Die häufigsten Arrhythmien während der Anästhesie: Ursachen, Erkennen und Therapie. Teil 2
- Einzelne, gleichförmige, ventrikuläre Extrasystolen (VES) verursachen normalerweise keine hämodynamische Beeinträchtigung und haben ein geringes Risiko für elektrische Instabilität. Solange die VES vereinzelt vorkommen und die Herzfrequenz und der Blutdruck stabil bleiben, ist keine Behandlung erforderlich.
- Höhergradige Arrhythmien, wie eine ventrikuläre Tachykardie, erfordern eine sofortige medizinische Intervention.
- Ein AIVR wird häufig bei Patienten beobachtet, die sich einer Splenektomie unterziehen oder eine Magendrehung hatten. Beschleunigte idioventrikuläre Rhythmen werden als abnormale, breite und bizarre Schläge identifiziert, die nicht vorzeitig auftreten. Es ist wichtig, einen AIVR von einer ventrikulären Tachykardie zu unterscheiden, da ein AIVR normalerweise keine hämodynamische Beeinträchtigung verursacht und nicht auf antiarrhythmische Medikamente anspricht. Wenn ein AIVR während der Narkose identifiziert wird, muss die geplante Chirurgie nicht abgebrochen werden.
Dr Vet. Robert Trujanovic was born in Belgrade in 1990 and 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 has been completed in 2021.
Throughout his time at the university, he has been heavily involved in research and teaching. Working on studies and passing on knowledge to students and colleges is especially important to him, as he finds that this is the only way to improve veterinary medicine. By working with simulators, he teaches students theoretical knowledge easily and quickly so that they can master later challenges quickly and efficiently. In addition, he is a passionate regional anaesthetist, passing on his knowledge through the latest learning methods. Inspired by these developments in veterinary regional anaesthesia and the huge popularity of it, he led a team of experts in veterinary medicine and have 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. Furthermore, he is very interested in cardiology, where he also continuously educates himself and applies and passes on his knowledge in the daily clinical routine. In addition, he is active as a speaker at various training events.
Throughout his time at the university, he has been heavily involved in research and teaching. Working on studies and passing on knowledge to students and colleges is especially important to him, as he finds that this is the only way to improve veterinary medicine. By working with simulators, he teaches students theoretical knowledge easily and quickly so that they can master later challenges quickly and efficiently. In addition, he is a passionate regional anaesthetist, passing on his knowledge through the latest learning methods. Inspired by these developments in veterinary regional anaesthesia and the huge popularity of it, he led a team of experts in veterinary medicine and have 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. Furthermore, he is very interested in cardiology, where he also continuously educates himself and applies and passes on his knowledge in the daily clinical routine. In addition, he is active as a speaker at various training events.