18
{s( tGl fii" t T Tr , TS'":1f i ,..L...rJJ q nll,Jt,*:;i ;.:TI0-I AC i,4 L J"" Olnltsl"a ter i-t*::lr-tI'rl. buc r:,*m':-'sd1o*feiclelsJ'nt : l--1 !- _ -.._,-#-*}-.*€ - gltF$1.lo,rr [r"i1 ,;is.tt o.r1t:,cr,'f : i t.::'.'c?.:i.l prlrr lobof J:trl'[tl orbtt sup€r10u"i|e; inferli;'r1 Un iil:3 c,.r i:r.';l;',iiil. :-;l::1r' : -i :,-l :l i:'*a r.: 1 ; ;'.ll'i ' i r l.I I - Latrfral, cf,to tn p*nn t.r'sc:liiri p:'i:l xtl"rsinou €lntolio;:rrl s mug;l:J.ulul ste1rnosleXdonestoiCian, u epofi.zot nsstolde ?: I'nconJurindpcvlL$onuLttror;httrtlecevsrtioalprlnt'r:;us raunogte Llnlc de daLlmltere su'porlosx$. - i,n pxofunzl.rto, pinli la par.tcu sntsrloers gL nlJlocle a bezei' crant.il)'ut gt pJ-onul prevortobral-. a Ter1storul brnf se conttnuE ln nus gl tnaXrXt cu bsze c.rsnirtlrrlr -3' ln Jos gl lnr1;ir6t comunlcl 3.arg cu regiunlle gitulul. Dln torioorluL rnenlionnt trebule insH oxoluse re1;lunil,l€ orblt*r;r3 fosole nazale,gt Lar,fs.gofarLnxirL csr€ fiu ps*oiogit qr^'{ tehnlct chlrurglcsle PropYlln Dar chlxurgla maxLLo-feclalX depirgegto adasoa ll.rnttela nnntontse'' ptozont€ te, abordf ;rd .regfuiiil.ie .i.lr t*xo-c*31'i6;1f ,3 tt:tcla se efl";- gcngS-lontl lXnfatici csrs colectr,r::'t, jl ij.;fe din j..e:.j-tor.LuL r:i'r-'' . Log1c gL Und.ese pSepArE ad.e,*sclti;,ibci;rl :s pilrii mo'- pc;:tr': rr:' structll faclale. tot tn acEst scop sint abordate reglunile perlcranlene. ?en';:'u reoonstructll, maxllo-facieLe, si'it .recoltate tronsplonte osoJfia d"J.n oreasta ffisos, mai a].es {sr et din coaste, ilbtol tranopl*:ri* oartllagLnoage costele, pleLe gl p&r!1 raol din itvars€ regiu'1l' ale corpulri. Zo StstemutlzgrFq tolLtorluLui bnf. Dln punct do vodere !ttruetur*1 terltorluLul. brnf X so pot d.,soseblJ. dou6 pd.rtll o sorlc de cavlt' :* *catre lsgpreztrtd f,noeputuL cdil,or aoro-d,lgestlve gt pEratlJ. oce otoYE. t -' ' rl Lt- \? . !t+i,'F!*!r!f!;!

Anestezie Loco - Regionala - Lp

Embed Size (px)

DESCRIPTION

Completari

Citation preview

Page 1: Anestezie Loco - Regionala - Lp

{s(tGl

fii" t

T Tr , TS'":1f i, . .L. . . rJJ q

nll,Jt,*:; i ; . :TI 0-I A C i,4 L

J"" Olnltsl"a ter i-t*:: lr-tI 'r l . buc r:,*m':- 'sd1o*feiclel sJ'nt :l - -1 ! - _ - . ._,-#-*}- .*€

- gltF$1.lo,rr [r" i1 ,; is.t t o.r1t:,cr, ' f : i t . : : ' . 'c?.: i . l prlrr lobof J:tr l ' [ t l orbtt

sup€r10u"i |e;

infer l i ; ' r1 Un i i l :3 c, . r i : r . ' ; l ; ' , i i i l . : - ; l : :1r ' : - i : , - l : l i : ' *a r . : 1 ; ; ' . l l ' i ' i r l . II

- Latrfral, cf,to tn p*nn t.r'sc:li iri p:' i: l xtl"rsinou €lntolio;:rrl s

mug;l :J.ulul ste1rnosleXdonestoiCian, u epofi .zot nsstolde ?:

I 'nconJur indpcvlL$onuLttror;ht t r t lecevsrt ioalpr lnt ' r : ;us

raunogte Llnlc de daLlmltere su'porlosx$.

