Anestezija u ginekološkoj kirurgiji

master's thesis

• Title (english): Anesthetic Management in Veterinary Gynecological Surgery
• Author: Morana Jurković
• Mentor: Nino Maćešić (mentor)
• Mentor: Tugomir Karadjole (mentor)
• Committee member: Ivan Folnožić (predsjednik povjerenstva)
• Committee member: Goran Bačić (član povjerenstva)
• Committee member: Nino Maćešić (član povjerenstva)
• Granter: University of Zagreb; Faculty of Veterinary Medicine; (Reproduction and Obstetrics Clinic); Zagreb
• Defense date and country: 2017-12-01, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Veterinary Medicine

Abstract

Pri odabiru anesteziološkog protokola za svaku pojedinu životinju, pomaže postojanje
ASA klasifikacije pacijenata. ASA klasifikacija predstavlja skalu u kojoj su pacijenti
razvrstani u kategorije od 1-E ovisno o stupnju hitnosti. Pacijenti koji su podvrgnuti
ginekološkim zahvatima uglavnom spadaju u kategoriju 1 (elektivni zahvati), 4 (piometraseptično
stanje) ili E (hitan carski rez). Važno je prije kirurškog zahvata procijeniti rizik
zahvata koji se donosi na temelju obavljenog detaljnog kliničkog pregleda životinje i dodatnih
dijagnostičkih pretraga. Cilj je svake anestezije je da osigura analgeziju,miorelaksaciju,
sedaciju i da ne ugrozi zdravstveno stanje životinje tijekom i nakon obavljenog kirurškog
zahvata. U svakodnevnoj praksi, najčešće se susrećemo sa obavljanjem elektivnih zahvata;
ovariektomije, ovariohisterektomije ili kastracije na zahtjev vlasnika radi smanjenja
agresivnosti u životinja, želje za lutanjem, te najvažnije radi smanjenja pojavnosti
neoplastičnih promjena spolnih organa u starijoj dobi.
U ovom diplomskom radu navedene su osobitosti svake pojedine grupe anestetika
koji se primjenjuju u kirurgiji pasa i mačaka. Nadalje, opisana je etiologija i patofiziologija
piometre, tumora mlječnih žlijezda i carskog reza u kuja i mačaka. Predloženi su
anesteziološki protokoli za najčešće elektivne i hitne zahvate u ginekološkoj kirurgiji sa
naglaskom na piometru i carski rez kuja i mačaka.

Abstract (english)

When selecting the anesthetic protocol for each individual animal, the existence of
ASA classification of patients represents a great help. . The ASA classification represents a
scale in which patients are classified into categories 1-E depending on the degree of urgency.
Since the topic of this graduate thesis of anesthesiology in gynecologic surgery, patients
undergoing gynecological interventions mainly fall into category 1 (elective interventions), 4
(pyometra-sepsis) or E (emergency cesarean section). It is important before any surgical
procedure to evaluate the risk of surgery taken on the basis of a detailed clinical assessment of
the animal and additional diagnostic tests.
The choice of anaesthetic protocol must be such as to provide analgesia, muscle
relaxation, and different degree of sedation and not to endanger the health of the animal
during and after finishing a surgical procedure. In everyday practice, we usually encounter
elective procedures; ovariectomy, ovariohysterectomy or castration at the owner's request to
reduce the aggressiveness of the animals, the desire to wander, and most importantly to
reduce the occurrence of neoplastic changes in the reproductive organs at senior age.
In this graduate thesis the characteristics of each group of anesthetics used in canine
and feline surgery are listed. Furthermore, the etiology and pathophysiology of
pyometra,mammary gland neoplasia and cesarean section are described. Anesthetic protocols
are proposed for most common elective and emergency procedures in gynecological
veterinary surgery with emphasis on the pyometra and cesarean section.

• Keywords: Anestezija; ginekološka; kirurgija
• Keywords (english): Anesthetic; Management; Gynecological; Surgery
• Language: croatian
• URN:NBN: urn:nbn:hr:178:077707
• Study programme: Title: Veterinary Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica veterinarske medicine (doktor/doktorica veterinarske medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2018-07-25 06:50:16