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Open heart tricuspid valve replacement in a heroin addict. Anaesthesiological management

Anaesthesist, ISSN: 0003-2417, Vol: 54, Issue: 6, Page: 578-581
2005
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Article Description

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/Th segments and balanced general anaesthesia (remifentanil, desflurane/propofol). Additionally, clonidine (2 μg*kg*h) was continuously administered. Pain therapy was achieved using 0.375% ropivacaine via a thoracic epidural catheter (4 ml*h) and metamizole 4x1 g/day) intravenously. With this concept we were able to achieve an appropriate anaesthesia and analgesia and the operation was carried out without complications. © Springer Medizin Verlag 2005.

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