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Multple skleroz’lu gebe bir hastada anestezi yönetimi ve sugammadeks kullanımı
2019
Journal:  
Şişli Etfal Hastanesi Tıp Bülteni
Author:  
Abstract:

Amaç: Olgumuzda Multiple Skleroz (MS)’lu gebe hastada anestezi yönetimini tartışmayı ve sugammadeks uygulamasının etkileri sunmayı amaçladık. Olgu: 36 yaşındaki gebe hasta 6 yıldır ms hastalığı ile takip edilmekte idi. Steroid tedavisi almakta idi. Hasta gebelik boyunca atağı geçirmemişti. Hastaya rutin monitörizasyon uygulana ek olarak 'train of four (TOF)' monitörizasyonu kullanıldı. propofol ve roküronyum kullanarak genel anestezi verildi. Operasyon sonunda TOF değeri düşük olan hastaya sugammadeks kullanılarak kas gevşemesi geri döndürüldü. Hasta postoperatif 3.gün taburcu edildi. Sonuç: MS hastalarında, en güvenilir yöntem tercih edilmelidir. Genel anestezi uygulanan hastalarda kas gevşetici etkisi uzayabilmektedir ve sugammadeks güvenle kullanılabilmektedir.

Keywords:

Management of anesthesia in a pregnant patient with Multple sclerosis and use of sugammadeks
2019
Author:  
Abstract:

Purpose: In our case, we aimed to discuss the management of anesthesia in pregnant patients with multiple sclerosis (MS) and to present the effects of the application of sugammadeks. The 36-year-old pregnant patient was traced with MS disease for 6 years. He was taking steroid treatment. The patient did not suffer during the pregnancy. In addition to the patient's routine monitoring, the 'train of four' monitoring (TOF) was used. General anesthesia was given using propofol and rocuronyum. At the end of the operation, the patient with a low TOF value was recovered to the muscle relaxation using sugammadeks. The patient was dismissed on the 3rd day of the postoperation. The result: in MS patients, the most reliable method should be preferred. In patients with general anesthesia, the muscle relaxing effect can be extended and sugammadeks can be used safely.

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Şişli Etfal Hastanesi Tıp Bülteni

Field :   Sağlık Bilimleri

Journal Type :   Ulusal

Metrics
Article : 901
Cite : 1.227
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Şişli Etfal Hastanesi Tıp Bülteni