Ultrazvukom vođeni živčani blokovi torakalne i abdominalne stijenke

master's thesis

• Title (english): Ultrasound-guided nerve blocks of the thoracic and abdominal wall
• Author: Adnan Isaković
• Mentor: Tomislav Radočaj (mentor)
• Committee member: Marinko Vučić (predsjednik povjerenstva)
• Committee member: Dinko Tonković (član povjerenstva)
• Committee member: Tomislav Radočaj (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Anaesthesiology, Resuscitation and Intensive Care in Surgical Specialities); Zagreb
• Defense date and country: 2024-07-12, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Anesthesiology and Reanimatology

Abstract

Uvođenjem ultrazvuka kao ključnog alata u regionalnu anesteziju, anesteziolozi su postigli preciznije i sigurnije rezultate pri izvedbi živčanih blokova. Ultrazvučna tehnologija omogućuje detaljnu vizualizaciju anatomskih struktura i živčanih puteva u
stvarnom vremenu, što značajno doprinosi učinkovitosti postupka i smanjenju rizika od komplikacija. Razvoj ultrazvuka kao standarda u regionalnoj anesteziji omogućio je širu primjenu blokada na različitim dijelovima tijela, uključujući torakalnu i abdominalnu stijenku, gdje se postižu izvanredni klinički rezultati. Uz pružanje učinkovite analgezije, ultrazvukom vođeni živčani blokovi torakalne i abdominalne stijenke podržavaju strategije smanjenja primjene opioidnih analgetika ili njihovu potpunu eliminaciju, što je u skladu s modernim pristupima poput protokola ubrzanog oporavka nakon operacije (ERAS – eng. Enhanced Recovery After Surgery). Ovi protokoli ne samo da skraćuju vrijeme oporavka pacijenata već i smanjuju troškove zdravstvene skrbi te poboljšavaju ukupne ishode nakon kirurških zahvata. S razvojem tehnologije i kontinuiranim usavršavanjem stručnjaka, ultrazvukom vođene tehnike postaju neizostavan standard u praksi zbog njihove sposobnosti optimizacije kontrole boli i poboljšanja pacijentovog iskustva. Daljnji napredak istraživanja i integracija novih saznanja o anatomiji i fiziologiji živčanih struktura i fascija nastavit će unaprjeđivati ove metode te poticati njihovu širu primjenu u kirurškoj praksi diljem svijeta.

Abstract (english)

With the introduction of ultrasound as a key tool in regional anesthesia, anesthesiologists have achieved more precise and safer outcomes in performing nerve blocks. Ultrasound technology enables detailed visualization of anatomical structures and nerve pathways in real time, significantly enhancing the efficiency of the procedure and reducing the risk of complications. The development of ultrasound as a standard in regional anesthesia has facilitated the broader application of blocks in various parts of the body, including the thoracic and abdominal walls, where exceptional clinical results are achieved. In addition to providing effective analgesia, ultrasound-guided nerve blocks of the thoracic and abdominal walls support strategies aimed at reducing or completely eliminating the use of opioid analgesics, aligning with modern approaches such as Enhanced Recovery After Surgery (ERAS) protocols. These protocols not only shorten patient recovery times but also reduce healthcare costs and improve overall outcomes following surgical procedures. With technological advancements and the continuous improvement of specialists, ultrasound-guided techniques are becoming an indispensable standard in practice due to their ability to optimize pain control and enhance the patient experience. Ongoing research advancements and the integration of new knowledge regarding the anatomy and physiology of nerve structures and fascia will continue to improve these methods and promote their wider application in surgical practice worldwide.

• Keywords: regionalna anestezija; ultrazvuk; živčani blokovi; analgezija
• Keywords (english): regional anesthesia; ultrasound; nerve blocks; analgesia
• Language: croatian
• URN:NBN: urn:nbn:hr:105:703291
• 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: 2024-07-04 17:37:12