Anesthesia management in a patient with scleroderma during coronary artery bypass grafting; [Sklerodermali hastada koroner arter cerrahisi sirasinda anestezi yönetimi]
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Date
2007
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Abstract
Systemic sclerosis is an autoimmune connective tissue disease, characterized by microvascular occlusive disease with vasospasm, intimal proliferation, cutaneous and parenchymal fibrosis. Anesthesiologists managing patients intraoperatively must be knowledgeable about the pathogenesis, clinical manifestations, system involvement, and anesthetic considerations for the progressive systemic sclerosis surgical patient. The anesthesiologist should understand these complex pathophysiological processes so as to minimize potential risks. We report a 69 year old female patient with systemic sclerosis operated for coronary artery disease.
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alfentanil , etomidate , midazolam maleate , rocuronium , sevoflurane , aged , anesthesia induction , angiocardiography , article , case report , clinical feature , coronary artery bypass graft , coronary artery disease , female , human , laboratory test , preoperative evaluation , scleroderma , surgical patient , systemic sclerosis