Avtor/Urednik		Šoštarič, Maja
Naslov		Ugotavljanje napovednih dejavnikov za hitro ekstubacijo in lajšanje pooperativne bolečine po endoskopskih operacijah na srcu
Tip		monografija
Kraj izdaje		Ljubljana
Založnik		Univerza v Ljubljani, Medicinska fakulteta
Leto izdaje		2006
Obseg		str. 52
Jezik		slo
Abstrakt		In our retrospective study we examined the »fast - track« patient recovery protocol after endoscopic heart procedures. An integral part of this protocol is early extubation. We were able to determine which patient characteristics before and during the operation could predict successful extubation immediately after the operation, still in the operating room. At the same time we wanted to find out if fast-track recovery protocol after heart surgery has a beneficial effect on postoperative recovery. Since the successful relief of postoperative pain is of extreme importance for the success of fasttrack postoperative recovery protocol, in our study we evaluated if it is possible to alleviate postoperative pain after endoscopic heart surgery with the help of a pain-relieving catheter in the surgical wound, whether having a catheter in the surgical wound represents an additional risk for the development of infection in the wound, and whether there is a difference in the effectiveness of the local anaesthetics (LA) ropivacaine and bupivacaine. There were 104 patients involved in the study, who all underwent endoscopic cardiac surgery because of mural or tricuspid valve dysfunction, cardiac tumour removal or atrium septal defect. Prior to surgery, all the patients were marked for fast track recovery protocol, meaning that during the operation short-term anaesthetics and pain relievers were used. For the induction, fentanyl (3-5 microg kg-1), etomidat (0.3 mg kg-1) and the muscle relaxant vecuronium (0.1 mg kg -1) were used. Since the operation was performed through a 4-5 cm long thoracotmy on the right side of thorax, in the third or fourth intercostal space, and therefore the right side of the lungs were not inflated during the operation, the patients were intubated with double lumen tube. (Abstract truncated at 2000 characters)
Deskriptorji		CARDIOPULMONARY BYPASS SURGERY, ENDOSCOPIC PAIN, POSTOPERATIVE PREANESTHETIC MEDICATION INTENSIVE CARE UNITS BUPIVACAINE PREOPERATIVE CARE INTRAOPERATIVE CARE ANESTHESIA, EPIDURAL ANESTHESIA RECOVERY PERIOD RETROSPECTIVE STUDIES