GKD Anest Yoð Bak Dern Derg. 2015; 21(4): 168-173 | DOI: 10.5222/GKDAD.2015.168

Pediyatrik konjenital kalp cerrahisinde anestezi deneyimlerimiz: Ýlk sonuçlar

Nureddin Yüzkat¹, Muhammed Bilal Çeðin¹, Vural Polat², Lokman Soyoral¹, Uður Göktaþ¹, Alper Sami Kunt^2
1Yüzüncü Yýl Üniversitesi, Týp Fakültesi, Dursun Odabaþ Týp Merkezi, Anesteziyoloji Ve Reanimasyon Ana Bilim Dalý, Van
²Yüzüncü Yýl Üniversitesi, Týp Fakültesi, Dursun Odabaþ Týp Merkezi, Kapl Damar Cerrahisi Ana Bilim Dalý, Van

GÝRÝÞ ve AMAÇ: Konjenital kalp hastalýðý nedeniyle açýk kalp cerrahisi geçiren pediyatrik vakalarý incelemek
YÖNTEM ve GEREÇLER: Kasým 2013 ile Mart 2015 tarihleri arasýnda konjenital kalp cerrahisi geçiren pediyatrik vakalar retrospektif olarak incelendi
BULGULAR: Olgularýn 17’i erkek, 23’i kýz idi. Bu olgularýn %52,5’i yenidoðan idi. Tüm olgularýn %50’sinde cerrahi iþlem kardiyopulmoner bypass eþliðinde yapýldý. CPB eþliðinde cerrahi uygulanan olgularýn %75’ine kan kardiyoplejisi, %25’ine histidine-tryptophan-ketoglutarate solution kullanýldý.
TARTIÞMA ve SONUÇ: Pediyatrik kalp cerrahisine yeni baþlayan bir merkezde anestezik açýdan karþýlaþýlan problemler; deneyimli tekniker, yeterli medikal ve týbbi malzeme ve kateterizasyon iþlemleri karþýlaþýlabilen zorluklar olmuþtur.

Anahtar Kelimeler: Pediyatrik kalp cerrahisi, anestezi yönetimi, konjenital kalp hastalýðý

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Our anesthesia experiences in pediatric congenital heart surgery: Preliminary results

Nureddin Yüzkat¹, Muhammed Bilal Çeðin¹, Vural Polat², Lokman Soyoral¹, Uður Göktaþ¹, Alper Sami Kunt^2
1Departmen Of Anesthesiology, Yuzuncu Yil University, Dursun Odabaþ Medical Center, Van
²Departmen Of Cardiovascular Surgery, Yuzuncu Yil University, Dursun Odabaþ Medical Center, Van

INTRODUCTION: To investigate pediatric cases undergoing open heart surgery due to congenital heart disease.
METHODS: Pediatric cases undergoing congenital open heart surgery between November 2013 and March 2015 were retrospectively reviewed.
RESULTS: 17 of the cases were male and 23 of them were female. 52.5% of these cases were newborns. Surgery process was performed with cardiopulmonary bypass in %50 of all cases. %75 of the cases operated with CBP were applied with blood cardioplegia while %25 of them were applied with the histidine-tryptophan-ketoglutarate solution.
DISCUSSION AND CONCLUSION: Anesthetic problems encountered in a new pediatric cardiac surgery centers were: lack of experienced technicians, medical supplies, and catheterization procedure problems.

Keywords: Pediatric heart surgery, anesthesia management, congenital heart disease

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