20.500.12556/DKUM-56927 Preprečevanje in ukrepanje v primeru zavedanja med splošno anestezijo Preventing and managing awareness during general anesthesia Izhodišča: Splošna anestezija je stanje reverzibilne izgube zavesti (nezavedanje ali farmakološki spanec), občutka za bolečino, mišičnega tonusa, zmanjšanega delovanja avtonomnega živčnega sistema in izgube spomina za čas, ko je bolnik v splošni anesteziji. Tako stanje dosežemo, če zagotovimo zadostno globino anestezije ves čas operacije. Zavedanje med operacijo je resen zaplet, ki lahko nastane, kadar zaradi različnih vzrokov ni zagotovljena zadostna globina anestezije. V kratkem pregledu bomo opisali nevrobiološke osnove zavedanja med operacijo, vzroke zanj, metode merjenja globine anestezije, preprečevanje zavedanja med anestezijo, možne posledice in zdravljenje le-teh. Zaključki: Medoperativna budnost pri nekaterih bolnikih pusti pomembne posledice, zato so za dobro klinično prakso potrebne smernice za preprečevanje zavedanja med operacijo in navodila za zmanjševanje in zdravljenje posledic zavedanja med operacijo med splošno anestezijo. Background: General anesthesia is a reversible state of a temporary loss of consciousness, analgesia, muscle paralysis, blunted autonomic responses and amnesia. To achieve this, an adequate depth of anesthesia should be maintained throughout the surgery. Awareness is a serious complication of general anesthesia, which occurs when the depth of anesthesia is not appropriate due to various causes. In this paper the underlying neurobiology of intraoperative awareness is presented, as well as risk factors for awareness and methods for assessing the depth of anesthesia. Possible psychological consequences of awareness and their management are also discussed. At the end, the recommendations for preventing intraoperative awareness are given. Conclusions: Awareness during general anesthesia may have adverse psychological sequelae in individual patients, therefore guidelines for preventing and managing of intraoperative awareness need to be adopted. In case of a possible awareness, the recommendations for offering a psychological support should also be followed. splošna anestezija globina zavedanje med operacijo anestezija zapleti preprečevanje posttravmatska stresna motnja depth of general anesthesia intraoperative awareness anesthesia complications prevention post-traumatic stress disorder true false true Slovenski jezik Angleški jezik Znanstveno delo 2015-12-30 13:03:12 2015-12-30 13:03:12 2022-06-12 03:06:59 2021-05-15 03:34:49 2014 0 0 str. 137-146 št. 2 Letn. 83 feb. 2014 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 1318-0347 616-089.5 32893696 4933951 1318-0347 URN:SI:UM:DK:5RZVY0WU Zdravniski_vestnik_2014_Berger_Preprecevanje_in_ukrepanje_v_primeru_zavedanja_med_splosno_anestezijo.pdf Zdravniski_vestnik_2014_Berger_Preprecevanje_in_ukrepanje_v_primeru_zavedanja_med_splosno_anestezijo.pdf 1 D3A113884B3882C127C3D4929613B1CB 559866f098ba672657f419a9a7ea7f5357a3d6d9e11fbf95b14fdabf220605d6 1b23502d-7c0e-11eb-bb7a-00155d0001ca https://dk.um.si/Dokument.php?lang=slv&id=111098 http://vestnik.szd.si/index.php/ZdravVest/article/view/1099 1 https://dk.um.si/Dokument.php?lang=slv&id=85133 Medicinska fakulteta 0 0 0