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2013, vol. 35, br. 7-8, str. 361-367
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Opšta anestezija i parametri ventilacije u pedijatriji
General anesthesia and parameters of ventilation in pediatrics
aUniverzitet u Beogradu, Medicinski fakultet, Institut za zdravstvenu zaštitu majke i deteta Republike Srbije 'Dr Vukan Čupić', Srbija bUniverzitet u Beogradu, Medicinski fakultet, Srbija + Klinički centar Srbije, Centar za anesteziologiju i reanimatologiju, Beograd, Srbija cKlinički centar Srbije, Centar za anesteziologiju i reanimatologiju, Beograd, Srbija
e-adresa: ana_mandras@yahoo.com
Sažetak
Opšta anestezija koja se sprovodi u dečijem uzrastu, kao i kod odraslih, može biti inhalaciona anestezija (VIMA), intravenska anestezija ( TIVA i TCI), balansirana anestezija i kombinacija opšte i regionalne anestezije. Specifičnosti opšte anestezije u dečijem uzrastu su direktna posledica razvojnih specifičnosti organskih sistema. Imajući u vidu činjenicu da 90% srčanih zastoja kod dece nastaje kao posledica respiratorne insuficijencije, razumljivo je zašto je poznavanje respiratorne fiziologije i patologije od velikog značaja za anesteziologa.
Abstract
As in adutls, general anesthesia in pediatrics can be divided in inhalation (VIMA), intravenous (TIVA,TCI), balanced anesthesia, and combination of general anesthesia plus regional anesthesia. Specificity of general anesthesia in pediatric patients is due to developmental changes during childhood. Regarding the fact that in 90% cases cardiac arrest in children is due to respiratory pathology, it is unerstandable why respiratory physiology and pathology is of great importance for anesthesiologist.
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