Genel anestezi kavrami shmyo
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Transcript of Genel anestezi kavrami shmyo
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Anestezinin Tanımı
Anestezi Uygulamaları
Genel Anestezinin Tanımı
Genel Anestezi Komponentleri
Genel Anestezi Teorileri
Havayolu, Damaryolu ve Monitörizasyon
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“Anestezi”
Eski Yunanca (Dioscorides)
AN - ESTEZİ
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AN Olumsuzluk eki
ESTEZİ Duyu, his
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AN Olumsuzluk eki
ESTEZİ Duyu, his
ANESTEZİ Duyusuzluk, hissizlik
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Genel Anestezi
Bölgesel (Rejyonel) Anestezi
Lokal Anestezi
Sedasyon
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Vital fonksiyonlarda kalıcı bir değişiklik olmaksızın geçici bilinç
kaybı ve refleks aktivitede azalma ile karakterize genel
duyu kaybı halidir.
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Vital fonksiyonlarda kalıcı bir değişiklik olmaksızın geçici bilinç
kaybı ve refleks aktivitede azalma ile karakterize genel
duyu kaybı halidir.
“DUYUMSAMA YOKLUĞU”
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Genel anestezide, nörolojik fonksiyonlardaki geçici değişiklikler farklı komponentlerden oluşur. Bunlar:
* Bilinç kaybı * Duyu kaybı * Amnezi * Analjezi * Hareketsizlik * Arefleksi * Kas gevşemesi ()
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Hastanın yaşı Geniş kapsamlı cerrahi girişimler
(abdominal/torasik/intrakraniyal cerrahi) Mental bozukluğu olan hastalar Uzun cerrahi girişimler Bölgesel anestezinin kontrendike olduğu
durumlar Israrla genel anestezi isteyen hastalar
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İnhalasyon
İntravenöz
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İnhalasyon
İntravenöz
İntramüsküler Oral Rektal
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İnhalasyon
İntravenöz
İntramüsküler Oral Rektal
Nazal Bukkal Oral jel/pastil (lolipop) Transdermal
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İndüksiyon
İdame
Uyanma
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İndüksiyon - Bilinç Kaybı - Kas gevşekliği - Entübasyon İdame
Uyanma
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İndüksiyon - Bilinç Kaybı - Kas gevşekliği - Entübasyon İdame - Analjezi - Anestezi
Uyanma
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İndüksiyon - Bilinç Kaybı - Kas gevşekliği - Entübasyon
İdame - Analjezi - Anestezi
Uyanma- Bilincin yeniden kazanılması- Yeterli vital fonksiyon
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KLİNİK GÖZLEMLER
Kirpik ve kornea refleksleri Pupil büyüklüğü ve ışığa reaksiyon Göz kürelerinin hareketleri ve göz yaşarması Kan basıncı Kalp hızı Solunum sayısı derinliği ve ritmi Cilt insizyonuna kardiyovasküler sistem ve
solunumsal yanıt Terleme Diyafragmatik solunum, çekilme
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Cerrahi kesinin bu belirtilerde yol açtığı değişiklikler
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EN ÖNEMLİ ÖLÇÜ
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İLERİ İZLEM YÖNTEMLERİ
EEG Bispektral indeks Uyarılmış potansiyel teknikleri Alt özefagus kontraktilitesi
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MOLEKÜLER TEORİLER
SELLÜLER MEKANİZMALAR
NÖROFİZYOLOJİK MEKANİZMALAR
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- Korelasyon Çalışmaları
- Hidrofilik (Hidrat) Teori
- Hidrofobik (Lipit) Teori
- Protein Teorisi
- Anestezinin basınçla kaldırılması ve kritik volüm teorisi
- Isı araştırmaları
- Moleküler etkileşimler
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- Sinir iletimi ve sinaptik fizyoloji
- Kalsiyum iyonları, kalsiyum kanalları ve geçirgenliği
- Enerji metabolizması ve oksidasyonun inhibisyonu teorisi
- Hücre geçirgenliği ve adsorbsiyon teorisi
- Kolloid teorisi
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- Kapı kontrol teorisi
- Opiat reseptörleri, endorfin salımı teorisi
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İv torba/şişe
Hazne
İv tüp
Klemp
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Sifigmomanometre
Kaf
Arter
Stetoskop
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