20.500.12556/DKUM-93325 Neželeni stranski učinki epiduralne anestezije po operaciji Adverse effects of epidural anaesthesia after surgery Uvod: Epiduralna analgezija je učinkovita metoda za obvladovanje akutne bolečine po operaciji ali poškodbah prsnega koša, medenice, velikih abdominalnih, uroloških, žilnih operacijah in operacijah na spodnjih okončinah. Kljub svoji učinkovitosti je povezana z nevarnimi zapleti, zaradi česar je potrebna skrbna uporaba in natančno spremljanje. Namen zaključnega dela je na podlagi literature raziskati neželene stranske učinke epiduralne anestezije pri pacientih po operaciji. Metode: V zaključnem delu smo uporabili opisno metodo dela, natančneje metodo pregleda literature. Znanstveno literaturo smo iskali v naslednjih tujih podatkovnih bazah: PubMed, CINAHL in Cochrane Library. Rezultate smo prikazali v vsebinski in evalvacijski tabeli. Izbrane članke smo razporedili glede na hierarhijo dokazov in jih prikazali s pomočjo evalvacijske tabele. Rezultati: V končno analizo smo vključili 7 raziskav. Ugotovili smo, da epiduralna anestezija po operaciji prinaša tako koristi kot tudi tveganja. Zmanjšuje tveganje za številne zaplete, kot so atrijska fibrilacija in pljučnica, izboljšuje okrevanje črevesne funkcije, vendar povečuje tveganje za nekatere stranske učinke, kot so hipotenzija, pruritus in motorična blokada. Raziskave so pokazale, da so zapleti, kot sta epiduralni hematom in subduralna spinalna krvavitev, redki, a resni. Razprava in zaključek: V raziskavi smo se osredotočili na stranske učinke epiduralne anestezije pri pacientih po operacijah. Za najbolj ključne ugotovitve velja, da epiduralna anestezija učinkovito zmanjšuje pooperativno bolečino in pripomore k hitrejšemu okrevanju, vendar so prisotni tudi nekateri stranski učinki. Introduction: Epidural analgesia is an effective method for managing acute postoperative pain following chest, pelvic, major abdominal, urological, vascular surgeries, and surgeries on the lower extremities. Despite its effectiveness, it is associated with dangerous complications, requiring careful use and close monitoring. The purpose of this thesis is to explore the undesirable side effects of epidural anaesthesia in postoperative patients based on the available literature. Methods: The thesis utilized a descriptive approach, specifically a literature review method. Scientific literature was searched in the following international databases: PubMed, CINAHL, and Cochrane Library. The results were presented in a content and evaluation table. The selected articles were categorized according to the hierarchy of evidence and presented using the evaluation table. Results: A total of 7 studies were included in the final analysis. It was found that epidural anaesthesia after surgery brings both benefits and risks. It reduces the risk of several complications, such as atrial fibrillation and pneumonia, improves the recovery of bowel function, but increases the risk of some side effects, such as hypotension, pruritus, and motor block. The studies showed that complications, such as epidural hematoma and subdural spinal bleeding, are rare but serious. Discussion and Conclusion: The study focused on the side effects of epidural anaesthesia in postoperative patients. The key findings indicate that epidural anaesthesia effectively reduces postoperative pain and contributes to faster recovery, but there are also some side effects present. epiduralna analgezija akutna bolečina pooperativno obdobje neželeni učinki epidural anaesthesia acute pain postoperative period side effects true true false [J. Merc] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2025-06-19 09:34:50 2025-11-18 14:00:39 2026-02-04 14:50:11 0000-00-00 00:00:00 2025 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-085.212+615.065(043.2) 256359939 VS_Merc_Janja_2025.pdf VS_Merc_Janja_2025.pdf 1 2DF9787F468C830ACE1AEFE6BF76712B 5ecba399bc061fb022bb999a5d9a0aca2a3f3b1f6f16f201d28e332eaed5a891 21f25aa1-b0a0-11f0-a66e-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=200163 Fakulteta za zdravstvene vede 0 0 0