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

<p>Abstract</p> <p>Background</p> <p>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...

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Main Authors: Dönmez Ferah, taşpınar Vildan, Erk Gülcan, örnek Dilşen
Format: Article
Language:English
Published: BMC 2006-10-01
Series:BMC Anesthesiology
Online Access:http://www.biomedcentral.com/1471-2253/6/11
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author Dönmez Ferah
taşpınar Vildan
Erk Gülcan
örnek Dilşen
author_facet Dönmez Ferah
taşpınar Vildan
Erk Gülcan
örnek Dilşen
author_sort Dönmez Ferah
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>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.</p> <p>Case presentation</p> <p>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.</p> <p>Conclusion</p> <p>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.</p>
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spelling doaj.art-b8fa333139274ffa9b83b94ded7382ae2022-12-22T03:16:57ZengBMCBMC Anesthesiology1471-22532006-10-01611110.1186/1471-2253-6-11Neuroaxial anesthesia in a patient with progressive systemic sclerosis : case presentation and review of the literature on systemic sclerosisDönmez Ferahtaşpınar VildanErk Gülcanörnek Dilşen<p>Abstract</p> <p>Background</p> <p>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.</p> <p>Case presentation</p> <p>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.</p> <p>Conclusion</p> <p>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.</p>http://www.biomedcentral.com/1471-2253/6/11
spellingShingle Dönmez Ferah
taşpınar Vildan
Erk Gülcan
örnek Dilşen
Neuroaxial anesthesia in a patient with progressive systemic sclerosis : case presentation and review of the literature on systemic sclerosis
BMC Anesthesiology
title Neuroaxial anesthesia in a patient with progressive systemic sclerosis : case presentation and review of the literature on systemic sclerosis
title_full Neuroaxial anesthesia in a patient with progressive systemic sclerosis : case presentation and review of the literature on systemic sclerosis
title_fullStr Neuroaxial anesthesia in a patient with progressive systemic sclerosis : case presentation and review of the literature on systemic sclerosis
title_full_unstemmed Neuroaxial anesthesia in a patient with progressive systemic sclerosis : case presentation and review of the literature on systemic sclerosis
title_short Neuroaxial anesthesia in a patient with progressive systemic sclerosis : case presentation and review of the literature on systemic sclerosis
title_sort neuroaxial anesthesia in a patient with progressive systemic sclerosis case presentation and review of the literature on systemic sclerosis
url http://www.biomedcentral.com/1471-2253/6/11
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AT taspınarvildan neuroaxialanesthesiainapatientwithprogressivesystemicsclerosiscasepresentationandreviewoftheliteratureonsystemicsclerosis
AT erkgulcan neuroaxialanesthesiainapatientwithprogressivesystemicsclerosiscasepresentationandreviewoftheliteratureonsystemicsclerosis
AT ornekdilsen neuroaxialanesthesiainapatientwithprogressivesystemicsclerosiscasepresentationandreviewoftheliteratureonsystemicsclerosis