Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | smbt, 16 februarie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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TULBURĂRILE COGNITIVE POSTOPERATORII ŞI NECESITATEA ANALGOSEDĂRII
Oana-Diana Marcoci 1, Maria Vrabete 2
1) Laboratorul de sănătate mintală Tg. Jiu
2) Clinica de Chirurgie Plastică şi Reconstructivă,
Universitatea de Medicină şi Farmacie Craiova
Jurnalul de chirurgie (Iaşi). 2012; 8(4): 353-358
Full text:
Format PDF (Română/Romanian)

Abstract:

We observed and noted clinical symptoms, and used screenig tests as tools for evaluating the values of pain and neuropsychiatric changes. We introduced as instrument of measurements: rating numerologic scale of pain, Ramsay Sedation Scale (RSS), criteria of delirium diagnose applied in early period of arrousal (20 minutes - 4 hours) at the moment T1, at 4-7 hours: complete arrousal (T2) and at 72 hours (T3). We tried to correlate the results of answers to these questionnaires to EEG aspects, auditory evoked potentials (AEP), with morphopathologic and biochemical aspects characteristic for the evolution toward wounds healing. We selected 100 patients from the Plastic and Recontructive Surgery Department. We associated to those moments the functional values: arterial pressure, central pulse, diuresis, respiratory frequency, (to evaluate the autonomic nervous sistem implication) and laboratory parameters oxidants/antioxidant values (free O2 radicals as peroxides, NO, capacity antioxidant of plasma (CAO) and superoxide dismutase (SOD), for evaluating the implication of oxidative stress in postoperative evolution. All values were compared among them and correlated with morphopathological aspects from optic microscopy, from biopsies prelevated immediately after the postoperative period and at the end of postoperative wounds healing. The most important conclusion of our study was that: appropriate information of patients about surgery and anesthesia reduces preoperative anxiety, post-operative pain and hospital stay length.

KEY WORDS: PAIN; ANXIETY; DELIRIUM; POCD; ANALGOSEDATION

HOW TO CITE: Marcoci DO, Vrabete M. [Postoperative cognitive disfunctions and necessity of analgosedation]. Jurnalul de chirurgie (Iaşi). 2012; 8(4): 353-358.


: Creative Commons License
Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.