Regionalna anestezija

master's thesis

• Title (english): Regional anaesthesia
• Author: Nikolina Župančić
• Mentor: DINKO TONKOVIĆ (mentor)
• Committee member: Mladen Perić (predsjednik povjerenstva)
• Committee member: Vesna Vegar-Brozović (član povjerenstva)
• Committee member: DINKO TONKOVIĆ (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Anaesthesiology, Resuscitation and Intensive Care in Surgical Specialities); Zagreb
• Defense date and country: 2014-07-15, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Anesthesiology and Reanimatology

Abstract

Regionalna anestezija dio je anestezije kojim se postiže privremeni gubitak osjeta, ponegdje i motorike, na dijelu tijela na kojem se obavlja operacijski zahvat. Osim same anestezije, koristi se i za analgeziju neposredno nakon operacijskog zahvata ili kroz dulji vremenski period. Regionalna anestezija dijeli se na centralne ( neuroaksijalne ) i periferne tehnike. U centralne tehnike ubrajaju se epiduralna i subarahnoidalna anestezija, a u periferne tehnike periferni blokovi živčanih spletova i/ili pojedinih živaca. Učinak regionalne anestezije postiže se injiciranjem lokalnih anestetika u područje živčanog spleta i/ili živca na koje se želi djelovati. Primjena ove vrste anestezije povezana je sa smanjenim morbiditetom, mortalitetom, boljom postoperacijskom analgezijom, bržim oporavkom nakon operacijskog zahvata i manjim troškovima liječenja u odnosu na uporabu opće anestezije. Isto tako, znatno je manji broj komplikacija, poglavito onih sa trajnim posljedicama. Prikladan odabir bolesnika te znanje i iskustvo anesteziologa, više nego pri primjeni bilo koje druge anesteziološke tehnike, određuju uspjeh primjene regionalne anestezije.

Abstract (english)

Regional anesthesia is type of the anesthesia that achieves a temporary loss of sensation and sometimes motor control, on the part of the body where the surgery is performed. In addition to the anesthesia, it is often used for analgesia immediately after the surgery or for a longer period of time. Regional anesthesia is divided into central ( neuroaxial ) and peripheral techniques. The central techniques include epidural and subarachnoid anesthesia while peripheral techniques are peripheral plexus blocks and / or blocks of the individual nerves. Effect of regional anesthesia is achieved by injection of local anesthetics in the field of nerve plexus and / or nerve to the place where surgery is performed. The application of this type of anesthesia is associated with reduced morbidity, mortality, improved pain relief, faster recovery after surgery and lower cost of treatment in comparison to the use of general anesthesia. Also, there is considerably smaller number of complications, particularly those with permanent consequences. Suitable selection of patients, knowledge, experience and skills of the anesthesiologists, more than with any other anesthetic technique, determine the success of the application of regional anesthesia.

• Keywords: regionalna anestezija; centralne tehnike; periferni blokovi; lokalni anestetici; komplikacije
• Keywords (english): regional anesthesia; central techniques; peripheral plexus blocks; local anesthetics; complications
• Language: croatian
• URN:NBN: urn:nbn:hr:105:903525
• 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: 2015-10-20 08:11:08