In deze samenvatting zijn de volgende onderwerpen beschreven: algehele anesthesie, locoregionale anesthesie (spinaal, perifere zenuwblokkade, locoregionale verdoving), ASA classificatie en de ABCD methode.
Preoperatieve screening:
● Klinische evaluatie van co-morbiditieiten,
allergieën en eerdere complicaties bij anesthesie
o Invloed op de anesthesie
● ASA-classificatie
o I = patiënten zonder lichamelijke of
psychische aandoeningen
o II = patiënten met geringe systemische
aandoeningen zonder functionele beperkingen
o III = patiënten met ernstige invaliderende systemische aandoeningen
o IV = patiënten met ernstige systemische aandoeningen, die levensbedreigend zijn
o V = stervende patiënten, van wie verwacht kan worden binnen 24 uur zonder operatie
overlijden
● Optimaliseren van co-morbiditeiten en medicijn gebruik
● Risicoanalyse peroperatief
● Inschatting luchtweg
o Mallempati score
● Anesthesieplan en plan voor postoperatieve bewaking.
● Uitleg geven over anesthesie
● Informed consent
● Nuchterbeleid uitleggen
Klaarzetten benodigdheden voor algehele anesthesie:
● Toestel check
o Zuurstof
o Zuig
o Lekkagetest
● Anesthesieplan
● Klaarleggen volgens de ABCD-methodiek
o A = airway
▪ Tube / laryngoscoop
▪ Filter
▪ Kapje
o B = breathing
1
, ▪ Toestel instellen
o C = circulation
▪ Infuus
▪ Medicatie
o D = disability
o E = exposure / environment
▪ Operatie
> 30
minuten = temperatuursonde
Anatomie:
Luchtweg (A)
● Beoordelen
o Mallempati
▪ 4 klassen mondopening
o Cormack en lehane
1.Larynxmasker
● Geen gegarandeerde vrije luchtweg
● Maskerbeademing
2.Tubes
● Gegarandeerde vrije luchtweg
● Tube fixeren
● Cuffdruk meten = druk die je nodig hebt om de
trachea af te sluiten zodat geen lek ontstaat 🡪
20-30 mmHg
● Nasale tube 🡪 via de neus
● Dubbel-lumen tube
o Longen verschillend beademen
● Laryngoscoop
● Videolaryngoscoop
● Endotracheal tube stylets
2
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller daphnemorshuis. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $6.21. You're not tied to anything after your purchase.
