GKD Anest Yoð Bak Dern Derg. 2014; 20(3): 167-171 | DOI: 10.5222/GKDAD.2014.167

Mitral Kapak Replasmaný Yapýlan Parkinsonlu Hastada Anestezi Yönetimi-Enteral L-Dopa Uygulamasý

Mehmet Burak Eþkin, Mehmet Emin Ýnce, Gökhan Özkan, Vedat Yýldýrým, Ercan Kurt
Gülhane Askeri Týp Akademisi, Anesteziyoloji Ve Reanimasyon Anabilim Dalý, Ankara

Parkinson hastalýðý, yaþlýlarda yaygýn görülen nörodejeneratif bir bozukluktur. Parkinson hastalarý sýk ameliyat olmasýna raðmen bu hastalarýnýn optimal anestezi yönetimini saðlayacak olgu sunumu sayýsý azdýr. Ameliyat öncesi kullanýlan anti-parkinson ilaçlara ara verilmesi sonucu ve kullanýlan anestezik ajanlarýn etkilerine baðlý olarak çoðu zaman hastalýk þiddeti, morbidite ve mortalite artmaktadýr. Bu yazýmýzda, 10 yýldýr Parkinson tedavisi gören 79 yaþýndaki hastamýza mitral kapak replasmaný ameliyatýnda uyguladýðýmýz anestezi yönetimimizi sunmayý amaçladýk. Perioperatif süre boyunca anti-parkinson ilaçlar enteral yolla verildi. Mevcut literatürler gözden geçirilerek uygun anestezi yönetimi saðlandý, postoperatif yedinci gün hasta sorunsuz þekilde taburcu edildi.

Anahtar Kelimeler: Parkinson Hastalýðý, Mitral Kapak Yetmezliði, Anestezi genel, L-dopa.

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Anasthetic Management Of Patient With Parkinson’s Disease Undergoing Mitral Valve Replacement Surgery - Enteral L-Dopa Administration: A Case Report

Mehmet Burak Eþkin, Mehmet Emin Ýnce, Gökhan Özkan, Vedat Yýldýrým, Ercan Kurt
Gulhane Military Medical Academy, Deparment Of Anesthesiology And Reanimation, Ankara, Turkey

Parkinson disease is a neurodegenerative disorder common in the elderly. Although these patients have been operated several times, few case reports are available regarding optimal anesthetic management of patients with Parkinson's disease. Discontinuation of anti-parkinsonian drugs used before surgery and effects of using anesthetic agents often increase severity of disease, morbidity and mortality. We aimed to present the anesthetic management of mitral valve replacement surgery for 79-year-old patient with Parkinson disease who has been medicated for 10 years. Anti-parkinson drugs were given enterally during the perioperative period. The current literatures were reviewed and appropriate anesthesia management was achieved, the patient was discharged on the seventh postoperative day without any problem.

Keywords: Parkinson disease, Mitral valve insufficiency, Anasthesia general, L-dopa.

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