Primjena ultrazvuka u tehnikama regionalne anestezije

master's thesis

• Title (english): Ultrasound in regional anesthesia
• Author: Dea Barać
• Mentor: Dinko Tonković (mentor)
• Committee member: Daniela Bandić Pavlović (predsjednik povjerenstva)
• Committee member: Kristina Serec (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: 2023-07-13, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Anesthesiology and Reanimatology

Abstract

Regionalna anestezija je specifična tehnika anestezije kojom se otklanja ili ublažava bol određenog dijela tijela inhibirajući prijenos živčanih signala. Koristi se tijekom kirurških zahvata, kod porođaja i u liječenju akutne i kronične boli. Regionalnom
anestezijom postiže se napredak u medicini jer se izbjegavaju komplikacije opće anestezije, posebno u određenim skupinama u populaciji, poput starijih bolesnika ili bolesnika sa mnogobrojnim pridruženim bolestima. Povezana je sa smanjenim morbiditetom, mortalitetom, boljom postoperacijskom analgezijom, skraćenim vremenom boravka u bolnici i manjim troškovima liječenja, omogućuje brži oporavak i vraćanje svakodnevnim aktivnostima pojedinca, čime postaje jedna od najkorištenijih tehnika u anesteziji. Konvencionalne tehnike poput označavanja orijentira na koži, stimulacija živca ili gubitak otpora imaju svoja ograničenja poput varijacija u anatomiji i fiziologiji živaca. Ultrazvučna tehnologija je donijela revoluciju u području regionalne anestezije te postaje zlatnim standardom. Zahtijeva izuzetno dobro poznavanje anatomije i potrebu za stalnim usavršavanjem liječnika, a prednosti su izravna vizualizacija ciljanog živca ili spleta na monitoru, uvođenje i usmjeravanje igle uz praćenje u stvarnom vremenu, izbjegavanje struktura osjetljive anatomije i praćenje širenja lokalnog anestetika.

Abstract (english)

Regional anesthesia is a specific technique of anesthesia that eliminates or eases the pain of a certain body part by inhibiting the transmission of nerve signals. It is used during surgical procedures, during childbirth and in the treatment of acute and chronic pain. Regional anesthesia achieves progress in medicine because complications of general anesthesia are avoided, especially in certain groups in the population, such as elderly patients or patients with numerous associated diseases. It is associated with reduced morbidity, mortality, better postoperative analgesia, shortens hospital stay and reduces treatment costs, enables faster recovery and return to daily activities of the individual, thus becoming one of the most used techniques in anesthesia. Conventional techniques such as marking landmarks on the skin, nerve stimulation or loss of resistance have their limitations such as variations in nerve anatomy and physiology. Ultrasound technology has brought a revolution in the field of regional anesthesia and is becoming the golden standard. It requires an extremely good knowledge of anatomy and the need for constant training of the doctor, and the advantages are direct visualization of the targeted nerve or plexus on the monitor, introduction and guidance of the needle with real-time monitoring, avoiding structures of sensitive anatomy and monitoring the spread of local anesthetic.

• Keywords: regionalna anestezija; ultrazvuk; bol; živac
• Keywords (english): regional anesthesia; ultrasound; pain; nerve
• Language: croatian
• URN:NBN: urn:nbn:hr:105:320573
• 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: 2023-10-20 10:45:10