Citation

Tutak A, Uludağ O, Pektaş MB, Kaya R, Doğukan M, et al. (2019) Combined Spinal Epidural Anesthesia in a Geriatric Patient Undergoing Hartmann Colostmy. J Geriatr Med Gerontol 5:067. doi.org/10.23937/2469-5858/1510067

Copyright

© 2019 Tutak A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

CASE REPORT | OPEN ACCESS DOI: 10.23937/2469-5858/1510067

Combined Spinal Epidural Anesthesia in a Geriatric Patient Undergoing Hartmann Colostmy

Atilla Tutak1, öznur Uludağ1*, M Bahattin Pektaş2, Recai Kaya3, Mevlüt Doğukan1, Ayşe şahin Tutak4

1Department of Anesthesiology and Reanimation, Adiyaman University Medical School, Adiyaman, Turkey

2Department of General Surgery, Adiyaman University Medical School, Adiyaman, Turkey

3Private Hospital, Osmaniye, Turkey

4Department of Internal Medicine, Adiyaman University Medical School, Adiyaman, Turkey

Abstract

Geriatric age group; Increased sensitivity to anesthetic drugs, respiratory, general anesthesia due to cardiac complicatioans and cognitive dysfunction in the postoperative period is restricted. Combined spinal epidural anesthesia compared to general anesthesia and cardiac and respiratory stabilization, the extension of the duration of anesthesia, rapid mobilization, postoperative pain control, the advantages of early discharge and a reduction in costs. High doses of spinal or epidural anesthesia alone hypotension, bradycardia, segment reduces the disadvantages of such involvement.

Hartmann procedure is a method used in complex patients, especially in emergency left column pathologies.

Due to sigmoid perforation emergency operations we planned 80-years-old, geriatric, severe chronic obstructive pulmonary disease (COPD) is located ASA-IV in male patients with combined spinal epidural technique for colostomy surgery, Hartmann procedure we aim to present our anesthetic experience.