu gebede yapısal kardiyak bir patoloji tespit edilememektedir(2). Bu olguda gebelikte ortaya çıkan ventriküler taşikardinin anestezi yönetimi sunulmaktadır.

Anahtar Kelimeler

• anestezi
• gebe
• lidokain
• sezeryan
• ventriküler taşikardi

ANESTHESIA MANAGEMENT OF PREGNANCY WITH VENTRICULAR TACHICARDIA

Öz

Ventricular tachycardia (VT) in pregnancy is a pathology that can cause maternal and fetal morbidity or mortality(1). Cardiac pathology cannot be detected in most pregnant women(2). In this case, anesthesia management of ventricular tachycardia occurring during pregnancy is presented.

Anahtar Kelimeler

• cardiac transplantation
• resuscitation
• therapeutic hypothermia

Kaynakça

1. Schenkelaars N, Kauling RM, Ramlakhan KP, Yap S-C, Cornette JM, Roos-Hesselink JW. Ventricular tachycardia and pregnancy. International Journal of Cardiology Congenital Heart Disease 2021;5:100284.
2. Speranza G, Verlato G, Albiero A. Autonomic changes during pregnancy: assessment by spectral heart rate variability analysis. Journal of Electrocardiology 1998;31:101-109.
3. De Haas S, Ghossein‐Doha C, Van Kuijk S, Van Drongelen J, Spaanderman M. Physiological adaptation of maternal plasma volume during pregnancy: a systematic review and meta‐analysis. Ultrasound in Obstetrics & Gynecology 2017;49:177-187.
4. Deniz Y, Okyay D, Hancı V, Yurtlu S, Ayoğlu H, Turan IÖ. Efecto de la Levobupivacaína y la Bupivacaína en las Dispersiones de la Onda P, QT y QT Corregido (QTc) en Cesárea. Brazilian Journal of Anesthesiology (Edicion en Espanol) 2013;63:202-208.
5. Bartalena L, Bogazzi F, Braverman L, Martino E. Effects of amiodarone administration during pregnancy on neonatal thyroid function and subsequent neurodevelopment. Journal of endocrinological investigation 2001;24:116-130.