Anesteziološki aspekti kod stomatoloških sanacija u općoj anesteziji

master's thesis

• Title (english): Anesthesiological aspects in dental rehabilitation in general anesthesia
• Author: Karlo Naka
• Mentor: Željko Verzak (mentor)
• Committee member: Željko Verzak (predsjednik povjerenstva)
• Committee member: Kristina Goršeta (član povjerenstva)
• Committee member: Hrvoje Jurić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Paediatric and Preventive Dentistry); Zagreb
• Defense date and country: 2021-09-23, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine

Abstract

Anesteziologija je grana medicine čiji je cilj postizanje reverzibilne neosjetljivosti na bol. Opća anestezija dovodi bolesnika u besvjesno stanje u kojem nema senzibiliteta, mogućnosti kretanja i djelovanja obrambenog sustava. Anesteziolog može odabrati između inhalacijskih i intravenskih općih anestetika, ovisno o zdravstvenom stanju pacijenta te vrsti postupka. Osobama koje nisu
kooperativne, imaju veliki strah od dentalnog zahvata i djeci s poremećajem u psihomotornom razvoju indicirana je opća anestezija. Potrebna je prijeoperacijska priprema bolesnika koja uključuje iscrpnu anamnezu i fizikalni pregled, pretrage (EKG, KKS, RTG) te potpisanu suglasnost. Nužna je procjena rizika prema ASA klasifikaciji. Premedikacija je ključan korak prije uvođenja u opću anesteziju zbog smanjenja straha i anksioznosti, a sastoji se od psihološke i farmakološke pripreme. Tijekom opće anestezije, obavezno je praćenje vitalnih funkcija bolesnika. Komplikacije koje se mogu javiti dijele se na lakše i teže. Najčešće su komplikacije
poslijeoperacijska mučnina i povraćanje, a napretkom u medicini one su danas uvelike smanjene. Bliska suradnja anesteziologa i stomatologa bitna je prilikom cijelog postupka.

Abstract (english)

Anesthesiology is a branch of medicine whose goal is to achieve reversible insensitivity to pain. General anesthesia brings the patient into an unconscious state where there is no sensibility, ability to move, and the defense system is temporarily not functioning. The anesthesiologist can choose between inhalation and intravenous general anesthetics, depending on the patient’s health condition and the type of procedure. People who are not cooperative, have an irrational fear of dental surgery and children with psychomotor developmental disorders are indicated for general anesthesia. Preoperative preparation of the patient is required, which includes a comprehensive anamnesis and physical examination, examinations (ECG, blood analysis, X-ray) and signed consent. A risk assessment according to the ASA classification is required. Premedication is a key step before starting general anesthesia to reduce fear and anxiety and consists of psychological and pharmacological preparation. During general anesthesia, monitoring of the patient’s vital functions is mandatory. Complications can be divided into mild and severe. The most common complications include postoperative nausea and vomiting, but with advances in medicine,
nowadaysthey have been greatly reduced. Close cooperation between anesthesiologists and dentist is essential throughout the procedure.

• Keywords: dentalna anksioznost; opća anestezija
• Keywords (english): Dental Anxiety; General Anesthesia
• Language: croatian
• URN:NBN: urn:nbn:hr:127:633468
• Study programme: Title: dental medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica dentalne medicine (doktor/doktorica dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Access restricted to students and staff of home institution
• Created on: 2021-10-28 10:24:19