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master's thesis
Anesteziološko zbrinjavanje politraumatiziranog bolesnika
Zagreb: University of Zagreb, School of Medicine, 2022. urn:nbn:hr:105:118544
Stričević, Dorotea
University of Zagreb
School of Medicine
Department of Anaesthesiology, Resuscitation and Intensive Care in Surgical Specialities

Institutional repository: Dr Med - University of Zagreb School of Medicine Digital Repository

Cite this document

Stričević, D. (2022). Anesteziološko zbrinjavanje politraumatiziranog bolesnika (Master's thesis). Zagreb: University of Zagreb, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:118544

Stričević, Dorotea. "Anesteziološko zbrinjavanje politraumatiziranog bolesnika." Master's thesis, University of Zagreb, School of Medicine, 2022. https://urn.nsk.hr/urn:nbn:hr:105:118544

Stričević, Dorotea. "Anesteziološko zbrinjavanje politraumatiziranog bolesnika." Master's thesis, University of Zagreb, School of Medicine, 2022. https://urn.nsk.hr/urn:nbn:hr:105:118544

Stričević, D. (2022). 'Anesteziološko zbrinjavanje politraumatiziranog bolesnika', Master's thesis, University of Zagreb, School of Medicine, accessed 12 July 2024, https://urn.nsk.hr/urn:nbn:hr:105:118544

Stričević D. Anesteziološko zbrinjavanje politraumatiziranog bolesnika [Master's thesis]. Zagreb: University of Zagreb, School of Medicine; 2022 [cited 2024 July 12] Available at: https://urn.nsk.hr/urn:nbn:hr:105:118544

D. Stričević, "Anesteziološko zbrinjavanje politraumatiziranog bolesnika", Master's thesis, University of Zagreb, School of Medicine, Zagreb, 2022. Available at: https://urn.nsk.hr/urn:nbn:hr:105:118544

Metadata
TitleAnesteziološko zbrinjavanje politraumatiziranog bolesnika
Title (english)Trauma patient anesthesiology managment
AuthorDorotea Stričević
MentorTomislav Radočaj (mentor)
Committee memberMarinko Vučić (predsjednik povjerenstva)
Committee memberDinko Tonković (član povjerenstva)
Committee memberTomislav Radočaj (član povjerenstva)
GranterUniversity of Zagreb
School of Medicine
(Department of Anaesthesiology, Resuscitation and Intensive Care in Surgical Specialities)
Zagreb
Defense date and country2022-07-15, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Anesthesiology and Reanimatology
Abstract
Politrauma se definira kao istovremeno postojanje teških ozljeda barem dviju tjelesnih regija pri čemu je najmanje jedna od tih ozljeda ili kombinacija više njih opasna po život. Zbrinjavanje bolesnika s politraumom izazovno je zbog zahvaćenosti više organa i organskih sustava, ozbiljnosti ozljeda, teško dostupnih i ograničenih informacija o bolesniku, patofizioloških zbivanja koji se razvijaju, prisutnosti akutne boli te ograničenog preoperativnog vremena unutar kojeg je potrebno stabilizirati bolesnika. Unatoč tim činjenicama, poboljšano razumijevanje patofiziologije politraume evoluiralo je tijekom posljednja tri desetljeća, uključujući razvijanje algoritama zbrinjavanja traume koji su olakšali zbrinjavanje i skrb o bolesnicima tijekom njihove hospitalizacije. Optimalno zbrinjavanje bolesnika s traumom zahtijeva multidisciplinarni, multimodalni i koordinirani timski pristup za uspješan ishod. Postupak zbrinjavanje politraume započinje prije hospitalizacije bolesnika pri čemu je najvažnija njegova stabilizacija, nakon toga slijede sedacija i analgezija u objedinjenom hitnom bolničkom prijemu, kontinuirana hemodinamska stabilizacija, rješavanje koagulopatije povezane s traumom, preoperativna priprema, osiguravanje dišnog puta i ventilacije, adekvatna operativna i postoperativna kontinuirana skrb te rehabilitacija. Za uspješan ishod tijekom liječenja politraume potreban je iskusan i stručan anesteziolog, ali i suradnja s ostalim medicinskim djelatnicima kao što su medicinske sestre i tehničari, specijalisti transfuzijske medicine, specijalisti hitne medicine i kirurzi.
Abstract (english)
Polytrauma is described as the simultaneous existence of severe injury of at least two body regions and at least one injury or a combination of several injuries that are life-threatening. The management of polytrauma patients can be challenging due to multi-organ involvement, occult injuries, limited information about patient history, evolving physiological derangements, presence of acute pain, limited time available to stabilize the patient in the pre-operative period. Despite these facts, improved understanding of the pathophysiology of polytrauma has evolved over the past three decades including evolving models of trauma care which has helped guide the medical care of patients during their hospitalization. Optimal management of patients of trauma requires a multi-disciplinary, multimodal, and coordinated team approach for a successful outcome. Trauma anaesthesia begins before the patient arrives with a role in pre-hospital set-up followed by sedation and analgesia in the Accident and Emergency Department, on-going haemodynamic resuscitation, dealing with trauma associated coagulopathy, preoperative optimization, ventilatory strategies, intensive care monitoring, and rehabilitation including pain management. A successful outcome during the treatment of polytrauma requires an experienced and professional anesthesiologist, but also cooperation with other medical professionals such as nurses and technicians, transfusion medicine specialists, emergency medicine specialists and surgeons.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:105:118544
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 conditionsOpen access
Terms of useLicence In copyright icon
Created on2023-02-24 13:39:55