Hemodynamic repercussions of exaggerated lithotomy position for vaginal hysterectomy in cardiac patient. Case report
Autor(a) principal: | |
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Data de Publicação: | 2006 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://hdl.handle.net/11449/224733 |
Resumo: | BACKGROUND AND OBJECTIVES: Vaginal hysterectomy shortens surgery duration and may be performed with neuraxial block, which promotes better postoperative analgesia and lower systemic response to surgical procedure. This report aimed at describing hemodynamic changes promoted by exaggerated lithotomy position in cardiac patient. CASE REPORT: Female patient, 33 years old, with history of abnormal uterine bleeding and anemia. Ultrasound revealed myomas of approximately 420 cm3. Patient had thrombophilia and dilated cardiomyopathy, with history of two ischemic strokes and two acute myocardial infarction. Monitoring consisted of invasive blood pressure and pulmonary artery catheter for continuous cardiac output measurement. Spinal anesthesia was performed with hyperbaric bupivacaine and morphine. Patient was placed in exaggerated lithotomy position being total hysterectomy performed by the Heaney technique and b i l a t e r a l salpingectomy. Intraoperative intercurrences were post-positioning decreased cardiac output and increased right chambers pressure requiring dobutamine. CONCLUSIONS: Exaggerated lithotomy positionmay promote hemodynamic changes which should be considered when choosing the surgical technique. © Sociedade Brasileira de Anestesiologia, 2006. |
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Hemodynamic repercussions of exaggerated lithotomy position for vaginal hysterectomy in cardiac patient. Case reportRepercussões hemodinâmicas do posicionamento em litotomia exagerada para histerectomia vaginal em paciente cardiopata. Relato de casoAnesthetic techniques, Regional: spinal blockDiseases, CardiacPosition: exaggerated lithotomySurgery, Gynecological, vaginal hysterectomyBACKGROUND AND OBJECTIVES: Vaginal hysterectomy shortens surgery duration and may be performed with neuraxial block, which promotes better postoperative analgesia and lower systemic response to surgical procedure. This report aimed at describing hemodynamic changes promoted by exaggerated lithotomy position in cardiac patient. CASE REPORT: Female patient, 33 years old, with history of abnormal uterine bleeding and anemia. Ultrasound revealed myomas of approximately 420 cm3. Patient had thrombophilia and dilated cardiomyopathy, with history of two ischemic strokes and two acute myocardial infarction. Monitoring consisted of invasive blood pressure and pulmonary artery catheter for continuous cardiac output measurement. Spinal anesthesia was performed with hyperbaric bupivacaine and morphine. Patient was placed in exaggerated lithotomy position being total hysterectomy performed by the Heaney technique and b i l a t e r a l salpingectomy. Intraoperative intercurrences were post-positioning decreased cardiac output and increased right chambers pressure requiring dobutamine. CONCLUSIONS: Exaggerated lithotomy positionmay promote hemodynamic changes which should be considered when choosing the surgical technique. © Sociedade Brasileira de Anestesiologia, 2006.Anestesiologista do HC/UFMG Hospital LifecenterDoutor em Ginecologia Pela UNESPME3 do CET Hospital Das Clínicas UFMGFaculdade de Medicina UFMGDoutor em Ginecologia Pela UNESPUniversidade Federal de Minas Gerais (UFMG)Universidade Estadual Paulista (UNESP)Bessa Jr., Roberto CardosoSilva Filho, Agnaldo L. [UNESP]Maia, Plínio V.Quites, Lúcio O.Triginelli, Sérgio A.2022-04-28T20:07:39Z2022-04-28T20:07:39Z2006-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article57-62Revista Brasileira de Anestesiologia, v. 56, n. 1, p. 57-62, 2006.1806-907X0034-7094http://hdl.handle.net/11449/2247332-s2.0-33645377247Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengporRevista Brasileira de Anestesiologiainfo:eu-repo/semantics/openAccess2022-04-28T20:07:39Zoai:repositorio.unesp.br:11449/224733Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462022-04-28T20:07:39Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Hemodynamic repercussions of exaggerated lithotomy position for vaginal hysterectomy in cardiac patient. Case report Repercussões hemodinâmicas do posicionamento em litotomia exagerada para histerectomia vaginal em paciente cardiopata. Relato de caso |
