General Approaches in Problems Related-Anesthesia in Perioperative Period

Yıl 2019, Cilt: 2 Sayı: 1, 35 - 47, 31.01.2019

İskender Kara

Öz

Various situations may arise from a simple problem of peripheral intravenous access to death during both general and regional anesthesia applications. Various problems can be seen in the intraoperative period depending on the patient’s comorbidities, surgical procedures, anesthesia technique and the drugs used. A significant portion of these can be prevented by a careful risk assessment before surgery and by optimization of some comorbid conditions. These problems can be very important for both patients and their relatives and health workers. This importance may be related to patient health or may be due to forensic events. At this point, the general condition of the patient and the experience and skill of the anesthesiologist are also extremely important. These problems related to anesthesia in the perioperative period often occur suddenly. Therefore, anesthesiologists should have sufficient knowledge about this subject. Preparations for adequate and appropriate interventions should be complete. In addition, intraoperative early recognition can minimize the damage by adequate and timely interventions. In this review, the problems that can be seen during anesthesia applications were examined.

Anahtar Kelimeler

General anesthesia, Regional anesthesia, Perioperative problems

Perioperatif Dönemde Görülen Anestezi İlişkili Problemlerde Genel Yaklaşımlar

Öz

Hem genel hem de rejyonel anestezi uygulamaları sırasında periferik intravenöz yol ile ilgili basit bir problemden ölüme kadar değişebilen çeşitli durumlar ortaya çıkabilmektedir. İntraoperatif dönemde hastanın komorbiditeleri, cerrahi prosedürler, anestezi tekniği ve kullanılan ilaçlara bağlı olarak çeşitli problemler görülebilir. Bunların önemli bir kısmı ameliyat öncesi dikkatli bir risk değerlendirmesi ve bazı komorbid durumların optimizasyonu ile önlenebilir. Bu problemler hem hasta ve yakınları için hem de sağlık çalışanları açısından son derece önemli olabilir. Bu önem hasta sağlığı ile ilişkili olabileceği gibi meydana gelebilecek adli olaylar nedeniyle olabilir. Burada hastanın genel durumu ile beraber anestezi uygulayıcısının deneyimi ve becerisi de son derece önemlidir. Perioperatif dönemde anestezi ile ilgili bu problemler sıklıkla ani meydana gelmektedir. Bu nedenle anestezi uygulayıcıları bu konu hakkında yeterli bilgiye sahip olmalıdır. Yeterli ve uygun müdahaleler için hazırlıklar eksiksiz olmalıdır. Ayrıca intraoperatif erken farkına varma, yeterli ve zamanında müdahalaler ile hasar en aza indirilebilir. Bu derlemede anestezi uygulamaları sırasında görülebilen problemler incelenmeye çalışıldı.

Anahtar Kelimeler

Genel anestezi, Rejyonel anestezi, Perioperatif problemler

Kaynakça

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