{"id":4361,"date":"2015-05-20T09:06:57","date_gmt":"2015-05-20T09:06:57","guid":{"rendered":"https:\/\/jurmed.ro\/medici\/?p=4361"},"modified":"2015-05-20T10:19:07","modified_gmt":"2015-05-20T10:19:07","slug":"in-prezent-anestezia-este-un-act-medical-cu-un-grad-foarte-mare-de-siguranta","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/medici\/in-prezent-anestezia-este-un-act-medical-cu-un-grad-foarte-mare-de-siguranta\/","title":{"rendered":"” \u00cen prezent anestezia este un act medical cu un grad foarte mare de siguran\u0163\u0103 „"},"content":{"rendered":"

\"poza<\/a>Interviu realizat cu Dr. Flaviu \u0218teiu, medic primar, \u015fef de sec\u0163ie Anestezie \u015fi Terapie Intensiv\u0103 Spitalul Monza<\/p>\n

1. Despre specialitatea de anestezie-terapie intensiv\u0103 se spune c\u0103 este ramura medical\u0103 cea mai apropiat\u0103 de grani\u021ba sub\u021bire ce desparte via\u021ba de ne-via\u021b\u0103. A\u0219a o percepe\u021bi \u0219i dvs.?<\/strong><\/p>\n

Terapia intensiv\u0103 este locul \u00een care \u00a0toate eforturile noastre se concentreaz\u0103 asupra elimin\u0103rii riscurilor postoperatorii prin mijloace farmacologice \u0219i tehnice specifice, pe de-o parte condi\u021biile necesare pentru desf\u0103\u0219urarea actului chirurgical, a \u00eengrijirii perioperatorii \u0219i a altor proceduri diagnostice sau terapeutice, iar pe de alt\u0103 parte, suportul indispensabil pacientului critic pentru evaluarea \u0219i tratamentul leziunilor de organ; locul din care pacientul de cele mai\u00a0 multe ori c\u00e2\u015ftig\u0103 lupta cu boala, dar exist\u0103 \u015fi situa\u0163ii nefericite \u00een care acesta o pierde. Pierderea s\u0103n\u0103t\u0103\u0163ii \u00eei face pe cei bolnavi \u015fi pe cei care le stau la c\u0103p\u0103t\u00e2i, medici, rude, prieteni, s\u0103 simt\u0103 ce \u00eenseamn\u0103 aripa mor\u0163ii, paroxismul suferin\u0163ei, lupta \u00eentre via\u0163\u0103 \u015fi moarte care se duce la reanimare.<\/em><\/p>\n

Deci putem spune c\u0103 suntem destul de aproape de grani\u0163a sus men\u0163ionat\u0103.<\/em><\/p>\n

2. Ce este cel mai greu, pentru un medic, \u00eentr-o sec\u0163ie de Anestezie Terapie Intensiv\u0103?<\/strong><\/p>\n

La o prim\u0103 apreciere s-ar putea spune c\u0103 programul de gard\u0103 este cel mai greu lucru din activitatea nostr\u0103, dar de fapt cel mai greu lucru pentru un medic \u00eentr-o sec\u0163ie de ATI\u00a0 este s\u0103 vad\u0103 c\u0103 toate eforturile depuse \u00een lupta cu boala \u00a0unui pacient sunt insuficiente. Moartea este mereu prezent\u0103, e\u015fti chiar \u00eentr-o competi\u0163ie cu ea, \u00een care de multe ori c\u00e2\u015ftig\u0103m. Uneori \u015fi pierdem. \u00cen anestezie este absolut\u0103 nevoie de capacitatea de a-\u0163i men\u0163ine controlul pentru c\u0103 ea opereaz\u0103 doar \u00een situa\u0163ii extreme, \u00eentre via\u0163\u0103 \u015fi moarte.<\/em><\/p>\n