title |
Hemodynamic repercussions of exaggerated lithotomy position for vaginal hysterectomy in cardiac patient. Case report |
spellingShingle |
Hemodynamic repercussions of exaggerated lithotomy position for vaginal hysterectomy in cardiac patient. Case report Bessa Jr., Roberto Cardoso Anesthetic techniques, Regional: spinal block Diseases, Cardiac Position: exaggerated lithotomy Surgery, Gynecological, vaginal hysterectomy |
title_short |
Hemodynamic repercussions of exaggerated lithotomy position for vaginal hysterectomy in cardiac patient. Case report |
title_full |
Hemodynamic repercussions of exaggerated lithotomy position for vaginal hysterectomy in cardiac patient. Case report |
title_fullStr |
Hemodynamic repercussions of exaggerated lithotomy position for vaginal hysterectomy in cardiac patient. Case report |
title_full_unstemmed |
Hemodynamic repercussions of exaggerated lithotomy position for vaginal hysterectomy in cardiac patient. Case report |
title_sort |
Hemodynamic repercussions of exaggerated lithotomy position for vaginal hysterectomy in cardiac patient. Case report |
author |
Bessa Jr., Roberto Cardoso |
author_facet |
Bessa Jr., Roberto Cardoso Silva Filho, Agnaldo L. [UNESP] Maia, Plínio V. Quites, Lúcio O. Triginelli, Sérgio A. |
author_role |
author |
author2 |
Silva Filho, Agnaldo L. [UNESP] Maia, Plínio V. Quites, Lúcio O. Triginelli, Sérgio A. |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Universidade Federal de Minas Gerais (UFMG) Universidade Estadual Paulista (UNESP) |
dc.contributor.author.fl_str_mv |
Bessa Jr., Roberto Cardoso Silva Filho, Agnaldo L. [UNESP] Maia, Plínio V. Quites, Lúcio O. Triginelli, Sérgio A. |
dc.subject.por.fl_str_mv |
Anesthetic techniques, Regional: spinal block Diseases, Cardiac Position: exaggerated lithotomy Surgery, Gynecological, vaginal hysterectomy |
topic |
Anesthetic techniques, Regional: spinal block Diseases, Cardiac Position: exaggerated lithotomy Surgery, Gynecological, vaginal hysterectomy |
description |
BACKGROUND AND OBJECTIVES: Vaginal hysterectomy shortens surgery duration and may be performed with neuraxial block, which promotes better postoperative analgesia and lower systemic response to surgical procedure. This report aimed at describing hemodynamic changes promoted by exaggerated lithotomy position in cardiac patient. CASE REPORT: Female patient, 33 years old, with history of abnormal uterine bleeding and anemia. Ultrasound revealed myomas of approximately 420 cm3. Patient had thrombophilia and dilated cardiomyopathy, with history of two ischemic strokes and two acute myocardial infarction. Monitoring consisted of invasive blood pressure and pulmonary artery catheter for continuous cardiac output measurement. Spinal anesthesia was performed with hyperbaric bupivacaine and morphine. Patient was placed in exaggerated lithotomy position being total hysterectomy performed by the Heaney technique and b i l a t e r a l salpingectomy. Intraoperative intercurrences were post-positioning decreased cardiac output and increased right chambers pressure requiring dobutamine. CONCLUSIONS: Exaggerated lithotomy positionmay promote hemodynamic changes which should be considered when choosing the surgical technique. © Sociedade Brasileira de Anestesiologia, 2006. |
publishDate |
2006 |
dc.date.none.fl_str_mv |
2006-01-01 2022-04-28T20:07:39Z 2022-04-28T20:07:39Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
Revista Brasileira de Anestesiologia, v. 56, n. 1, p. 57-62, 2006. 1806-907X 0034-7094 http://hdl.handle.net/11449/224733 2-s2.0-33645377247 |
identifier_str_mv |
Revista Brasileira de Anestesiologia, v. 56, n. 1, p. 57-62, 2006. 1806-907X 0034-7094 2-s2.0-33645377247 |
url |
http://hdl.handle.net/11449/224733 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
Revista Brasileira de Anestesiologia |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
57-62 |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1803047279752380416 |