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Thoracic epidural analgesia in a patient with multiple comorbidities for subxiphoid incisional hernia repair

ArticleAçık Erişim

Özet

Anesthetic preparation before non-cardiac surgery deserves particular attention in patients with cardiac disease as these are prone to develop hemodynamic instability and myocardial ischemia. Risk of complications is not only related to individual patient characteristics, but also to surgery related factors. In this report we present our experience regarding anesthetic management of a patient with multiple comorbidities including advanced chronic obstructive pulmonary disease, severely impaired left ventricular systolic function and occluded bypass grafts. We chose thoracic epidural analgesia for his sub-xiphoid incisional hernia repair. The operative and postoperative course was uneventful.

Anahtar Kelimeler

Heart failureHigh thoracic epidural anesthesiaMyocardial ischemiaSub-xiphoid incisional herniaacetylsalicylic acidbupivacainecarvedilolephedrinefentanylfurosemideivabradinemetoclopramidemidazolamramiprilranitidinespironolactoneadultArticlecase reportchronic obstructive lung diseasecoronary artery bypass graftcoronary artery occlusionelectrocardiogramepidural anesthesiafluid resuscitationgraft occlusionheart left ventricle hypertrophyheart right bundle branch blockheart ventricle extrasystolehernioplasty
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Tam Kayıt
AlanDeğerDil
dc.contributor.authorOnk, Didem
dc.contributor.authorEken, Huseyin
dc.contributor.authorAyazoglu, Tulin Akarsu
dc.contributor.authorKupeli, Ilke
dc.contributor.authorKucuksu, Zafer
dc.contributor.authorAlagol, Aysin
dc.date.accessioned2026-10-18T20:30:17.406467185Z
dc.date.available2026-10-18T20:30:17.406467185Z
dc.date.issued2015
dc.description.abstractAnesthetic preparation before non-cardiac surgery deserves particular attention in patients with cardiac disease as these are prone to develop hemodynamic instability and myocardial ischemia. Risk of complications is not only related to individual patient characteristics, but also to surgery related factors. In this report we present our experience regarding anesthetic management of a patient with multiple comorbidities including advanced chronic obstructive pulmonary disease, severely impaired left ventricular systolic function and occluded bypass grafts. We chose thoracic epidural analgesia for his sub-xiphoid incisional hernia repair. The operative and postoperative course was uneventful.
dc.identifier.endpage162
dc.identifier.issn1607-8322
dc.identifier.issue2
dc.identifier.scopus2-s2.0-84957067184
dc.identifier.startpage159
dc.identifier.urihttps://rdlopen.rawdatalibrary.net/r/ebyu/15449
dc.identifier.volume19
dc.language.isoen
dc.publisherFaculty of Anaesthesia, Pain and Intensive Care, AFMS
dc.relation.ispartofAnaesthesia, Pain and Intensive Care
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectHeart failure
dc.subjectHigh thoracic epidural anesthesia
dc.subjectMyocardial ischemia
dc.subjectSub-xiphoid incisional hernia
dc.subjectacetylsalicylic acid
dc.subjectbupivacaine
dc.subjectcarvedilol
dc.subjectephedrine
dc.subjectfentanyl
dc.subjectfurosemide
dc.subjectivabradine
dc.subjectmetoclopramide
dc.subjectmidazolam
dc.subjectramipril
dc.subjectranitidine
dc.subjectspironolactone
dc.subjectadult
dc.subjectArticle
dc.subjectcase report
dc.subjectchronic obstructive lung disease
dc.subjectcoronary artery bypass graft
dc.subjectcoronary artery occlusion
dc.subjectelectrocardiogram
dc.subjectepidural anesthesia
dc.subjectfluid resuscitation
dc.subjectgraft occlusion
dc.subjectheart left ventricle hypertrophy
dc.subjectheart right bundle branch block
dc.subjectheart ventricle extrasystole
dc.subjecthernioplasty
dc.titleThoracic epidural analgesia in a patient with multiple comorbidities for subxiphoid incisional hernia repair
dc.typeArticle
dspace.entity.typePublication
rdl.citation.scopus0
rdl.source.indexSCOPUS