Olgu Sunumu
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Sjögren Sendromlu Gebe Hastada Anestezik Yaklaşım: Olgu Sunumu

Yıl 2016, Cilt: 13 Sayı: 1, 102 - 105, 28.04.2016

Harun Aydoğan Mahmut Alp Karahan Evren Büyükfırat Maruf Sürücü

Öz

Sjögren sendromu, gözyaşı ve tükrük bezleri başta olmak üzere, tüm ekzokrin bezlerin lenfositik
infiltrasyonu ile karakterize, kronik, sistemik, otoimmün bir sendromdur. Anestezi yönetimi açısından çoklu
sistemik etkilerinin olması, olası sıvı-elektrolit dengesi bozuklukları, immünodepresyon, otoimmün hepatitbağlı
karaciğer fonksiyon bozukluğu, aspirasyon riski, zor entübasyon ile postoperatif derlenmede geçikme
dikkat edilmesi gereken noktalardır . Bu olgu sunumunda Sjögren sendromlu sezaryen operasyonu
planlanan gebe hastaya anestezik yaklaşımının tartışılması amaçlandı. 

Anahtar Kelimeler

Sjögren Sendromu Gebelik Anestezi

Kaynakça

  • 1.De Carolis S, Salvi S, Botta A, Garofalo S, Garufi C, Ferrazzani S, De Carolis MP. The impact of primary Sjogren's syndrome on pregnancy outcome: our series and review of the literature. Autoimmun Rev. 2014;13(2):103-7.
  • 2.Carsons S. Sjögren's Syndrome. In: Harris ED, Budd RC, Firestein GS, Genovese MC, Sergent JS, Ruddy S, et al, eds. Kelley's textbook of rheumatology. Philadelphia: Saunders, 2005; 1105-24.
  • 3.Demirel I, Ozer AB, Bayar MK, Erhan OL. Anaesthesia management for acute appendicitis in cases with Sjogren's syndrome accompanying autoimmune hepatitis. BMJ Case Rep. 2013;4:1-4
  • 4.Rasmussen A, Ice JA, Li H, Grundahl K, Kelly JA, Radfar L, Stone DU, Hefner KS, Anaya JM, Rohrer M, Gopalakrishnan R, Houston GD, Lewis DM, Chodosh J, Harley JB, Hughes P, Maier-Moore JS, Montgomery CG, Rhodus NL, Farris AD, Segal BM, Jonsson R, Lessard CJ, Scofield RH, Sivils KL. Comparison of the American-European Consensus Group Sjogren's syndrome classification criteria to newly proposed American College of Rheumatology criteria in a large, carefully characterised sicca cohort. Ann Rheum Dis. 2014;73(1):31-8.
  • 5.Hernández-Molina G, Avila-Casado C, NuñezAlvarez C, Cárdenas-Velázquez F, HernándezHernández C, Luisa Calderillo M, Marroquín V, RecillasGispert C, Romero-Díaz J, Sánchez-Guerrero J. Utility of the American-European Consensus Group and American College of Rheumatology Classification Criteria for Sjögren's syndrome in patients with systemic autoimmune diseases in the clinical setting. Rheumatology (Oxford). 2015;54(3):441-8.
  • 6.Deren Ö, Kutlay Ş. Sjögren Sendromu. Romatizma 2003;18(1):49-63.
  • 7.Chen JS, Roberts CL, Simpson JM, March LM. Pregnancy Outcomes in Women With Rare Autoimmune Diseases. Arthritis Rheumatol. 2015;67(12):3314-23.
  • 8.Bartoloni E, Baldini C, Schillaci G, Quartuccio L, Priori R, Carubbi F, Bini V, Alunno A, Bombardieri S, De Vita S, Valesini G, Giacomelli R, Gerli R. Cardiovascular disease risk burden in primary Sjögren's syndrome: results of a population-based multicentre cohort study. J Intern Med. 2015;278(2):185-92
  • 9.Mutsukura K, Nakamura H, Iwanaga N, Ida H, Kawakami A, Origuchi T, Furuyama M, Eguchi K. Successful treatment of a patient with primary Sjögren's syndrome complicated with pericarditis during pregnancy. Intern Med. 2007;46(14):1143-7.
  • 10.Cansu D.,Korkmaz C.: Sjögren Sendromu. Osmangazi Tıp Dergisi. 2007;29:39-51
  • 11.Kirkness JP, Eastwood PR, Szollosi I, Platt PR, Wheatley JR, Amis TC, Hillman DR. Effect of surface tension of mucosal lining liquid on upper airway mechanics in anesthetized humans. J Appl Physiol (1985). 2003;95(1):357-63
  • 12.Stradling JR, Davies RJ. Sleep. 1: Obstructive sleep apnoea/hypopnoea syndrome: definitions, epidemiology, and natural history. Thorax. 2004;59:73–8.
  • 13.Sjögren Sendromlu Olguda Anestezik Yaklaşım (Olgu Sunumu ). Içık B, Çekmen N, Kordan AZ, Akçabay M. T Klin Anest Reanim 2004;2:90-3
  • 14.Urban PP: Sensory neuropathy of the trigeminal, glossopharyngeal, and vagal nerves in Sjögren's syndrome. Journal of the Neurological Sciences 2000;186: 59-63
  • 15.Fukui A, Nakashima Y, Kimura K. [Anesthetic management of a patient with Sjögren's syndrome associated with an allergic reaction to various antiphlogistics and sedatives]. Masui. 1991;40(4):627-31.
  • 16. Ohtani H: Severe hypokalaemia and respiratory arrest due to renal tubuler acidosis in a patient with Sjögren syndrome. Nephrol Dial Transplant 1999;14:2201-3.
  • 17.Takahashi S. Anesthetic managemant of a patient with Sjogren's syndrome and pulmonary fibrosis. Masui 1990;39(10):1393-6.
  • 18.Kruszka P, O'brian RJ. Diagnosis and Management of Sjögren Syndrome. Am Fam Physician 2009;79(6):465-70

