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master's thesis
Poslijeoperacijsko praćenje u jedinici intenzivne medicine bolesnika s mikrovaskularnom rekonstrukcijom glave i vrata
Zagreb: University of Zagreb, School of Medicine, 2023. urn:nbn:hr:105:365369
Martinko, Renata
University of Zagreb
School of Medicine

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

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Martinko, R. (2023). Poslijeoperacijsko praćenje u jedinici intenzivne medicine bolesnika s mikrovaskularnom rekonstrukcijom glave i vrata (Master's thesis). Zagreb: University of Zagreb, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:365369

Martinko, Renata. "Poslijeoperacijsko praćenje u jedinici intenzivne medicine bolesnika s mikrovaskularnom rekonstrukcijom glave i vrata." Master's thesis, University of Zagreb, School of Medicine, 2023. https://urn.nsk.hr/urn:nbn:hr:105:365369

Martinko, Renata. "Poslijeoperacijsko praćenje u jedinici intenzivne medicine bolesnika s mikrovaskularnom rekonstrukcijom glave i vrata." Master's thesis, University of Zagreb, School of Medicine, 2023. https://urn.nsk.hr/urn:nbn:hr:105:365369

Martinko, R. (2023). 'Poslijeoperacijsko praćenje u jedinici intenzivne medicine bolesnika s mikrovaskularnom rekonstrukcijom glave i vrata', Master's thesis, University of Zagreb, School of Medicine, accessed 26 May 2024, https://urn.nsk.hr/urn:nbn:hr:105:365369

Martinko R. Poslijeoperacijsko praćenje u jedinici intenzivne medicine bolesnika s mikrovaskularnom rekonstrukcijom glave i vrata [Master's thesis]. Zagreb: University of Zagreb, School of Medicine; 2023 [cited 2024 May 26] Available at: https://urn.nsk.hr/urn:nbn:hr:105:365369

R. Martinko, "Poslijeoperacijsko praćenje u jedinici intenzivne medicine bolesnika s mikrovaskularnom rekonstrukcijom glave i vrata", Master's thesis, University of Zagreb, School of Medicine, Zagreb, 2023. Available at: https://urn.nsk.hr/urn:nbn:hr:105:365369

Metadata
TitlePoslijeoperacijsko praćenje u jedinici intenzivne medicine bolesnika s mikrovaskularnom rekonstrukcijom glave i vrata
Title (english)Postoperative follow-up in the intensive care unit of patients with head and neck microvascular reconstruction
AuthorRenata Martinko
MentorEmil Dediol (mentor)
Committee memberŽELJKO ORIHOVAC (predsjednik povjerenstva)
Committee memberIvica Lukšić (član povjerenstva)
Committee memberEmil Dediol (član povjerenstva)
GranterUniversity of Zagreb
School of Medicine
Zagreb
Defense date and country2023-09-26, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Abstract
U rekonstrukcijskoj kirurgiji glave i vrata veliki napredak donijelo je korištenje slobodnih režnjeva koji se uzimaju s udaljenih dijelova tijela. Najveća prednost upotrebe slobodnih režnjeva je ciljani izbor tkiva koja su potrebna za rekonstrukciju. Cilj ovog istraživanja je praćenje kliničkih parametara bolesnika tijekom boravka u jedinici intenzivne medicine u smislu učinkovitosti na preživljenje prenesenog slobodnog režnja. Ova prospektivna studija provedena je u Kliničkoj bolnici Dubrava na uzorku od 41 bolesnika koji su bili smješteni u jedinicu intenzivne medicine. Po demografskim podacima muškaraca je bilo 71% (najviše u dobi od 60-69 godina), a žena 29% (najviše u dobi od 70-79 godina). Planocelularni karcinom bio je kod 78% bolesnika a najveći postotak slobodnih režnjeva koji su rađeni bio je osteofasciokutani podlaktični režanj od 24.3%, fasciokutani podlaktični režanj od 21.9% i fibularni režanj od 21.9%. Kroz 24 satno praćenje bolesnika nakon operativnog zahvata klinički parametri unutar optimalnih vrijednosti za krvni tlak bili su kod 93% bolesnika, puls kod 73% bolesnika, hematokrit kod 29% bolesnika i periferna saturacija kod 100% bolesnika. Ukupna stopa preživljenja slobodnog režnja je 85.4% . Revizija anastomoza bila je potrebna u 5 bolesnika a nekroza slobodnog režnja bila je kod 1 bolesnika. Kvalitetno i dobro praćenje bolesnika nakon operativnog zahvata u jedinici intenzivne medicine pospješuje opstanak mikrovaskularnog režnja.
Abstract (english)
In reconstructive surgery of the head and neck, the use of free flaps taken from distant parts of the body brought great progress. The biggest advantage of using free flaps is the targeted selection of tissues that are needed for reconstruction. The aim of this research is to monitor the clinical parameters of patients during their stay in the intensive care unit in terms of effectiveness on the survival of the transplanted free lobe. This prospective study was conducted in the Clinical Hospital Dubrava on a sample of 41 patients who were placed in the intensive care unit. According to demographic data, there were 71% of men (mostly aged 60- 69), and 29% of women (mostly aged 70-79). Squamous cell carcinoma was present in 78% of patients, and the highest percentage of free flaps that were performed was the osteofasciocutaneous forearm flap of 24.3%, fasciocutaneous forearm flap 21.9% and the fibular bone flap of 21.9%. During the 24-hour follow-up of patients after surgery, clinical parameters were within optimal values for blood pressure in 93% of patients, pulse in 73% of patients, hematocrit in 29% of patients, and peripheral saturation in 100% of patients. The overall survival rate of the free flap is 85.4%. Revision of the anastomosis was necessary in 5 patients and necrosis of the free flap was in 1 patient. Quality and good monitoring of patients after surgery in the intensive care unit improves the survival of the microvascular flap.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:105:365369
Study programmeTitle: Studies in Nursing
Study programme type: university
Study level: graduate
Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
Type of resourceText
File originBorn digital
Access conditionsOpen access
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Created on2024-04-18 11:08:18