Anästhesiologische Überlegungen bei Patienten mit einer Magendrehung
- Die Magendrehung (GDV) betrifft häufig mittelgroße bis große Hunderassen und verursacht eine akute Magendilatation, die die Blutversorgung beeinträchtigt und zu Gewebenekrose führen kann.GDV reduziert den venösen Rückfluss zum Herzen durch Kompression der kaudalen Hohlvene, was zu einem verringerten Herzzeitvolumen und zu einem obstruktiven Schock führt.Die präanästhetische Vorbereitung bei Magendrehungen beinhaltet den Versuch, den Magen zu dekomprimieren.Medikamente mit negativen Auswirkungen auf das Herz-Kreislauf-System sollte man vermeiden und eine Präoxygenierung, kontinuierliche EKG-Überwachung sowie die Vorbereitung von Lidocain für ventrikuläre Arrhythmien einschließen.Nach der Operation benötigen Magendrehung-Patienten eine sorgfältige Überwachung auf Herz-Kreislauf-Störungen, eine angemessene Flüssigkeitstherapie und wirksame Analgesie, um die Genesung zu gewährleisten.
Dr Robert Trujanovic studied at the Faculty of Veterinary Medicine in Belgrade, where he graduated in veterinary medicine in 2015. He moved to Vienna in 2015 to start his position as assistant doctor in anesthesiology at the University of Veterinary Medicine Vienna, and later, he completed his internship there from 2017-2018.
During this time, his interest in veterinary anesthesia deepened further and he started a residency at the Vetmeduni Vienna in 2018, which was completed in 2021.
In addition, he is a passionate regional anesthetist, passing on his knowledge through the latest learning methods. He led a team of experts in veterinary medicine and invested a great deal of passion into creating the first mobile app - the Vet RA App - focused on the most commonly used nerve blocks in small animals.
During this time, his interest in veterinary anesthesia deepened further and he started a residency at the Vetmeduni Vienna in 2018, which was completed in 2021.
In addition, he is a passionate regional anesthetist, passing on his knowledge through the latest learning methods. He led a team of experts in veterinary medicine and invested a great deal of passion into creating the first mobile app - the Vet RA App - focused on the most commonly used nerve blocks in small animals.