Anesthetic Management Of Pregnancy Patient With Sjogren's Syndrome : Case Report

Yıl 2016, Cilt: 13 Sayı: 1, 102 - 105, 28.04.2016

Harun Aydoğan Mahmut Alp Karahan Evren Büyükfırat Maruf Sürücü

Öz

Sjögren syndrome is chronic systemic autoimmune syndrome especially affecting the tear and salivary
glands, characterized by lymphocytic infiltration all of the exocrine glands. Attention should be paid on
multi-systemic effects, potential fluid-electrolyte balance disorders, immunodepression, autoimmune
hepatitis-induced liver dysfunction, aspiration risk, delayed postoperative recovery and difficult intubation
in anesthesia management. In this case report we aimed at discussing the anesthetic management during
cesarean section operation in a thirty nine years old patient with Sjögren syndrome.

Anahtar Kelimeler

Sjögren Syndrome Pregnancy Anesthesia

Kaynakça

  • 1.De Carolis S, Salvi S, Botta A, Garofalo S, Garufi C, Ferrazzani S, De Carolis MP. The impact of primary Sjogren's syndrome on pregnancy outcome: our series and review of the literature. Autoimmun Rev. 2014;13(2):103-7.
  • 2.Carsons S. Sjögren's Syndrome. In: Harris ED, Budd RC, Firestein GS, Genovese MC, Sergent JS, Ruddy S, et al, eds. Kelley's textbook of rheumatology. Philadelphia: Saunders, 2005; 1105-24.
  • 3.Demirel I, Ozer AB, Bayar MK, Erhan OL. Anaesthesia management for acute appendicitis in cases with Sjogren's syndrome accompanying autoimmune hepatitis. BMJ Case Rep. 2013;4:1-4
  • 4.Rasmussen A, Ice JA, Li H, Grundahl K, Kelly JA, Radfar L, Stone DU, Hefner KS, Anaya JM, Rohrer M, Gopalakrishnan R, Houston GD, Lewis DM, Chodosh J, Harley JB, Hughes P, Maier-Moore JS, Montgomery CG, Rhodus NL, Farris AD, Segal BM, Jonsson R, Lessard CJ, Scofield RH, Sivils KL. Comparison of the American-European Consensus Group Sjogren's syndrome classification criteria to newly proposed American College of Rheumatology criteria in a large, carefully characterised sicca cohort. Ann Rheum Dis. 2014;73(1):31-8.
  • 5.Hernández-Molina G, Avila-Casado C, NuñezAlvarez C, Cárdenas-Velázquez F, HernándezHernández C, Luisa Calderillo M, Marroquín V, RecillasGispert C, Romero-Díaz J, Sánchez-Guerrero J. Utility of the American-European Consensus Group and American College of Rheumatology Classification Criteria for Sjögren's syndrome in patients with systemic autoimmune diseases in the clinical setting. Rheumatology (Oxford). 2015;54(3):441-8.
  • 6.Deren Ö, Kutlay Ş. Sjögren Sendromu. Romatizma 2003;18(1):49-63.
  • 7.Chen JS, Roberts CL, Simpson JM, March LM. Pregnancy Outcomes in Women With Rare Autoimmune Diseases. Arthritis Rheumatol. 2015;67(12):3314-23.
