title: [Open heart tricuspid valve replacement in a heroin addict Anaesthesiological management].
abstract: A 24-year-old female with a history of former heroin addiction underwent open heart surgery for a mechanical tricuspid valve replacement. Anaesthesiological management included a thoracic epidural catheter at the Th(2)/Th(3) segments and balanced general anaesthesia (remifentanil, desflurane/propofol). Additionally, clonidine (2 microg*kg(-1)*h(-1)) was continuously administered. Pain therapy was achieved using 0.375% ropivacaine via a thoracic epidural catheter (4 ml*h(-1)) and metamizole (4 x 1 g/day) intravenously. With this concept we were able to achieve an appropriate anaesthesia and analgesia and the operation was carried out without complications.
authors.affiliation: Klinik für Anästhesiologie und Intensivtherapie, Otto-von-Guericke-Universität, Magdeburg. Alf.Kozian@medizin.uni-magdeburg.de
authors.forename: A
authors.initials: A
authors.lastname: Kozian
authors.forename: T
authors.initials: T
authors.lastname: Schilling
authors.forename: T
authors.initials: T
authors.lastname: Tiede
authors.forename: C
authors.initials: C
authors.lastname: Huth
authors.forename: T
authors.initials: T
authors.lastname: Hachenberg
mesh_terms: D000316:Adrenergic alpha-Agonists / Q000008:administration & dosage / Q000627:therapeutic use; D000328:Adult; D000577:Amides / Q000008:administration & dosage / Q000627:therapeutic use; D000767:Anesthesia, Epidural; D000768:Anesthesia, General; D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage / Q000627:therapeutic use; D003000:Clonidine / Q000008:administration & dosage / Q000627:therapeutic use; D000077335:Desflurane; D004177:Dipyrone / Q000008:administration & dosage / Q000627:therapeutic use; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006556:Heroin Dependence / Q000150:complications*; D006801:Humans; D007530:Isoflurane / Q000031:analogs & derivatives; D010149:Postoperative Pain / Q000188:drug therapy; D010880:Piperidines; D015742:Propofol; D000077208:Remifentanil; D000077212:Ropivacaine; D014261:Tricuspid Valve
chemical_list: D000316:Adrenergic alpha-Agonists; D000577:Amides; D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D000779:Anesthetics, Local; D000894:Anti-Inflammatory Agents, Non-Steroidal; D010880:Piperidines; D004177:Dipyrone; D000077212:Ropivacaine; D000077335:Desflurane; D007530:Isoflurane; D003000:Clonidine; D000077208:Remifentanil; D015742:Propofol