Title Sestrinska skrb bolesnika kod operacije tumora stražnje lubanjske jame Title (english) NURSING CARE FOR A PATIENT WITH POSTERIOR CRANIAL FOSSA TUMOR Author Renata Mršić Mentor Rahela Orlandini (mentor) Committee member Rahela Orlandini (predsjednik povjerenstva) Committee member Ante Buljubašić (član povjerenstva) Committee member Mario Marendić (član povjerenstva)Granter University of Split Defense date and country 2020-02-28, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract Stražnja lubanjska jama predstavlja najdublji intrakranijalni prostor u kojem su smještene najsloženije anatomske neurovaskularne strukture moždanog debla i malog mozga. Najveći broj patoloških procesa u tom području jesu tumorske tvorbe. U pedijatrijskoj populaciji, tumori stražnje lubanjske jame jesu primarni tumori mozga, dok se kod odraslih najčešće radi o presadnicama s udaljenih središta. Dijagnoza tumora stražnje lubanjske jame postavlja se neuroradiološkom dijagnostikom – kompjutoriziranom tomografijom (CT) ili magnetskom rezonancom (MR). Liječenje je neurokirurško, nerijetko kombinirano s radioterapijom i kemoterapijom. Prije neurokirurškog operativnog zahvata koji je uglavnom elektivan, bolesnik s tumorom stražnje lubanjske jame, prima se na Zavod za neurokirurgiju gdje medicinska sestra provodi pomnu prijeoperacijsku pripremu bolesnika. Središnji i ključni dio liječenja je neurokirurški operativni zahvat koji sam po sebi predstavlja razdoblje u kojem je bolesnik izložen riziku za razvoj neželjenih događaja uključujući zamjenu bolesnika ili operacije, ugrožen integritet kože uključujući dekubitalne ulkuse, opekline i reakcije kože na dezinfekcijska sredstva, zaboravljeno strano tijelo, intraoperativna hipotermija i infekcije kirurške rane. Ipak, najveći rizik tijekom operacije tumora stražnje lubanjske jame u sjedećem položaju je zračna embolija koja predstavlja potencijalno fatalnu komplikaciju. Za uspješan ishod operativnog zahvata i sigurnost bolesnika u intraoperativnom razdoblju brinu se anesteziološki i neurokirurški tim. Nakon neurokirurškog zahvata, zbrinjavanje neurokirurškog bolesnika nastavlja se u jedinici intenzivnog liječenja gdje medicinska sestra kontinuiranim praćenjem stanja bolesnika omogućuje sprječavanje ili pravovremeno prepoznavanje i rješavanje poslijeoperacijskih komplikacija.
Abstract (english) The posterior cranial fossa represents the deepest intracranial space in which the most complex anatomical neurovascular structures of the brainstem and cerebellum are located. The largest number of pathological processes in this area are tumors. In the pediatric population, posterior cranial fossa tumors are primary brain tumors, whereas in adults, the most frequent ones are metastases from distant areas. Diagnosis of the post cranial fossa tumors is established by neuroradiologic diagnostics - computerized tomography (CT) or magnetic resonance (MR). Treatment is neurosurgical, often combined with radiotherapy and chemotherapy. Before neurosurgical surgical procedure that is mostly elective, a patient with posterior cranial fossa is received at a neurosurgery department where the nurse conducts a thorough preoperative preparation of the patient. The central and crucial part of treatment is a neurosurgical procedure that represents period in which the patient is at risk for developing incidents including patient replacement or wrong site surgery, endangered skin integrity including decubitus ulcers, burns and skin reactions to disinfectants, forgotten foreign body, intraoperative hypothermia and infection of a surgical wound. However, the greatest risk during the operation of the posterior cranial fossa tumor in the sitting position is vascular air embolism, which represents a potentially fatal complication. Successful outcome and patient's safety in intraoperative period are neurosurgical and anaestesiological team's responsibilities. After neurosurgical procedure, the care of a neurosurgical patient continues in the intensive care unit where the nurse continuously monitors the condition of the patient, allowing the prevention or prompt identification and treatment of post-operative complications.
Keywords
tumor stražnje lubanjske jame
sestrinska skrb
neurokirurški bolesnik
Keywords (english)
posterior cranial fossa tumor
nursing care
neurosurgical patient
Language croatian URN:NBN urn:nbn:hr:176:019980 Study programme Title: Nursing (university/undergraduate) Type of resource Text File origin Born digital Access conditions Open access Terms of use Repository Repository of the University Department for Health Studies, University of Split Created on 2020-07-06 07:44:23
