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Title:Preprečevanje in ukrepanje v primeru zavedanja med splošno anestezijo
Authors:ID Berger, Jelena (Author)
ID Mušič, Polona (Author)
ID Logar Zakrajšek, Bernarda (Author)
ID Mekiš, Dušan (Author)
Files:.pdf Zdravniski_vestnik_2014_Berger_Preprecevanje_in_ukrepanje_v_primeru_zavedanja_med_splosno_anestezijo.pdf (283,46 KB)
MD5: D3A113884B3882C127C3D4929613B1CB
 
URL http://vestnik.szd.si/index.php/ZdravVest/article/view/1099
 
Language:Slovenian
Work type:Scientific work
Typology:1.02 - Review Article
Organization:MF - Faculty of Medicine
Abstract: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.
Keywords:splošna anestezija, globina, zavedanje med operacijo, anestezija, zapleti, preprečevanje, posttravmatska stresna motnja
Publication status:Published
Publication version:Version of Record
Year of publishing:2014
Number of pages:str. 137-146
Numbering:Letn. 83, št. 2
PID:20.500.12556/DKUM-56927 New window
ISSN:1318-0347
UDC:616-089.5
ISSN on article:1318-0347
COBISS.SI-ID:4933951 New window
NUK URN:URN:SI:UM:DK:5RZVY0WU
Publication date in DKUM:30.12.2015
Views:1756
Downloads:206
Metadata:XML DC-XML DC-RDF
Categories:Misc.
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Record is a part of a journal

Title:Zdravniški vestnik. glasilo Slovenskega zdravniškega društva
Publisher:Slovensko zdravniško društvo
ISSN:1318-0347
COBISS.SI-ID:32893696 New window

Licences

License:CC BY-NC 4.0, Creative Commons Attribution-NonCommercial 4.0 International
Link:http://creativecommons.org/licenses/by-nc/4.0/
Description:A creative commons license that bans commercial use, but the users don’t have to license their derivative works on the same terms.
Licensing start date:30.12.2015

Secondary language

Language:English
Title:Preventing and managing awareness during general anesthesia
Abstract: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.
Keywords:depth of general anesthesia, intraoperative awareness, anesthesia complications, prevention, post-traumatic stress disorder


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