- Tıp Fakültesi Klinikleri Dergisi
- Volume:2 Issue:4
- Successful Use of Low Dose Combined Spinal-Epidural Anesthesia During Cesarean Section in Eisenmenge...
Successful Use of Low Dose Combined Spinal-Epidural Anesthesia During Cesarean Section in Eisenmenger Syndrome
Authors : Güray DEMİR, Murat ASLAN, Selahattin TUREN, İpek BOSTANCI, Dilek ALTUN, Bedih BALKAN
Pages : 157-161
View : 45 | Download : 23
Publication Date : 2019-12-31
Article Type : Other Papers
Abstract :Cardiac diseases are among the most important causes of mortality and morbidity during pregnancy. It is recommended that those with pulmonary hypertension insert ignore into journalissuearticles values(PH);, cyanotic heart diseases, severe mitral stenosis insert ignore into journalissuearticles values(MS);, aortic stenosis insert ignore into journalissuearticles values(AS); and patients with functional class 3-4 according to the New York Heart Association insert ignore into journalissuearticles values(NYHA); not become pregnant. In these situations, a multidisciplinary approach including cardiologist, gynecologist, anesthesiologist and neonatologists is necessary. Cesarean section insert ignore into journalissuearticles values(CS); in pregnant cases with Eisenmenger syndrome represents a high risk for anesthesia. General anesthesia, spinal anesthesia, epidural anesthesia and combined spinalepidural anesthesia insert ignore into journalissuearticles values(CSEA); techniques may be used for CS of pregnant cases with severe cardiac diseases. There is no proven superiority for any of these techniques. We wished to share our experience of CSEA administered successfully to two highrisk pregnant cases during cesarean sectionsKeywords : Combined spinal epidural anesthesia, Cesarean section, Eisenmenger syndrome
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