Свесност за време на општа анестезија на пациент на терапија со Beta-блокер - приказ на случај
Journal
Macedonian Medical Review = Македонски медицински преглед
Date Issued
2013
Author(s)
Љупчо Тасевски
Гордана Талеска
Маја Мојсова - Мијовска
Дарко Анѓушев
Abstract
Introduction Awareness during anesthesia is a rare but
significant complication with potentially devastating
psychological consequences The causes of intra operative
awareness are still unclear but it is supposed that is
multi factorial As a contributing factor commonly is
induced the use of adrenergic blockers and ACE
inhibitors
Case report An years old women was hospitalized
at the Clinic for Maxillofacial surgery in Skopje for operation
of the cyst of the maxillary sinus In the preoperative
clinical assessment was established that patient
had medical history of hypertension on therapy with
blockers and ACE inhibitors Preoperative and intraoperative
course was without significant hemodinamically
changes but after extubation patient recallwhole
procedure She develops posttraumatic stress disorder
Conclusion Despite precautions and good technique
some cases of awareness will still occur It may not be
possible to prevent every case of awareness from happening
but it is possible to identify high risk cases and modify
anaesthetic technique accordingly The patient should
receive adequate psychological support afterwards not
only in the form of a regular visit by the anaesthetist but with
the referral for counselling or psychotherapy if necessary
significant complication with potentially devastating
psychological consequences The causes of intra operative
awareness are still unclear but it is supposed that is
multi factorial As a contributing factor commonly is
induced the use of adrenergic blockers and ACE
inhibitors
Case report An years old women was hospitalized
at the Clinic for Maxillofacial surgery in Skopje for operation
of the cyst of the maxillary sinus In the preoperative
clinical assessment was established that patient
had medical history of hypertension on therapy with
blockers and ACE inhibitors Preoperative and intraoperative
course was without significant hemodinamically
changes but after extubation patient recallwhole
procedure She develops posttraumatic stress disorder
Conclusion Despite precautions and good technique
some cases of awareness will still occur It may not be
possible to prevent every case of awareness from happening
but it is possible to identify high risk cases and modify
anaesthetic technique accordingly The patient should
receive adequate psychological support afterwards not
only in the form of a regular visit by the anaesthetist but with
the referral for counselling or psychotherapy if necessary
File(s)![Thumbnail Image]()
Loading...
Name
MMP Svesnost.pdf
Size
3.13 MB
Format
Adobe PDF
Checksum
(MD5):6eac8f704c1e581a5473789be66940a3