Anesthesia for supracondylar amputation in patient with acute coronary syndrome
Keywords:
anesthesia, peripheral arterial disease, amputation, acute coronary syndromeAbstract
Peripheral arterial insufficiency is a disease that is associated with known atherogenic risk factors, and is more common in people with hyperlipidemia, diabetes mellitus and smoking habit. A case of a 67-year-old woman with a history of hypertension, diabetes mellitus and old myocardial infarction is presented. She was admitted for signs of acute inflammation of the right leg due to peripheral arterial insufficiency. 8 days after admission she presented an acute coronary syndrome without ST segment elevation with pump failure (Killip class II), and once compensated she was scheduled for emergency supracondylar amputation due to ischemic gangrene. It was decided to use selective spinal subarachnoid from the right leg, which was applied without complications and favored the proper development of the planned surgery. At 72 hours, the patient was discharged from the ICU, with metabolic compensation and without cardiovascular symptoms.
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1. Puras-Mallagray E, Gutiérrez Baz M, Cáncer-Pérez S, Alfayate-García JM, de Benito Fernández L, Perera-Sabio M, et al. Estudio de prevalencia de la enfermedad arterial periférica y diabetes en España. Angiología. 2008;60(5):317-26.
2. Brotons C. La tendencia secular de los factores de riesgo cardiovascular: una evolución nada optimista. Rev Esp Cardiol. 2006;59:650-2.
3. Carro A. Factores de riesgo cardiovascular, una epidemia ¿prevenible? CorSalud [Internet]. 2012 [citado 3 Feb 2012] ;4(1):[aprox. 4 p.]. Disponible en: https://revcorsalud.sld.cu/index.php/cors/article/view/1197
4. de Arazoza Hernández A, Rodríguez Salgueiro FL, Carrasco Molina MA, Valdés Dupeirón O, Rodríguez Rosales E. Conducción anestésica de la revascularización miocárdica video-asistida. Informe de cinco casos. CorSalud [Internet]. 2011 [citado 5 Ene 2012];3(2):[aprox. 3 p.]. Disponible en: https://revcorsalud.sld.cu/index.php/cors/article/view/1171
5. González Martínez M, Sunderland Tallón N, Cid García S. Conducta anestésica en el paciente hipertenso necesitado de cirugía de urgencia. CorSalud [Internet]. 2011 [citado 8 Sep 2011];3(3):[aprox. 4 p.]. Disponible en: https://revcorsalud.sld.cu/index.php/cors/article/view/1178
6. Li G, Warner M, Lang BH, Huang L, Sun LS. Epidemiology of Anesthesia-related Mortality in the United States, 1999-2005. Anesthesiology. 2009;110(4):759-65.
7. Hernández Ortega R, González Alfonso O, Hidalgo Menéndez PA, Marrero Font IM, Rodríguez JM, Méndez Martínez J, et al. Analgesia subaracnoidea con meperidina en la cirugía ginecológica de pacientes con hipertensión arterial. CorSalud [Internet]. 2011 [citado 20 Sep 2011];3(4):[aprox. 4 p.]. Disponible en: https://revcorsalud.sld.cu/index.php/cors/article/view/1191
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