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Laryngospasm hos barn: riskfaktorer i samband med generell anestesi
Halmstad University, School of Social and Health Sciences (HOS).
2011 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Laryngospasm in children : risk factors associated with general anesthesia (English)
Abstract [sv]

Laryngospasm är ett livshotande tillstånd hos barn som kan uppkomma i samband med generell anestesi. Hantering av luftvägen är den mest riskfyllda momentet inom barnanestesi. Syftet med studien var att undersöka vilka riskfaktorer för laryngospasm som finns hos barn vid generell anestesi. Undersökningen genomfördes som en litteraturstudie. Vid analys av fjorton artiklar framkom det i resultatet tre kategorier: anestesirelaterade riskfaktorer, patientrelaterade riskfaktorer och kirurgi-och procedur- relaterade riskfaktorer. Vid anestesirelateraderiskfaktorer framkom det fyra subkategorier; Stadier under anestesi där laryngospasm uppkommer och där är induktion en riskfaktor i denna subkategori. Den andra subkategorin handlar om utrustning för säkerställande av luftvägar där användandet av larynxmask är den största riskfaktorn. Tredje subkategorin behandlar anestesiläkemedel som risk för laryngospasm. Den mest betydande riskfaktorn är inhalationsanestesi. Den fjärde och sista subkategorin är anestesiologens erfarenhet och skicklighet. Det är viktigt att anestesipersonal har rutiner och riktlinjer för hur de skall identifiera, förebygga och behandla laryngospasm. Vidare är det av betydelse att erfaren anestesipersonal finns tillgänglig under hela anestesiförloppet när det föreligger risk för laryngospasm.

Abstract [en]

Laryngospasm is a life-threatening condition in children that may arise in connection with the anesthesia. Management of the airway is the most critical moment during anesthesia in children. The aim of the study was to investigate the risk factors for laryngospasm during general anesthesia. The survey was    carried out as a literature review. The analyses of the fourteen articles resulted in three categories: anesthesia- related risk factors, patient-related risk factors and surgery-and procedure related risk factors. From the anesthesia-related risk factors revealed four subcategories; Stages during anesthesia where laryngospasm occurs and where induction is a risk factor in this subcategory. The second subcategory is about device for securing the airway which the use of larynx masks is the greatest risk factor. The third subcategory considering the risk of anesthesia drugs risk in laryngospasm. The most significant risk factor here is inhalation anaesthesia. The fourth subcategory is the anesthesiologist experience and skill. It is important that anesthesia professionals have routines and guidelines to identify, prevent and treat laryngospasm. Furthermore, it is important that experienced anaesthesia staff is available throughout the anesthetic process when there is a risk of laryngospasm.

Place, publisher, year, edition, pages
2011. , 30 p.
Keyword [en]
Children, complications, general anesthesia, laryngospasm risk factors
Keyword [sv]
Barn, generell anestesi, komplikationer, laryngospasm, riskfaktorer
National Category
Nursing
Identifiers
URN: urn:nbn:se:hh:diva-16492OAI: oai:DiVA.org:hh-16492DiVA: diva2:451023
Subject / course
Nursing
Presentation
2011-09-08, Högskolan i Halmstad, R-byggnaden, Kristian IV:s väg 3, Halmstad, 09:15 (Swedish)
Uppsok
Medicine
Supervisors
Examiners
Available from: 2011-11-08 Created: 2011-10-24 Last updated: 2011-11-08Bibliographically approved

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