3. \u00cen cazuri de urgen\u0163\u0103, cum v\u0103 da\u0163i seama care este cea mai bun\u0103 anestezie pe care trebuie s-o aplica\u0163i unui pacient?<\/strong><\/p>\n

Se spune ca cea mai bun\u0103 anestezie este cea pe care o st\u0103p\u00e2ne\u015fti cel mai bine. Deci este greu de r\u0103spuns la aceast\u0103 \u00eentrebare. Din punctul meu de vedere cea mai bun\u0103 anestezie este cea care \u00eentr-o situa\u0163ie de urgen\u0163\u0103 maximizeaz\u0103 \u015fansele bolnavului.<\/em><\/p>\n

Trebuie spus \u00eens\u0103 c\u0103 \u00een prezent anestezia este un act medical cu un grad foarte mare de siguran\u0163\u0103. Inciden\u0163a erorilor \u015fi a complica\u0163iilor datorate anesteziei a sc\u0103zut extraordinar pentru c\u0103 avem o mare varietate de mijloace la \u00eendem\u00e2n\u0103. Anestezia a devenit de fapt un element cheie de siguran\u0163\u0103 a pacientului pe parcursul unei interven\u0163ii chirurgicale.<\/em><\/p>\n

4. Cum reac\u0163iona\u0163i c\u00e2nd ave\u0163i un pacient alergic care poate face oric\u00e2nd un \u015foc anafilactic?<\/strong><\/p>\n

Aceasta e una din provoc\u0103rile specialit\u0103\u0163ii noastre. \u00cen clinica noastr\u0103 fiecare pacient care intr\u0103 \u00een sala de opera\u0163ie are preg\u0103tite toate drogurile pentru resuscitare. \u00cen \u015focul anafilactic, dac\u0103 se intervine corect \u015fi la timp, pacientul poate fi salvat. Important este s\u0103 te preg\u0103te\u015fti pentru toate posibilele complica\u0163ii \u015fi situa\u0163ii ce pot ap\u0103rea \u00een mod neprev\u0103zut. Experien\u0163a te face s\u0103 fii obligat s\u0103 preg\u0103te\u015fti tot.<\/em><\/p>\n

5. Ne pute\u0163i spune care a fost cel mai dificil caz cu care v-a\u0163i confruntat de-a lungul activit\u0103\u0163ii derulate \u00een cadrul Spitalului Monza?<\/strong><\/p>\n

Cazul unui copil \u00een v\u00e2rst\u0103 de 4 ani ce a suferit o interven\u0163ie de chirurgie cardiovascular\u0103 pediatric\u0103 pentru o malforma\u0163ie cardiac\u0103, \u015fi anume tetralogia Fallot. Una dintre urm\u0103rile post-operatorii a fost insuficien\u0163a renal\u0103. Astfel c\u0103, a trebuit s\u0103 \u00eel monitoriz\u0103m \u015fi trat\u0103m mult mai atent \u015fi intens. Am utilizat un aparat special de dializ\u0103, iar dup\u0103 eforturi timp de 3 s\u0103pt\u0103m\u00e2ni \u00een terapie intensiv\u0103, acesta s-a recuperat, spre satisfac\u0163ia \u00eentregii echipe.<\/em><\/p>\n

6. Este mai dificil s\u0103 lucra\u0163i cu pacien\u0163i copii dec\u00e2t cu cei adul\u0163i?<\/strong><\/p>\n

Consider c\u0103 nu este dificil de lucrat cu copiii, at\u00e2t timp cat experien\u0163a acumulat\u0103 pe parcursul anilor m\u0103 ajut\u0103 \u00een abordarea acestora \u015fi reusesc s\u0103 cooperez mult mai u\u015for cu ei. Au fost cazuri \u00een care copiii au colaborat mult mai u\u015for dec\u00e2t unii adul\u0163i.<\/em><\/p>\n