  • 8.Bartoloni E, Baldini C, Schillaci G, Quartuccio L, Priori R, Carubbi F, Bini V, Alunno A, Bombardieri S, De Vita S, Valesini G, Giacomelli R, Gerli R. Cardiovascular disease risk burden in primary Sjögren's syndrome: results of a population-based multicentre cohort study. J Intern Med. 2015;278(2):185-92
  • 9.Mutsukura K, Nakamura H, Iwanaga N, Ida H, Kawakami A, Origuchi T, Furuyama M, Eguchi K. Successful treatment of a patient with primary Sjögren's syndrome complicated with pericarditis during pregnancy. Intern Med. 2007;46(14):1143-7.
  • 10.Cansu D.,Korkmaz C.: Sjögren Sendromu. Osmangazi Tıp Dergisi. 2007;29:39-51
  • 11.Kirkness JP, Eastwood PR, Szollosi I, Platt PR, Wheatley JR, Amis TC, Hillman DR. Effect of surface tension of mucosal lining liquid on upper airway mechanics in anesthetized humans. J Appl Physiol (1985). 2003;95(1):357-63
  • 12.Stradling JR, Davies RJ. Sleep. 1: Obstructive sleep apnoea/hypopnoea syndrome: definitions, epidemiology, and natural history. Thorax. 2004;59:73–8.
  • 13.Sjögren Sendromlu Olguda Anestezik Yaklaşım (Olgu Sunumu ). Içık B, Çekmen N, Kordan AZ, Akçabay M. T Klin Anest Reanim 2004;2:90-3
  • 14.Urban PP: Sensory neuropathy of the trigeminal, glossopharyngeal, and vagal nerves in Sjögren's syndrome. Journal of the Neurological Sciences 2000;186: 59-63
  • 15.Fukui A, Nakashima Y, Kimura K. [Anesthetic management of a patient with Sjögren's syndrome associated with an allergic reaction to various antiphlogistics and sedatives]. Masui. 1991;40(4):627-31.
  • 16. Ohtani H: Severe hypokalaemia and respiratory arrest due to renal tubuler acidosis in a patient with Sjögren syndrome. Nephrol Dial Transplant 1999;14:2201-3.
  • 17.Takahashi S. Anesthetic managemant of a patient with Sjogren's syndrome and pulmonary fibrosis. Masui 1990;39(10):1393-6.
  • 18.Kruszka P, O'brian RJ. Diagnosis and Management of Sjögren Syndrome. Am Fam Physician 2009;79(6):465-70
Toplam 18 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Olgu Sunumu
Yazarlar

Harun Aydoğan Bu kişi benim

Mahmut Alp Karahan

Evren Büyükfırat

Maruf Sürücü Bu kişi benim

Yayımlanma Tarihi 28 Nisan 2016
Gönderilme Tarihi 19 Aralık 2015
Kabul Tarihi 21 Aralık 2015
Yayımlandığı Sayı Yıl 2016 Cilt: 13 Sayı: 1

Kaynak Göster

Vancouver Aydoğan H, Karahan MA, Büyükfırat E, Sürücü M. Sjögren Sendromlu Gebe Hastada Anestezik Yaklaşım: Olgu Sunumu. Harran Üniversitesi Tıp Fakültesi Dergisi. 2016;13(1):102-5.
 Kapak Resmi İndir

Harran Üniversitesi Tıp Fakültesi Dergisi  / Journal of Harran University Medical Faculty