- i ,n pxofunzl . r to, p in l i la par. tcu sntsr loers gL nlJ locle a bezei '

crant.il) 'ut gt pJ-onul prevortobral-.a

Ter1storul brnf se conttnuE ln nus gl tnaXrXt cu bsze c.rsnirt l rr l r -3'

ln Jos gl lnr1;ir6t comunlcl 3.arg cu regiunlle gitulul.

Dln tor ioorluL rnenl ionnt trebule insH oxoluse re1; luni l , l€ orblt*r;r3

fosole nazale,gt Lar,fs.gofarLnxirL csr€ f iu ps*oiogit qr^'{

tehnlct chlrurglcsle PropYlln

Dar chlxurgla maxLLo-feclalX depirgegto adasoa l l . rnttela nnntontse' '

ptozont€ te, abordf ;rd .regfuii i l . ie . i. lr t*xo-c*31'i6;1f ,3 tt:tcla se efl";-

gcngS-lont l lXnfat ic i csrs colectr , r : : ' t , j l i j . ; fe din j . .e: . j - tor .LuL r : i ' r - ' ' .

Log1c gL Und.e se pSepArE ad.e,*sc l t i ; , ibci ; r l :s p i l r i i mo'- pc; : t r ' : r r : '

s t ruct l l faclale.

tot tn acEst scop sint abordate regluni le per lcranlene. ?en' ; : 'u

reoonstruct l l , maxl lo- facieLe, s i ' i t . recol tate t ronsplonte osoJf ia

d"J.n oreasta f f isos, mai a] .es {sr et d in coaste, i lbtol t ranopl* : r i *

oart l lagLnoage costele, p leLe gl p&r!1 raol d in i tvars€ regiu '1 l '

a le corpulr i .

Zo Ststemut lzgrFq tolLtor luLui bnf . Dln punct do vodere ! t t ruetur*1

ter l tor luLul . brnf X so pot d. ,soseblJ. dou6 pd.r t l l o sor lc de cavl t ' : *

*catre lsgpreztrtd f,noeputuL cdil,or aoro-d,lgestlve gt pEratlJ.

oce otoYE.

t - ' '

r l

Lt-

\? . !t+i,'F!*!r!f!;!

Page 2: Anestezie Loco - Regionala - Lp

z

eLt// 'A,*' 'Q7'

Scre!f.*, tevit$ff.ter felel pre,a{at$ un Sareni.g ep{teLiaL dubl.ur

plclae ls extsrias gl, ao*eosse 'eEoI}erlnd pciet$,le l,*tesae ele s€jvl-

t$tXl bneeler eevi.t6!l,3.or neae3.er glnusur3*or mexLlere, fu FdExperte car!.t$ltle s.rbi.tsce gt f,artngs-Lesf,glsttr.

