Summary
Anesthesiologie samenvatting
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Samenvatting Anesthesie
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InhoudVoorbereiding.........................................................................................................................................2
Pre-anesthetische evaluatie...............................................................................................................2
Anesthesie stadia................................................................................................................................3
Invloed van narcose op verschillende organen...................................................................................4
Klinische evaluatie onder de narcose.....................................................................................................4
Premedicatie..........................................................................................................................................5
A2-agonisten......................................................................................................................................5
Sedatie................................................................................................................................................5
Opiaten...............................................................................................................................................5
Inhalatie anesthesie................................................................................................................................6
Arbo en veiligheid...............................................................................................................................8
Controle tijdens operatie..................................................................................................................10
Lokale verdoving...................................................................................................................................11
Lokale anesthesie middelen.............................................................................................................11
3 vormen van lokale anesthesie.......................................................................................................11
Pijnstillers.............................................................................................................................................12
Opiaten.............................................................................................................................................12
Bijwerkingen NSAID..........................................................................................................................12
COX-2 remmende middelen.............................................................................................................13
Recovery...............................................................................................................................................14
Wat moet je kennen?...........................................................................................................................15
, Voorbereiding
Anesthesiologie houdt in dat een dier veilig en goed onder narcose word gebracht
Veilig; het dier is in goede balans tussen slaap en wakker worden, zodat de ingreep kan plaatsvinden
Goed; betekend dat er voldoende slaap, voldoende spierverslapping en voldoende pijnbestrijding is.
Hierbij hoort ook een goede bewaking van de narcose.
De voorbereiding bestaat uit een pre-anesthetische evaluatie en informatie die de eigenaar vooraf
krijgt.
Pre-anesthetische evaluatie
- Pre-anesthetische anamnese
o De medische geschiedenis.
o De anesthesiologische geschiedenis.
o Recent gebruikte medicatie.
o De reden voor de narcose en wat er gaat gebeuren
- Pre-anesthetisch onderzoek
o Is de narcose verantwoord?
o Algemene indruk; ras, gedrag, beweging, voedingstoestand, verzorging en IHOLKA (In
Het Oog Lopende Klinische Afwijkingen)
o Algemeen onderzoek; Ademhaling, Pols, Temperatuur, Slijmvliezen, Lnn, Huid,
Beharing
o Eventueel aanvullend bloedonderzoek
- ASA score
o ASA 1; Normaal gezonde patiënt zonder onderliggende ziekte.
o ASA 2; Lichte tot matig ernstige systemische aandoening zonder klinische
symptomen.
o ASA 3; Matig ernstige systemische aandoening met milde symptomen. (hypovolemie.
Matige koorts).
o ASA 4; Ernstige systemische aandoening met levensbedreigende symptomen.
o ASA 5; Stervende patiënt, of sterven binnen 24 uur te verwachten
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