Analg
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ANALGEZIA
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Transcript of Analg
7/23/2019 Analg
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ANALGEZIA
7/23/2019 Analg
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ANALGEZIA
= Intrerupere temporara a influxului nervos
centripet si centrifug
MOD DE ACTIUNE: AGENTI I!ICI"C#IMICI
C$A%IICA&E: $OC' MODA$ITATE (e actiune a
su)stantei aneste*ice:
+, ra(acini nv, spinali
-, trunc.iuri nv
/, plexuri nv
0, terminatii nv periferice" receptori
7/23/2019 Analg
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ANALGEZIA
TI1U&I DE ANE%TE!IE 1E&IE&ICA:
+, Aneste*ia (e suprafata
-, Aneste*ia locala prin infiltratie
/, Aneste*ia loco2 regionala
0, Aneste*ia plexurilor nv
3, Aneste*ia peri(urala
4, Aneste*ia ra.i(iana
55 ACTIUNEA $A DI%TANTA2 CO&TE67 CENT&I
CA&DIO28A%CU$A&I %I &E%1I&ATO&I
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ANALGEZIA
ANE%TE!IA DE %U1&AATA:
a, 9ADIONA&E
), IN%TI$ATII
c, INECTA&E
(, &ACI&E
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ANALGEZIA
ANE%TE!IA $OCA$A = INI$T&A&E 1$AN CU
1$AN
6I$INA +; '"2 AD&ENA$INA
INDICATII: inci*ii colectii7 a)latie tumori
superficiale7 )iopsii etc
TE#NICA2 55 respecta principiile (e )a*a
7/23/2019 Analg
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ANALGEZIA
ANE%TE!IA $OCO2 &EGIONA$A = 9$OCA&EA
T&, NE&8OAse
In(icatii: ex2 cura .erniei ing.inale
Avanta<e2 cant (e aneste*ic
a)s (eformarii tisulare (atinfiltrarii
55 Anatomia traiectelor tr, nv
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ANALGEZIA
ANE%TE!IA 1$E6U&I$O& NE&8OA%E =
INTE&CE1TA&EA T&AN%MITE&II IN$U6U&I$O&
N8 $A NI8, 1$E6U&I$O& E6: plex cervical7 )ra.ial7 nv, Intercostal7 nv,
splan.nic7 plex lom)ar
TE#NICA 55 CUNOA%TE&EA ANATOMIEI $OCA$E
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ANALGEZIA
ANE%TE!IA &A#IDIANA = ANE%TE!IA N8,
&A#IDIENI $A IE%I&EA DIN MADU8A2 sp,
su)ara.noi(ian
Efecte: a)olirea sensi)ilitatii7 parali*iamusculaturii somatice7 aneste*ierea sist,
simpatic2 55 8aso(ilatatie
Te.nica
In(icatii Contrain(icatii
Acci(ente postra.ianeste*ice
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ANALGEZIA
ANE%TE!IA 1E&IDU&A$A = ANE%TE!IA T&, N8
%1INA$I 2 terminarea pelungirii (urei mater 2
gaurile (e con<ugare %p $+2 $- larg7 usor (e reperat
TE#NICA:in<ectare (upa ce acul a (epasit lig
gal)en
Aneste*ie peri(urala continua2 cateter2controlul (urerii
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BIBLIOGRAFIE
+, &a(u %er)an 1ala(e2 Manual (e C.irurgie
Generala vol /2 Te.nica ingri<iriic.irurgicale a )olnavului
-, %tefan Octavian Georgescu7 Daniel $a*escu2
1rimii pasi in C.irurgie
