Traheotomija kao način zbrinjavanja akutne opstrukcije gornjih dišnih puteva

master's thesis

• Title (english): Tracheotomy in management of acute upper airway obstruction
• Author: Bojan Đurkas
• Mentor: Mario Bilić (mentor)
• Committee member: Drago Prgomet (predsjednik povjerenstva)
• Committee member: Srećko Branica (član povjerenstva)
• Committee member: Mario Bilić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Othorhinolaryngology and Head and Neck Surgery); Zagreb
• Defense date and country: 2018-07-13, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Otorhinolaryngology
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Surgery

Abstract

Uspješno zbrinjavanje otežanog disanja započinje ispravnim prepoznavanjem potencijalnog problema. Ukoliko pacijent ne može spontano disati, prvi korak u zbrinjavanju je oksigenacija i ventilacija korištenjem maske za disanje sa samoširećim balonom nakon čega slijedi pokušaj orotrahealne intubacije. Ukoliko je orotrahealna intubacija neuspješna, nužna je brza odluka o kirurškom zahvatu. U „nemoguće ventilirati, nemoguće intubirati“ situacijama, jedna od opcija je kirurška krikotireotomija. Ukoliko je orotrahealna intubacija neizvediva, a ventilacija laringealnom maskom ili maskom sa samoširećim balonom je moguća, nužno je izvesti hitnu kiruršku traheostomiju. Promatrano dugoročno, pacijenti s potrebom za dugoročnom umjetnom ventilacijom trebat će perkutanu ili otvorenu traheostomiju. Ovaj pregledni rad usmjerit će se na povijest traheotomije, indikacije i kontraindikacije, najčešće tehnike traheotomije kao i komplikacije povezane s njima te konačno zbrinjavanje opstrukcije gornjih dišnih puteva koristeći metodu traheotomije.

Abstract (english)

Successful management of a breathing difficulty begins with recognizing the potential problem. If the patient cannot breathe spontaneously, the first step in the management is oxygenation and using bag-valve ventilation, followed by an orotracheal intubation attempt. If orotracheal intubation fails, a quick decision must be made regarding surgical options. In a “cannot intubate, cannot ventilate” situation, a surgical cricothyrotomy should be considered. When orotracheal intubation is impossible, but bag-valve or laryngeal mask ventilation is possible, an urgent surgical tracheostomy should be performed. In the long run, patients in need of long-term artificial ventilation will need a percutaneous or open tracheostomy. This review is focused on history of tracheotomy, indications and contraindications, most commonly used methods of tracheotomy and complications related to them, and finally upper respiratory tract obstruction management using tracheotomy.

• Keywords: traheotomija; opstrukcija; akutna opstrukcija; gornji dišni putevi; opstrukcija gornjih dišnih puteva
• Keywords (english): tracheotomy; obstruction; acute obstruction; upper airway; upper airway obstruction
• Language: croatian
• URN:NBN: urn:nbn:hr:105:117390
• 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: 2019-01-07 10:19:16