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The use of an ultrasound-guided supraclavicular brachial plexus block in a high risk patient with cardiomyopathy

BARBARA PALKOVIĆ ; General Hospital Vinkovci, Department of Anesthesiology, Reanimatology and Intensive Care, Zvonarska 57, 32100 Vinkovci, Croatia
IVANA HARŠANJI DRENJANČEVIĆ ; Osijek University Hospital, Faculty of Medicine, University of Osijek, Department of Anesthesiology, Reanimatology and Intensive Care, Josipa Huttlera 4, 31000 Osijek, Croatia
DUBRAVKA IVIĆ ; Osijek University Hospital, Faculty of Medicine, University of Osijek, Department of Anesthesiology, Reanimatology and Intensive Care, Josipa Huttlera 4, 31000 Osijek, Croatia
SLAVICA KVOLIK ; Osijek University Hospital, Faculty of Medicine, University of Osijek, Department of Anesthesiology, Reanimatology and Intensive Care, Josipa Huttlera 4, 31000 Osijek, Croatia

Puni tekst: engleski, pdf (1 MB) str. 311-314 preuzimanja: 208* citiraj
APA 6th Edition
PALKOVIĆ, B., HARŠANJI DRENJANČEVIĆ, I., IVIĆ, D. i KVOLIK, S. (2015). The use of an ultrasound-guided supraclavicular brachial plexus block in a high risk patient with cardiomyopathy. Periodicum biologorum, 117 (2), 311-314. Preuzeto s https://hrcak.srce.hr/143073
MLA 8th Edition
PALKOVIĆ, BARBARA, et al. "The use of an ultrasound-guided supraclavicular brachial plexus block in a high risk patient with cardiomyopathy." Periodicum biologorum, vol. 117, br. 2, 2015, str. 311-314. https://hrcak.srce.hr/143073. Citirano 26.02.2020.
Chicago 17th Edition
PALKOVIĆ, BARBARA, IVANA HARŠANJI DRENJANČEVIĆ, DUBRAVKA IVIĆ i SLAVICA KVOLIK. "The use of an ultrasound-guided supraclavicular brachial plexus block in a high risk patient with cardiomyopathy." Periodicum biologorum 117, br. 2 (2015): 311-314. https://hrcak.srce.hr/143073
Harvard
PALKOVIĆ, B., et al. (2015). 'The use of an ultrasound-guided supraclavicular brachial plexus block in a high risk patient with cardiomyopathy', Periodicum biologorum, 117(2), str. 311-314. Preuzeto s: https://hrcak.srce.hr/143073 (Datum pristupa: 26.02.2020.)
Vancouver
PALKOVIĆ B, HARŠANJI DRENJANČEVIĆ I, IVIĆ D, KVOLIK S. The use of an ultrasound-guided supraclavicular brachial plexus block in a high risk patient with cardiomyopathy. Periodicum biologorum [Internet]. 2015 [pristupljeno 26.02.2020.];117(2):311-314. Dostupno na: https://hrcak.srce.hr/143073
IEEE
B. PALKOVIĆ, I. HARŠANJI DRENJANČEVIĆ, D. IVIĆ i S. KVOLIK, "The use of an ultrasound-guided supraclavicular brachial plexus block in a high risk patient with cardiomyopathy", Periodicum biologorum, vol.117, br. 2, str. 311-314, 2015. [Online]. Dostupno na: https://hrcak.srce.hr/143073. [Citirano: 26.02.2020.]

Sažetak
With the rapid growth of the elderly population, along with increased
comorbidities and greater life expectancy, geriatric surgery has become more frequent and requires careful tailoring of anesthesia technique. Preanesthetic evaluation should concentrate on the identification of age-related diseases and an estimation of physiological reserve. Age-related cardiovascular changes are leading factors impacting perioperative outcomes among elderly patients. The management of a patient with dilated cardiomyopathy, who undergoes a non-cardiac surgery is always a challenge for an anesthesiologist,
as this situation is associated with a high mortality rate.

We report a use of the ultrasound guided supraclavicular brachial plexus
block in 87-year old woman for revision of wound of left wrist and reposition and immobilization of left forearm and elbow. Her previous medical records revealed that she arterial hypertension, chronic atrial fibrillation with dilated cardiomyopathy and chronic kidney disease, stage II. Postoperatively, she developed respiratory insufficiency.

This case report exemplifies how despite all the measures and precaution
we had taken, with choosing anesthesia having only minimal hemodynamic
fluctuations and carefully planned and balanced hydration of patient we
still had unwanted outcome.

Hrčak ID: 143073

URI
https://hrcak.srce.hr/143073

Posjeta: 340 *