Premedikacija tijekom prijeoperacijske pripreme

master's thesis

• Title (english): Premedication as a vital part of preoperative management
• Author: Danijela Gotić
• Mentor: Vesna Vegar-Brozović (mentor)
• Committee member: Ante Sekulić (predsjednik povjerenstva)
• Committee member: DINKO TONKOVIĆ (član povjerenstva)
• Committee member: Vesna Vegar-Brozović (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

Premedikacija je sastavni dio pripreme bolesnika za operativni zahvat. Premedikacija tijekom prijeoperacijske pripreme podrazumijeva primjenu lijeka do 2 sata prije anestezije. Ciljevi farmakološke premedikacije su anskioliza, sedacija, analgezija, amnezija, antisalivatorni učinak, smanjenje želučanog volumena i povećanje pH vrijednosti želučanog sadržaja, antiemetički učinak, prevencija refleksnog odgovora autonomnog živčanog sustava, profilaksa alergijskih reakcija, prevencija infekcije te prevencija duboke venske tromboze. Potreba za uzimanjem lijeka temelji se na anesteziološkoj procjeni svakog pojedinog bolesnika te s obzirom na utvrđeno stanje i potrebu, prilagođava se primjena lijeka. Premedikacija ne smije pogoršati dosadašnje bolesnikovo stanje, a izbor lijeka, doza, vrijeme i način davanja moraju biti prilagođeni svakom bolesniku posebno. Prijeoperacijska priprema
bolesnika uključuje i procjenu rizika kirurškog postupka kojem bolesnik pristupa. Odgovarajuća prijeoperacijska priprema bolesnika jedan je od ključnih faktora koji pridonose smanjenju perioperativnog mortaliteta. Pružajući odgovarajuću potporu pojedinim organskim sustavima moguća je bolja kontrola bolesnikovih vitalnih funkcija za vrijeme operativnog zahvata, brz oporavak od anestezije, poslijeoperativna kontrola boli i brži oporavak bolesnika.

Abstract (english)

Premedication is a vital part of the surgery patient preparation. Premedication during preoperative management involves the usage of the drug up to 2 hours before anesthesia. The goals of the pharmacological premedications are anxiolysis, sedation, analgesia, amnesia, decrease in salivation, reducing gastric volume and and increase the pH in gastric contents, antiemetic effect, preventing the reflex responses of the autonomic nervous system, prophylaxis of allergic reaction, infection prevention and prevention of deep vein thrombosis. The need for taking the medication is based on anesthesia assesment of the individual patient, and in view of the situation and the need the application of the drug is regulated. Premedication should not worsen the patient's current condition, and the choice of drug ,dose, time and route of administration should be adapted to the particular patient. Preoperative patient preparation includes risk assessment of the surgical procedure which the patient
undergoes. Appropriate preoperative patient preparation is one of the key factors that contribute to the reduction of perioperative mortality. Providing adequate support to individual organ systems allows for better control of the patient's vital functions during surgery, a rapid recovery from anesthesia, postoperative pain control and faster patient recovery.

• Keywords: prijeoperacijska priprema; premedikacija
• Keywords (english): preoperative management; premedication
• Language: croatian
• URN:NBN: urn:nbn:hr:105:177120
• 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: 2015-10-05 10:07:32