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master's thesis
ANALGOSEDACIJA U PEDIJATRIJSKOJ INTENZIVNOJ JEDINICI
Rijeka: University of Rijeka, Faculty of Medicine, 2018. urn:nbn:hr:184:379996
Jakljević, Patricia
University of Rijeka
Faculty of Medicine
Department of Pediatrics

Institutional repository: Repository of the University of Rijeka, Faculty of Medicine

Cite this document

Jakljević, P. (2018). ANALGOSEDACIJA U PEDIJATRIJSKOJ INTENZIVNOJ JEDINICI (Master's thesis). Rijeka: University of Rijeka, Faculty of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:379996

Jakljević, Patricia. "ANALGOSEDACIJA U PEDIJATRIJSKOJ INTENZIVNOJ JEDINICI." Master's thesis, University of Rijeka, Faculty of Medicine, 2018. https://urn.nsk.hr/urn:nbn:hr:184:379996

Jakljević, Patricia. "ANALGOSEDACIJA U PEDIJATRIJSKOJ INTENZIVNOJ JEDINICI." Master's thesis, University of Rijeka, Faculty of Medicine, 2018. https://urn.nsk.hr/urn:nbn:hr:184:379996

Jakljević, P. (2018). 'ANALGOSEDACIJA U PEDIJATRIJSKOJ INTENZIVNOJ JEDINICI', Master's thesis, University of Rijeka, Faculty of Medicine, accessed 07 November 2024, https://urn.nsk.hr/urn:nbn:hr:184:379996

Jakljević P. ANALGOSEDACIJA U PEDIJATRIJSKOJ INTENZIVNOJ JEDINICI [Master's thesis]. Rijeka: University of Rijeka, Faculty of Medicine; 2018 [cited 2024 November 07] Available at: https://urn.nsk.hr/urn:nbn:hr:184:379996

P. Jakljević, "ANALGOSEDACIJA U PEDIJATRIJSKOJ INTENZIVNOJ JEDINICI", Master's thesis, University of Rijeka, Faculty of Medicine, Rijeka, 2018. Available at: https://urn.nsk.hr/urn:nbn:hr:184:379996

Metadata
TitleANALGOSEDACIJA U PEDIJATRIJSKOJ INTENZIVNOJ JEDINICI
Title (english)ANALGOSEDATION IN PEDIATRIC INTENSIVE CARE UNIT
AuthorPatricia Jakljević
MentorAna Milardović (mentor)
MentorKristina Lah Tomulić (mentor)
Committee memberSrđan Banac (predsjednik povjerenstva)
Committee memberSrećko Severinski (član povjerenstva)
Committee memberVlatka Sotošek Tokmadžić (član povjerenstva)
GranterUniversity of Rijeka
Faculty of Medicine
(Department of Pediatrics)
Rijeka
Defense date and country2018-07-13, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Pediatrics
Abstract
Djeca u jedinicama intenzivnog liječenja su često podvrgnuta bolnim postupcima u svrhu terapije i/ili dijagnostike, često su na mehaničkoj ventilaciji i izložena su nekolicini potpunih stranaca dok su u isto vrijeme odvojena od svojih najbližih i njihova normalna okruženja. Suzbijanje i kontrola boli, straha i anksioznosti i pritom održavanje hemodinamske stabilnosti kod djece je popriličan izazov. Odstupanje od adekvatne razine analgosedacije u terapiji boli i distresa kod djece može dovesti do suprotnog učinka. Cjelokupni proces liječenja može biti narušen, boravak djeteta u bolnici se produljuje, povećava se stres a može doći i do razvoja nuspojava analgosedacije, kao tolerancija i delirij. S obzirom na veliki izbor farmakoloških tvari za analgosedaciju, liječnik treba imati znanje i razumijevanje o fiziologiji djeteta, trenutnom stanju i komorbiditetima, farmakokinetičkom profilu lijeka te njegovim nuspojavama. Radi pravilnog izbora lijeka u terapiji potrebne su česte procjene stanja pacijenta.
Abstract (english)
Children in the intensive care unit often undergo painful interventions for therapy and/or diagnostic reasons, require mechanical ventilation and are exposed to multiple strangers while separated from their loved ones and their normal enviroment. Managing their pain, fear and anxiety and maintaining hemodynamic stability is challenging. Both under-treatment and over-treatment can have harmful effects. Whole treatment process can be undermined, child staying in hospital prolonged, stress induced and potential adverse effects of analgosedation, such as tolerance and delirium, can be induced. With the large choice of agents available, practitioners should understand children physiology, hemodynamic profile of the individual patient, the mechanism of action, pharmacokinetic profile and advantages and disadvantages of each agent. In order to choose adequate drug for therapy, frequently measures of child's condition are necessary.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:184:379996
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsAccess restricted to students and staff of home institution
Terms of useLicence In copyright icon
Created on2018-11-23 13:29:16