Postupci zbrinjavanja dišnog puta

master's thesis

• Title (english): Airway management techniques
• Author: Karlo Uroda
• Mentor: Daniela Bandić Pavlović (mentor)
• Committee member: Mladen Perić (predsjednik povjerenstva)
• Committee member: DINKO TONKOVIĆ (član povjerenstva)
• Committee member: Daniela Bandić Pavlović (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Anaesthesiology, Resuscitation and Intensive Care in Surgical Specialities); Zagreb
• Defense date and country: 2017-07-14, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Anesthesiology and Reanimatology
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Emergency Medicine

Abstract

Zbrinjavanje dišnog puta odnosi se na uspostavljanje i osiguravanje prohodnosti dišnog puta. Kamen temeljac je naprednih mjera održavanja života u anesteziologiji i hitnoj medicini. Potreban je niz znanja i vještina za uspješno zbrinjavanje dišnog puta kao što su poznavanje anatomije dišnog puta, sposobnost predviđanja poteškoća sa zbrinjavanjem, osmišljavanje plana kako će se pojedinom pacijentu u određenoj situaciji zbrinuti dišni put i vještina potrebnih za izvršavanje tog plana pomoću širokog spektra dostupnih pomagala i postupaka za samo zbrinjavanje. Ventilacija maskom je jednostavna, neinvazivna tehnika za zbrinjavanje dišnog puta koja se može koristiti kao primarni način ventilacije u kratkotrajnoj anesteziji ili kao privremeno rješenje dok se ne uspostavi definitivni dišni put. U skupinu supraglotičkih pomagala spada vrlo veliki broj pomagala za zbrinjavanje dišnog puta koja se u dišni put postavljaju na slijepo. Nakon postavljanja, održavaju dišni put otvorenim i omogućavaju ventilaciju, oksigenaciju i isporuku anestetičkih plinova. Endotrahealna intubacija je zlatni standard u zbrinjavanju dišnog puta te ga maksimalno štiti od aspiracije želučanog sadržaja. Direktna laringoskopija je najčešća metoda koja se koristi u intubaciji za direktnu vizualizaciju glotisa. Indirektnom laringoskopijom pomoću različitih uređaja kao što su videolaringoskopi, fiberoptički bronhoskopi, fiberoskopi i optičke vodilice, zamjenjuje se direktna laringoskopija. To su nezamjenjiva sredstva u otežanoj intubaciji. U kirurško, invazivno ili perkutano zbrinjavanje dišnog puta spadaju postupci za kojima se poseže kada nijedna metoda neinvazivnog zbrinjavanja dišnog puta nije uspjela.

Abstract (english)

The term airway management refers to the practice of maintaining airway patency. It is a cornerstone of advance life support in anesthesiology and emergency medicine. Successful airway management requires a range of knowledge and skill sets - specifically, knowledge of the airway anatomy, the ability to predict difficulty with airway management and to formulate an airway management plan, as well as have the skills necessary to execute that plan using the wide array of airway devices available. Mask ventilation is a noninvasive technique for airway management that can be used as a primary mode of ventilation for an anesthetic of short duration or as a bridge to establishing of a more definitive airway. The term supraglottic airway refers to a diverse family of medical devices that are blindly inserted into the pharynx to provide a patent conduit for ventilation, oxygenation, and delivery of anesthetic gases. Endotracheal intubation is the gold standard for airway management. It establishes a definitive airway and provides maximal protection against the aspiration of gastric contents. Endotracheal intubation is usually facilitated by direct laryngoscopy. Different devices that use indirect laryngoscopy are available, including flexible intubation scopes, videolaryngoscopes, and intubating optical stylets. They are indispensable tools for the management of the known or predicted difficult airway. Percutaneous (invasive) airways are indicated as a rescue technique when attempts at establishing a noninvasive airway fail.

• Keywords: zbrinjavanje dišnog puta; ventilacija maskom; endotrahealna intubacija; otežana intubacija; direktna laringoskopija; supraglotička pomagala
• Keywords (english): airway management; mask ventilation; difficult airway; endotracheal intubation; direct laryngoscopy; supraglottic airways
• Language: croatian
• URN:NBN: urn:nbn:hr:105:292418
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2018-04-09 12:44:42