Emergency thoracic epidural anesthesia with ropivacaine for a cachectic geriatric patient with ileus

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dc.contributor.authorAkbay, Buket Kocaman
dc.contributor.authorHayıt, Feray
dc.contributor.authorÖzaydın, İsmet
dc.contributor.authorZengin, Ahmet
dc.contributor.authorDemiraran, Yavuz
dc.date.accessioned2020-04-30T13:32:24Z
dc.date.available2020-04-30T13:32:24Z
dc.date.issued2006
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractObjective: Operations associated with increased risk of perioperative mortality and morbidity lead to consider regional anesthesia techniques for elderly patients. Epidural analgesia is used widely combined with general anesthesia. In this case, it is discussed whether solely thoracic epidural technique with ropivacaine provide appropriate anesthesia or not in emergency situations for elderly patients. Case Report: A 73-year-old cachectic male diagnosed with ileus was scheduled for an emergency laparotomy. He had congestive heart failure with hypertension, tachycardia and tachypnea with jugular venous distension. Thoracic epidural anesthesia were performed with ropivacaine 75 mg. Total colectomy and ileorectal anastomosis were performed. The patient discharged uneventful postoperatively. Conclusion: Epidural anesthesia with ropivacaine was provided fast and effective anesthesia without sedation in the elderly patient with ileus. This technique should be used safely especially with it's advantages for cardiovascular and pulmonary compromised elderly patients.en_US
dc.identifier.endpage96en_US
dc.identifier.issn1304-2947
dc.identifier.issue2en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage94en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12684/278
dc.identifier.volume9en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.relation.ispartofTurk Geriatri Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectElderly; Emergency; Epidural anesthesia; Ileus; Ropivacaineen_US
dc.titleEmergency thoracic epidural anesthesia with ropivacaine for a cachectic geriatric patient with ileusen_US
dc.typeArticleen_US

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