Zbrinjavanje najčešćih hitnih stanja u ordinaciji dentalne medicine

master's thesis

• Title (english): Managing the most common emergency conditions in the dental practice
• Author: Tea Nuk
• Mentor: Jasminka Peršec (mentor)
• Committee member: Silvana Jukić Krmek (predsjednik povjerenstva)
• Committee member: Jasminka Peršec (član povjerenstva)
• Committee member: Nada Galić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; Zagreb
• Defense date and country: 2021-09-24, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Anesthesiology and Reanimatology

Abstract

Hitno stanje akutni je događaj koji može ugroziti pacijentovo zdravlje ili čak život. Ovo je stanje neočekivano i može se dogoditi svakome u svakom trenutku, pa i u stomatološkoj ordinaciji. Uzrok nastanka može biti strah, ali i svaki stomatološki zahvat, a najčešće se javlja prilikom primjene lokalne anestezije. Zahvaćen može biti bilo koji organski sustav ili istovremeno više njih, pa se tako i simptomi mogu razlikovati, ali i međusobno ispreplitati. Oni mogu biti vrlo blagi pa sve do iznimnih koji mogu ugroziti bolesnika i dovesti do smrti. Najčešće se javljaju sinkope, bol u prsima, epileptički napad, hipoglikemija, alergijske reakcije
različitog intenziteta, astmatični napadi, gušenje i krvarenja. Stomatolog mora biti educiran o svim potencijalnim hitnim stanjima, njihovom saniranju te provođenju postupka kardiopulmonalne reanimacije. Mora znati procijeniti u kojim je stanjima potrebno pozvati hitnu medicinsku službu. Što se prije započne s pružanjem pomoći, smanjuje se incidencija teških posljedica, a vjerojatnost preživljenja postaje veća. Prilikom pružanje prve pomoći treba ostati smiren, osigurati siguran pristup pacijentu te nadalje provoditi postupke ovisno o kliničkoj slici i vitalnim parametrima. Potrebno je provesti sve mjere opreza prije započinjanja stomatološkog zahvata, dobro proučiti rizike i komplikacije koji mogu nastati te sve faktore na koje je moguće utjecati treba prevenirati.
Krajnji je cilj spasiti ljudski život.

Abstract (english)

An emergency is an acute event that can endanger a patient's health or even life. It is unexpected and it can occur at any moment, even in the dental practice. The cause can be fear, but also any dental procedure and it occurs most often when administering local anesthesia. Any organ system, or more of them, can be affected simultaneously; therefore, symptoms may vary and intertwine. The symptoms can be very mild up to severe that might endanger the patient’ life and lead to death. The most common symptoms are syncopes, chest pain, epileptic seizures, hypoglycemia, allergic reactions of varying intensities, asthma attacks, suffocation and bleeding. The dentist needs to be educated about all these potential emergencies, their treatment, and the steps for conducting the cardiopulmonary resuscitation. The dentist must be able to evaluate which conditions require the help of emergency medical services. The sooner the aid is provided, the incidence of severe consequences decreases, and the likelihood of survival increases. While providing first aid it is necessary to stay calm, to provide safe access to the patient, and perform further procedures depending on the clinical picture and vital parameters.
It is necessary to carry out all precautions before starting the dental procedure, study the risks and complications that might occur, and prevent all the factors that might affect the situation. The primary aim is to save a human life.

• Keywords: hitna stanja; stomatološka ordinacija
• Keywords (english): Emergencies; Dental Clinics
• Language: croatian
• URN:NBN: urn:nbn:hr:127:681366
• 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 08:57:45