Access restricted to higher education institution's students and staff
master's thesis
Primjena regionalne anestezije u postavljanju katetera za periotonejsku dijalizu

Hrvoje Lasić (2016)
Metadata
TitlePrimjena regionalne anestezije u postavljanju katetera za periotonejsku dijalizu
AuthorHrvoje Lasić
Mentor(s)Dean Markić (thesis advisor)
Abstract
Pacijentima u terminalnoj fazi bubreţne bolesti potrebna je nadomjesna terapija bubreţne funkcije. Efikasna metoda za to je peritonejska dijaliza (PD). Tehnika regionalne anestezije, transversus abdominis plane (TAP) blok, se odnedavno koristi za implantaciju katetera za PD. U ovoj studiji cilj je bio procijeniti kolika je efikasnost postavljanja katetera za PD pomoću TAP bloka voĊenog ultrazvukom. U razdoblju od lipnja 2011. do prosinca 2014. godine na Klinici za urologiju, Kliniĉkog bolniĉkog centra u Rijeci, u 43 bolesnika s terminalnim stadijem bubreţnog zatajenja (ESRD) postavljen je kateter za PD uz pomoć ultrazvuĉno voĊenog TAP bloka. Analizirali smo kolika je efikasnost primjene TAP bloka u postavljanju katetera za PD kod naših pacijenata. Kod 40 (93,1%) pacijenata TAP blok je uraĊen koristeći 30 mL, 0,5% levobupivakain hidroklorida, dok je kod 3 (6,9%) pacijenta uĉinjen koristeći 30 mL, 0,75% ropivakaina. Od 43 pacijenta kod njih 38 (91,4%) TAP blok je bio uspješan. Kod preostalih 5 pacijenata bilo je potrebno primijeniti opću anesteziju. Prosjeĉno vrijeme trajanja hospitalizacije bilo je 5,17 dana (raspon 4-7). Komplikacija nije bilo. Postavljanje katetera za PD uz pomoć ultrazvuĉno voĊenog TAP bloka se pokazala kao efikasna i sigurna metoda. Pacijenti s ESRD imaju brojne popratne bolesti koje povećavaju rizik za opću anesteziju. S obzirom da regionalna anestezija nema sustavni uĉinak, ova metoda se moţe koristiti kao osnovna metoda za postavljanje katetera za PD u bolesnika s ESRD.
KeywordsEnd-stage renal disease Regional anesthesia Transversus abdominis plane block Peritoneal dialysis catheter
Committee MembersJosip Španjol (committee chairperson)
Romano Oguić (committee member)
Alen Protić (committee member)
GranterSveučilište u Rijeci
Medicinski fakultet
Lower level organizational unitsKatedra za urologiju
PlaceRijeka
StateCroatia
Scientific field, discipline, subdisciplineBIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Urology
Study programme typeuniversity
Study levelintegrated undergraduate and graduate
Study programmeMedicine
Academic title abbreviationdr. med.
Genremaster's thesis
Language Croatian
Defense date2016-07-15
Parallel abstract (English)
Patients with end-stage renal disease (ESRD) require replacement therapy. Peritoneal dialysis (PD) is very efficient method to use. Technique of regional anesthesia, transversus abdominis plane (TAP) block, recenly started to be a technique for PD catheter placement. In this study the main aim was to see how effective is to place PD catheter by using TAP block guided by ultrasound. From June 2011. until December 2014. at Department of Urology, of Clinical Hospital Centre Rijeka, 43 patients with end stage renal disease (ESRD) underwent PD catheter placement by using ultrasound guided TAP block. We analysed how efficient is it to use TAP block for placing catheter for PD. In 40 (93.1%) of the patients TAP block was performed using 30mL, 0.5% levobupivacaine hydrochloride, while in 3 (6.9%) patients ropivacaine was used. In 38 (91.4%) patients the TAP block was successful. Five patients (8.6%) required use of general anesthesia. Average hospitalisation time was 5.17 days (range 4-7). There weren't any complications. PD catheter placement by using ultrasound guided TAP block has shown to be efficient and safe method. Patients with ESRD have many cormobid conditions that increase risks of general anesthesia. Since regional anesthesia doesn't have systemic effects, this method can be very useful for these patients.
Parallel keywords (Croatian)Terminalni stadij bubreţnog zatajivanja Regionalna anestezija Transversus abdominis plane blok Kateter za peritonejsku dijalizu
Resource typetext
Access conditionAccess restricted to higher education institution's students and staff
Terms of usehttp://rightsstatements.org/vocab/InC/1.0/
URN:NBNhttps://urn.nsk.hr/urn:nbn:hr:184:755261
CommitterBosa Licul