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| UDK 616.3-072.1-06 COBISS.SR-ID 216890124 |
ISSN 0350-2899. - Vol. 40, No. 2 (2015), |
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Original paper Art and anesthesia – risks and complications “body piercing”- case report Umetnost i anestezija – rizici i komplikacije „body piercinga’’ – prikaz slučaja Ljiljana Milošević (1), Krsta Jovanović (2), Sanja Srđan Melentijevic (1), Ljubica Milošević (3) (1) Kliničko-bolnički centar Zvezdara, Beograd, (2) Visoka medicinska škola Ćuprija, (3) Zdravstveni centar Bor |
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| Download in pdf format | Summary: Introduction: "Body piercing" is defined as the penetration of jewelry made holes in certain parts of the body and in places such as the earlobe, tongue, lips, nose, eyebrows, nipples, navel and genitals. Numerous complications arise from wearing jewelry on body during emergency diagnostic procedures, anesthesia or surgical operation. Objective: This case takes into consideration Anesthesia for potential risks and complications of wearing metal jewelry in the tongue during performing emergency diagnostic endoscopy procedures. Case: We report a young woman aged 32 which was admitted to the surgical intensive care KBC Zvezdara, Belgrade as an emergency for the treatment of gastrointestinal bleeding with signs of severe hemorrhagic shock. On admission, the patient was extremely pale, covered with cold sweat, somnolent, hypotensive, tachycardic, oliguric. Negates the earlier relevant diseases. During a conversation with her reveals piers in the tongue that is removed with her consent. Winning laboratory analyzes indicate leukocitosis and severe anemia. Measures were taken of intensive care and resuscitation. Therapy was administered saline solutions and colloids, two doses of transfusion of packed RBCs and four doses of fresh frozen plasma, an oxygen therapy on the mask, ampullary pantoprazole. Urgent underwent esophagogastroduodenoscopy where the great curvature of the stomach was seen ulcers and arterial bleeding Forrest 1 a which is disposed clipping and there was no need for surgical intervention. Disscusion: Piers of tongue is specific because of swallowing and aspiration. Emergency diagnostic procedures such as esophagogastroduodenoscopy digestive tract is vital and if it is not removed piers can lead to loss and danger obstruction airway. Another significant complication pierce the tongue is swelling and bleeding of tongue which can lead to aspiration of blood in the upper airways. Securing the airway by performing emergency diagnostic procedures or endotracheal intubation may be affected if it is removed pierce of tongue which in this case adequately and timely done. Conclusion: Most piers., consists of rings, hoops, bolts, studs, etc. The size and shape of body jewelry is personally selected and frequently not in line with the size of body parts that can be installed. When setting it does not consider the possibility easy removal and the complications that can arise in emergencies and illnesses that are vital for the wearer. They are often placed piers amateurs and can easily cause a risk of infection, allergic reactions, including hepatitis B or C or HIV. Keywords: Anesthesia, body piercing, airway obstruction, risks, complications Napomena: kompletan tekst rada na srpskom jeziku Note: full text in Serbian |
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Corresponding Address: Ljiljana Milošević, Kliničko-bolnički centar Zvezdara; Dimitrija Tucivića 161; 11000 Beograd, Srbija. E-mail: milosevicliliana@yahoo.com |
Paper received: 23.11.2014 Paper accepted: 31.5.2015 Paper Internet issues: 21.8.2015 |
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