20.500.12556/DiRROS-8976 Površinski in kombinirani blok vratnega pleteža za minimalno invazivno paratirodektomijo : primerjava njune učinkovitosti in varnosti Superficial and Combined Cervical Plexus Block for Minimally Invasive Parathyroidectomy: Comparison of Their Efficiency and Safety Uvajanje minimalno invazivnih kirurških tehnik je vzpodbudilo tudi uvajanje manj invazivnih anestezioloških tehnik. S študijo, ki smo jo med letoma 2004 in 2006 izvedli na Onkološkem inštitutu v Ljubljani na bolnikih, operiranih zaradi primarnega hiperparatiroidizma, smo dokazali, da lahko minimalno invazivno paratiroidektomijo enako uspešno opravimo v preprostejšem in manj nevarnem, torej manj invazivnem površinskem bloku vratnega pleteža. Površinski in kombinirani blok vratnega pleteža se namreč nista razlikovala v času do začetka delovanja, učinkovitosti, stopnji zadovoljstva bolnikov, v času do prve prošnje za analgetik po operaciji ter v številu zapletov in sopojavov. Prav tako ni bilo razlik v plazemskih nivojih 0,5-odstotnega levobupivakaina, ki so bili v odmerku 0,35 mL/kg daleč pod toksičnimi nivoji. The use of minimally invasive surgical techniques has, in turn, enhanced the application of minimally invasive anesthetic techniques. Our prospective, randomized and observer-blinded study, conducted at the Institute of Oncology Ljubljana in the years from 2004 to 2006, was performed on 42 patients randomized to receive either a superficial or a combined deep and superficial cervical plexus block (with 0.35 mL/ kg of 0.5% levobupivacaine for minimally invasive parathyroidectomy (MIP) to compare anesthetic efficacy, need for intraoperative analgesic supplementation, time to first postoperative analgesic request, patient satisfaction, complications and side effects. The results of the present investigation confirmed that the superficial CPB provides sufficient anesthesia for minimally invasive parathyroidectomy with less potential complications and side-effects in comparison with the combined CPB, thus additionally reducing the duration of treatment, hospitalization and treatment expenses. true false true Slovenski jezik Angleški jezik by Authors Neznano 2018-08-31 13:34:14 2018-08-31 13:34:14 2022-08-24 17:47:37 0000-00-00 00:00:00 2008 0 0 BSDOCID143129; str. 99-104 št. 2 Letn. 12 2008 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-07 1408-1741 URN:NBN:SI:doc-XOQU3O1G 25279705 65324032 RAZ_Stopar_Pintaric_Tatjana_i2008.pdf RAZ_Stopar_Pintaric_Tatjana_i2008.pdf 1 D304F0EB666D31967CF34C8D1CD802F9 21b47fa633b51ce13ec432af9029bd96465b8393f065c6ae1a0ef601586cf449 6a7964d6-17b5-11ed-b6b8-001a4af901a5 20.500.12556/dirros/b29a93a9-3117-4891-b3b5-e4f1b076bd0b https://dirros.openscience.si/Dokument.php?lang=slv&id=10757 Onkološki inštitut Ljubljana Onkologija : strokovni časopis za zdravnike 0 0 0