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  • Küçük Resim Yok
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    Emergency thoracic epidural anesthesia with ropivacaine for a cachectic geriatric patient with ileus
    (2006) Kocaman Akbay, Buket; Hayit, Feray; Ozaydin, Ismet; Zengin, Ahmet; Demirarani, Yavuz
    Objective: 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.
  • Küçük Resim
    Öğe
    Emergency thoracic epidural anesthesia wıth ropivacaine for a cachectic geriatric patient with ileus
    (2006) Akbay, Buket Kocaman; Hayıt, Feray; Özaydın, İsmet; Zengin, Ahmet; Demiraran, Yavuz
    Objective: 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.
  • Küçük Resim Yok
    Öğe
    İnflammatory fibrosarcoma: A rare tumor involving retroperitoneum, ileum and colon
    (2007) Yaşar, Mehmet; Aslaner, Arif; Zengin, Ahmet; Turgut, Taner
    Inflamatuar fibrosarkom benignden lokal olarak agresif ve nadiren de malign değişikliliklere kadar uzanan biyolojik davranışlar gösteren nadir bir tümördür. Genellikle mezenter ve retroperitoneal yapılarda görülmesine ragmen nadiren içi boşluklu organlan da tutarve sıklıkla çocuk ve genç erişkinleri etkiler. Sunulan çalışmada subakut ince barsak tıkanıklığına neden olan nadir bir yerleşim yeri olarak retroperiton, ileum ve inen kolonu tutan; atipik yaş grubu içerisindeki inflamatuar fibrosarkom olgusunu takdim ettik. Biz aynca bu olgumuzun cerrahi yönetimini ve ayırıcı tanısını güncel literatür eşliğinde tartıştık