Hemodynamic repercussions of exaggerated lithotomy position for vaginal hysterectomy in cardiac patient. Case report

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MetadadosDescriçãoIdioma
Autor(es): dc.contributorUniversidade Federal de Minas Gerais (UFMG)-
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.creatorBessa Jr., Roberto Cardoso-
Autor(es): dc.creatorSilva Filho, Agnaldo L.-
Autor(es): dc.creatorMaia, Plínio V.-
Autor(es): dc.creatorQuites, Lúcio O.-
Autor(es): dc.creatorTriginelli, Sérgio A.-
Data de aceite: dc.date.accessioned2025-08-21T22:02:12Z-
Data de disponibilização: dc.date.available2025-08-21T22:02:12Z-
Data de envio: dc.date.issued2022-04-28-
Data de envio: dc.date.issued2022-04-28-
Data de envio: dc.date.issued2006-01-01-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/224733-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/224733-
Descrição: dc.descriptionBACKGROUND 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.-
Descrição: dc.descriptionAnestesiologista do HC/UFMG Hospital Lifecenter-
Descrição: dc.descriptionDoutor em Ginecologia Pela UNESP-
Descrição: dc.descriptionME3 do CET Hospital Das Clínicas UFMG-
Descrição: dc.descriptionFaculdade de Medicina UFMG-
Descrição: dc.descriptionDoutor em Ginecologia Pela UNESP-
Formato: dc.format57-62-
Idioma: dc.languageen-
Idioma: dc.languagept_BR-
Relação: dc.relationRevista Brasileira de Anestesiologia-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectAnesthetic techniques, Regional: spinal block-
Palavras-chave: dc.subjectDiseases, Cardiac-
Palavras-chave: dc.subjectPosition: exaggerated lithotomy-
Palavras-chave: dc.subjectSurgery, Gynecological, vaginal hysterectomy-
Título: dc.titleHemodynamic repercussions of exaggerated lithotomy position for vaginal hysterectomy in cardiac patient. Case report-
Título: dc.titleRepercussões hemodinâmicas do posicionamento em litotomia exagerada para histerectomia vaginal em paciente cardiopata. Relato de caso-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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