7.\u00a0Cum a fost colaborarea cu echipele de speciali\u015fti din str\u0103in\u0103tate \u00een ceea ce prive\u015fte Anestezia \u015fi Terapie intensiv\u0103 pediatric\u0103? Care au fost plusurile?<\/strong><\/p>\n

Colaborarea\u00a0 cu speciali\u015ftii str\u0103ini cu care am avut pl\u0103cerea s\u0103 lucrez \u00eempreun\u0103, at\u00e2t cei din America c\u00e2t \u015fi colegi europeni a fost de fiecare dat\u0103 extrem de pl\u0103cut\u0103 \u015fi pozitiv\u0103; util\u0103 at\u00e2t din punct de vedere al \u00eembun\u0103t\u0103\u0163irii tehnicilor specifice specialit\u0103\u0163ii noastre c\u00e2t \u015fi \u00een formarea unei g\u00e2ndiri medicale care m-a ajutat \u00een evolu\u0163ia ulterioar\u0103 \u015fi \u00een dezvoltarea profesional\u0103.<\/em><\/p>\n

\"ATI_2\"<\/a><\/p>\n

8. Ce ne pute\u0163i spune despre dot\u0103rile din cadrul Spitalului Monza din sec\u0163ia de ATI, se ridic\u0103 la un nivel european?<\/strong><\/p>\n

R\u0103spunsul este categoric Da. Spitalul Monza fiind \u00een primul r\u00e2nd un spital european, deci circuitele integrate \u015fi standardele de lucru fiind g\u00e2ndite \u00een acest sens \u015fi \u00eendeplinind toate normele europene. Aici am toate facilit\u0103\u0163iile \u015fi condi\u0163iile necesare pentru a reu\u015fi s\u0103 imi desf\u0103\u015for activitatea mea, cel mai important beneficiar \u00een acest \u00eentreg fiind pacientul.<\/em><\/p>\n

9. Care a fost cel mai greu moment prin care a\u0163i trecut \u00een aceast\u0103 profesie?<\/strong><\/p>\n

Consider c\u0103 \u00een aceast\u0103 profesie momentele cele mai dificile sunt cele \u00een care \u00eent\u00e2mplarea face s\u0103-\u0163i tratezi colegi, rude sau prieteni.<\/em><\/p>\n

Pentru mine cel mai greu moment \u00een reanimare a fost s\u0103-mi v\u0103d mama pe patul de reanimare cardiac\u0103, dar totul s-a terminat cu bine datorit\u0103 colegilor\u00a0 mei.<\/em><\/p>\n

\n","protected":false},"excerpt":{"rendered":"

Interviu realizat cu Dr. Flaviu \u0218teiu, medic primar, \u015fef de sec\u0163ie Anestezie \u015fi Terapie Intensiv\u0103 Spitalul Monza 1. Despre specialitatea de anestezie-terapie intensiv\u0103 se spune c\u0103 este ramura medical\u0103 cea […]<\/p>\n","protected":false},"author":4,"featured_media":4394,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[276],"tags":[274,275,80],"class_list":["post-4361","post","type-post","status-publish","format-standard","has-post-thumbnail","category-interviu","tag-ati-monza","tag-dr-flaviu-steiu","tag-spitalul-monza"],"yoast_head":"\n" \u00cen prezent anestezia este un act medical cu un grad foarte mare de siguran\u0163\u0103 " - Jurmed - Medici<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jurmed.ro\/medici\/in-prezent-anestezia-este-un-act-medical-cu-un-grad-foarte-mare-de-siguranta\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"" \u00cen prezent anestezia este un act medical cu un grad foarte mare de siguran\u0163\u0103 " - Jurmed - Medici\" \/>\n<meta property=\"og:description\" content=\"Interviu realizat cu Dr. Flaviu \u0218teiu, medic primar, \u015fef de sec\u0163ie Anestezie \u015fi Terapie Intensiv\u0103 Spitalul Monza 1. 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