20.500.12556/DKUM-70914 Zlom nosne kosti Nasal bone fracture Zlom nosne kosti je tretji najpogostejši zlom med vsemi zlomi. Kot vsak zlom tudi tega spremlja huda pred in pooperativna bolečina. Naloga zdravstvenega osebja, tako kirurgov kot medicinskih sester je, da pravočasno prepoznajo in nato obvladujejo bolečino in s tem pripomorejo k večjemu zadovoljstvu pacienta nad samo oskrbo. Bolečina je razširjen problem pri zlomu nosu. Pomembno je, da se pravočasno ugotovi in obvladuje bolečino. Gre za timsko delo zdravnikov in medicinskih sester. Danes se uporablja različna medikamentozna sredstva že v času izvajanja operativnega posega, ki še imajo potem dober učinek v pooperativnem obdobju in s tem zmanjšajo porabo opioidnih sredstev in ostalih analgetikov. Pri analizi strokovne literature smo ugotovili, da pri pacientu po operaciji nosu povzroča hudo bolečino nosna tamponada, a ne le ob vstavitvi, temveč tudi po odstranitvi tamponov. Bolečina je tudi manjša pri uporabi kombinacije pregabalina in deksametazona. S tem je zmanjšana uporaba ostale opioidne terapije. Tudi infuzija esmolola zmanjša bolečino v prvih treh urah po operaciji. Najpogosteje uporabljeni bolečinski lestvici za ocenitev akutne pooperativne bolečine po obraznem posegu sta VAS in NRS. Nasal bone fracture is the third most common fracture. Like anyother fracture this one is also accompanied by a severe pre and postoperative pain. It's on nurses and surgeons to evaluate and to control pain and to make sure that patient is comfortable and happy with the care he/she receives. Pain is a big problem in nasal bone fracture. It's important to evaluate and to control it on time. Here it comes to a team work between doctors and nurses. In today's practice are already in use different medicament treatment. The medications that are used are also efficiant in postoperative period. And because of that it comes to decreased use of opioids and other analgetics. We found out that the most pain in patients after the surgery of nasal bone fracture is caused by nasal packings, not only when they are inserted but also after the removal. Pain is decreased when pregabalin and dexamethason are used as a combination. With that is also decreased use of opioids. Also esmolol infusion decreases pain in first three hours after the surgery. And that the best pain measurement tools for evaluation of acute maxillofacial postoperative pain are VAS and NRS. Diagnosticiranje zloma nosne kosti plastična in rekonstruktivna kirurgija nosu komplikacije po zlomu nosne kosti poškodba nosu obvladovanje bolečine po operaciji nosu rinoplastika. Nasal fracture diagnostics plastic and reconstructive surgery of nasal fracture complications after nasal fracture nose injuries pain control after nose surgery/nasal pain management rhinoplasty. true false false [V. Gračner] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2018-06-19 10:28:09 2018-10-05 15:23:58 2022-08-01 19:59:27 2019-07-11 18:24:00 2018 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 617.5-089.844(043.2) 2427300 URN:SI:UM:DK:BPMHAPDM VS_Gracner_Verena_2018.pdf VS_Gracner_Verena_2018.pdf 1 FD7A4ED26079478B0D300D4ACF084921 ff94dcf2f590af8332fd75642f0e5ece83bf8533f1c800501fa9c2e6dce304b3 1b275d3a-7c10-11eb-bb7a-00155d0001ca 20.500.12556/dkum/93d4321d-fe8d-48cb-a740-7e1348fcd97c https://dk.um.si/Dokument.php?lang=slv&id=126526 Fakulteta za zdravstvene vede 0 0 0