K s*ructrr.s*ees **c$,tsr5;u1*t hmf dtf:rc{X de sa$espb*e enetontcE, cle=--

a5.c6* Csoasace a;n se br*aeeg{ pc ;ngf.uni ollnloe''g$. chfrurgf.eel,e gt

n*ale snntemg*e pgggqnlq ln xegiunLSe respeetlde,

ietfe3." tesitoxl*l bsrf *ste Smp$.rttt tn regtu.El superf,l,ei.ale gt

pro$rade. iiagtunXfa wugesf*.eleSa sfut ele$tns.te d.Ln tstelttetee

p.6e&ilsr mc! r:3**rta pe p€rtS.}.e *:ntee**ers letsrsle ale{ lnssiv,aluS

osas fseial *.es" raglunt&* glro&arrde s*,nt a3sdtrrx.*s &ta tetelt tatee

p$r!f.3*,r n*3 *:3trxe*e 3a peltea lr,terl,oar6 gL poeteli.osrd e nse!,-

'r:r3utr faciel./-1! figgtuntle su:3sx91e$$1e ,.sle test*or1*,3uei ?mf sf::tr

- rrrrrf-l*T.f" nerL9,sliel - firg*lii

- L*biellin*nts&i.axS

- 3s€t1,rnL lstegs}e I - gcr:ic;:rT* p*Sc$l,$e-gie g* *tryfu:$

- **npCf*-neJ.e*$

Rag*.unile dtn Lr:eiil,n** rrecl"*Stete $ teri.tsrs.uLtr1 bsrf eu caee Fne-

zln*6 ceatae;ts dlrecte gt i.elpl!.sfi,c.1 ctri.ni,*e etr *h1:irssfeete tn

s*,lte ef**S5*i:* t*mar*3e, lnflsrctor3.i1 s*c.Aff. Eesl"u.nile superffci.ele. ned.funs. nepegeshe '

-+

1.. RseS,u*.sF +n$€Lg a*te ei.tust$ tntse f,sux*e 95. buzn s*perloc"r6

gS. euprind* $,n c* pie*m$cle enas!3,.{; Sn peofunuif,s se S,nt!.nde pi-rls

Is fesele ;rssn3e. Lil& punot d,e vader* daserfpttv p$res'rtCa neraeL,.i

prea$,nt6 treS. f,eiep trsi. *esgtn*,r q bne& gl un ntrf.

$in eeSe 1f,ele, ? f,efe.sfxt L*te::alo $i plene' das X,n portiunen

$slferisps$ I!$er,intii s etd*.*S,tnr.*ii, esLpn $asul,ui",Fe$a postertose6

l5.paegte, e€ ssgsstxltlsind fos*Lor nas€t].o.

r'

Page 3: Anestezie Loco - Regionala - Lp

*3*

&t$ sets 3 st"rst*t, ee3o * eergsxl le@tre &re* w S*sfir*ef,***t $# Wt Xru*Wel sers s€ Hrreg-t* wgf# {s ms 3n garlgw*SL es6ry6sr*fe*; @s.t rus*..I**Iet*gi#rg*il*e *atss*es& reql &€n3 esl*3ree ere d.lsrotls re*feDll[*i

{ds*g*r *ffife$*,* *i$sffin x€s g$sta, e&} *t s*u Md rsn $ lr'i$*r

cd*txsrsegsts@I-

ser* guer.sattr $- srf#lsti *8a*tmre;.e$-* mrta*,tnr* #IHIEk s*weelg ftrfig*r-tgt gl.w$mfiml* &ilffis*

ffi'e.ru;i[lp m*Msa sa €*s*B@w*&tr grt& 31let€ *# S* pee*4

{s$e,rtss#g s mrt&treSek, fw* WBt& f;r S*#e !*ffi*r

fs#rt @,13*s srhry*smt w*s f,ffi* stbs&€,i61. grg*** s;[ ffirjF

SSss gr$x*w" rl#ffil *xpe,u3*r trS# ffig** wl*J. dia rxsreLr$p5.e1ogf.-

i'a.nri'5' eee#st, rresine!. s3,$g ru!.t5sl g3 acF*rt .r"!,leteie Etoat3

iieet*.ruk x:6u;*3,toe pE"We ffiarye e3x $ergtse fs*l., gss SI*lt*E*

w*s*t"tw €l.r: :qeslgt** *e#t*er eX *sfug*ffir*.r}ien

P*,jffi troffi*s$ tek ixi[g*f* ent **s ffiatgt$tst*fis*r,G *& es r#.$ st&nt€l gsrtrs rpe:&1re bes!,H, *lrtmts*$ g€

es&**$L &*eg& mgrg!*r$ *c& dse$ se e xfftie pr*s*esels err$iprta #6ffi$,tetgm tnfer*ffis$ * M Fl c *n&rtlg* msrlrl!gt c* *mtlsc*S *le!s fn $s€ ffi effiB&te t* iqgffiS*s Is*g l* #ag3i{

