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12 - Anesthesia management of pregnant patient with behçets disease: a case report
Mahmut Alp Karahan, Evren Büyükfırat, Tekin Bilgiç, İnanç Havlioğlu
Objective: Behcets Disease is a chronic inflammatory with multiorgan involvements that it develope relapses. This disease is characterized with recurrent oral and genital ulcers, skin signs and uveitis. In this case report we discussed the anesthetic management of a pregnant patient with Behçets disease who underwent an emergency cesarean section.
Case: Nineteen year old pregnant patient with Behcets disease was scheduled for emergency caesarean delivery when fetal distress developed. She was diagnosed a year before and she did not use drugs during pregnancy. Cesarean section was performed under general anesthesia. Patients trackea was entubated with 7.0 endotracheal tube at the first attempt without any problems. Anesthesia was maintained with oxygen, air, sevoflurane and remifentanil. Hemodynamic parameters remained stable and there was no any complication. Apgar scores of the neonate were 8 and 10 at 1 and 5 minute respectively.
Conclusion: The main perioperative anaesthetic concerns are scarring of airway leading to difficult intubation and involvement of other organ systems. Due to the chronic drug therapy changes occur in organ systems causing more difficulty for the anaesthetic approach. The anesthetic technique for pregnant women with Behcets Disease requiring cesarean section remains at the discretion of the anesthesiologist, who should be guided by the clinical conditions of each patient.
Keywords: Behcet syndrome, pregnancy, anesthesia, general
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