ANESTHESIA AND ANALGESIA FOR SMALL PROCEDURES IN GYNAECOLOGIC PRAXIS

Mali zahvati u ginekologiji i porodništvu obavljaju se na bolesnicima svih dobnih skupina. Izbor anestezije ili analgezije ovisi o vrsti operativnog zahvata, kliničkom stanju bolesnice, položaju tijekom zahvata i nekim drugim osobitostima. Mali zahvati u ginekologiji previđeni su i rade se kao jednodnevna kirurgija (one-day surgery) jer bolesnice nakon 2–6 sati napuštaju bolnicu i po potrebi dolaze na kontrolu. Zato je i odabir i operativnog zahvata i anestezije vrlo važan. Zahvaljujući velikom napretku farmakologije i farmakoterapije odabir anestetika i analgetika je velik. Brzodjelujući hipnotici (propofol), brzodjelujući opioidi (alfentanil-remifentanil) i hlapljivi anestetici (sevoran) se dobro i često kombiniraju radi lakšeg vođenja anestezije i postoperacijske analgezije. Suradnja ginekologa i anesteziologa od velike je važnosti za uspješnost zahvata i sigurnost bolesnice.Small procedures in gynecology and obstetrics are performed in female patients of all age groups. The choice of anesthesia or analgesia depends on the type of operative procedure, clinical condition of patient, position during procedure and some other characteristics. Small procedures in gynecology are predicted and are done as one-day surgery because patients leave the hospital after 2 to 6 hours and are invited for furhter controls if necessary. That is why the type of operative procedure as well as the type of anesthesia are very important. Owing to development of pharmacology and pharmacotherapy selection of anesthetics and analgetics is large. Rapid-acting hypnotics (propofol), rapid-acting opioids (alfentanyl-remifentanyl) and perspirating anestetics (sevorane) are often and well combined for the purpose of easier management of anesthesia and postoperative analgesia. Collaboration of gynecologist and anesthesiologist is of major importance for success of procedure and safety of patient