Neuroaxial anesthesia in a patient with progressive systemic sclerosis: Case presentation and review of the literature on systemic sclerosis

被引：5
作者：
Erk G. [1 ]
Taşpinar V. [1 ]
Dönmez F. [1 ]
Örnek D. [1 ]
机构：
[1] Department of Anesthesiology and Reanimation, Ankara Numune Training and Research State Hospital, Ankara
来源：
BMC Anesthesiology | / 6卷 / 1期
关键词：
Interstitial Lung Disease; Scleroderma; Systemic Sclerosis; Regional Anesthesia; Motor Block;
D O I：
10.1186/1471-2253-6-11
中图分类号：
学科分类号：
摘要：
Background: Systemic sclerosis (SSc), a progressive disease characterized by excessive accumulation of connective tissue components. Although most patients have long survival, some of them progress rapidly to death. Pulmonary system involvement and pulmonary hypertension are the most frequent cause of death. When the patient with SSc is to be operated, the anesthetic procedure could be a serious problem. In this article, we report a combined spinal - epidural technique in a patient with progressive SSc and the anesthetic considerations that could be recommended for these patients. Case presentation: A 68-year-old woman who had a history of progressive systemic sclerosis, pulmonary fibrosis, kyphoscoliosis and decreased oral apertura underwent total hip arthroplasty. This operation was performed successfully under combined spinal epidural anesthesia. Conclusion: Systemic sclerosis is a complex disease that involves multiple organ systems. Every aspects of anesthetic care may be altered or hindered by the pathogenesis of disease. Although the choice of regional or general anesthesia is unclear, to choose combined spinal epidural anesthesia may be useful. © 2006 Erk et al; licensee BioMed Central Ltd.
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  • [1] Eisele J.H., Connective tissue diseases, Anesthesia & Uncommon Diseases, pp. 399-421, (1998)
  • [2] Simeon C.P., Armadans L., Fonollosa V., Vilardell M., Candell J., Tolosa C., Mearin F., Rodrigo M.J., Solans R., Lima J., Sampol G., Survival prognostic factors and markers of morbidity in Spanish patients with systemic sclerosis, Ann Rheum Dis, pp. 723-728, (1997)
  • [3] Launay D., Hachulla E., Cardiac and pulmonary involvement in scleroderma, Rev Prat., 52, 8, pp. 1901-1907, (2002)
  • [4] Roberts J.G., Sabar R., Gianoli J.A., Kaye A.D., Progressive systemic sclerosis: Clinical manifestations and anesthetic considerations, J Clin Anesth, 14, pp. 473-477, (2002)
  • [5] Roberts J., Kaye A.D., Sabar R., Frost E., Progressive systemic sclerosis - Clinical manifestations and anesthetic considerations, MEJ Anesth, 16, 5, pp. 493-498, (2002)
  • [6] Younker D., Harrison B., Scleroderma and pregnancy, Br J Anaesth, 57, pp. 1136-1139, (1985)
  • [7] D'Angelo R., Miller R., Pregnancy complicated by severe preeclampsia and thrombocytopenia in a patient with scleroderma, Anesth Analg, 85, pp. 839-841, (1997)
  • [8] Bailey A.R., Wolmarans M., Rhodes S., Spinal anaesthesia for caesarean section in a patient with systemic sclerosis, Anaesthesia, 54, 4, pp. 355-358, (1999)
  • [9] Tsui B.C., Wagner A., Finucane B., Regional anaesthesia in the elderly: A clinical guide, Drugs Aging, 21, 14, pp. 895-910, (2004)
  • [10] Peacock J.E., Cruickshank R.H., Anaesthesia and Rare Disease, pp. 792-804, (1989)
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