Exfer*,6s L,t&t*+t *ste et6 & s }'re*s s*rffitarg[ {}i*& p*,s FrSaw**at*pile*fut tes lAd.tef.a I*&I€ dst &t€ e dar€ l^*&il,f e'tl,-

s*ls *l'ss t* 3us{r? :nt ta afbrs mtruff, Mle*,ry_SYtr3;c** ffiI4gn ffis fre6 5mw**}c s*-

!er!w al mss,,*uJgf* brntlc g* e:rs Fss *reiffi lller$ etrresir

. ax*#b*tr} hefi3* ,H

3!,c$na hrs$ ;tges*nt& e fsg€ sa*artoe"*S +qrkmt€o o fsf& goutw**

ru8# #u E**frede$ *t s ffiW 3gb*r$* ;&#ed,€$Ie t$r s st**ffi

St fs$E*se oeafsurile.

Page 4: Anestezie Loco - Regionala - Lp

***

e f!** MtmA a MS trFn**nn*n w efue& ru fiwt,w*is;l*m*Smr M"t gmbrl &3 ffi ftl$f,ffiAffirq se *ctxl*#

t&!r* €& ffi w**r s*ffi p" aryffi"y* * @i*e*F ffi*mrg * Wf,m *& Iryffi lp *#a!r ffitc*S {$ #RffiIswm$frtxn$reaw gur5.n s8e w *e*{Lier srffir Wt *

*&s.€#es &fiew$ ffi** e ffitr** ffi3* Ei sgra*ffi s**ss ffisq*I*t

S, Wtsexe w *n*gnffi rms3 glw**rut ex &r n*f,ffi$skd

3e *R ss tr@ p$m-'*:es amftm#* **#fs *S *q*ttffi d k*.

Is sm * S*Gffie*.r wa3 a*t**t mkt $f, *;k} t*ara ilffi* {sst3*

**$w* xE#*,lffi.F

e*ndfm sg'w$ gwxgs*A flglfi*s*t geelnry*, aci- 6l*& *ffi n* **{W!S Is F&effil xwfxr SE*mt #.* g *grgt$. |*a ryet $fFlW8* {**lcte#, #" ro***eW ct#S,,s ffig#, w Sa*sntr, #t

Ip .sass * f,w&

ffimnr*rcn* dffi3 S, *s€ls steffi**lr. talm6hlx.Igql, @lw gl

g*l**M gf&I**""

ffiffi&!,f w**g*ffis*, eiatr #*cx*IaErye ea1w gI, xsg&l$, *+qgsr

w a3, Wl3g*

-

^ fl ^-ol ftis*

6l ,fr\,*W *tt*u*s o**+t #rG sG** pss#reS, t ' " t -

() ' , t - *p* gil r1h*d*8 * rmtl**** *-*rr*i***a*!F c rrl**sarl l*ll{*'l*9 . ;,/Ln.w- -l

--:,- .*@I* resS rupmlro*€ g*. *#*rt€6se #gS remat S*a ***

fwS*I&. *w*3 rcetl*.$, Sebtel* sgst re&tl*f gl, s*W, $, $lsrlnStm aprret, sard,,ltm fA #3tml*t at trlgwln"t {,f;1lt*efs mttlr

r*l ** #*.a rewS f,s$*} efEls*d# Ms*f**"

X s*** *ry*x* *S *t**n SffitEru **,[*s*rs p*S;lagt* f,G ss'F s K

efr*t s* gdE#ffiL ffiffi* sw*Iw * tryet$ ffi& X,Sef**W * **dh*Sm-

ffi #* w ffit&*S St, &tr *# S:tlesteewlgsr.fffi ffi,&.

hlarf #, ea*IL

w

Page 5: Anestezie Loco - Regionala - Lp

-3-3r #ttmT.mffinffifff &X#eIs *ffiL *3 am l*agrmp-.€ * tE llf$ftgc*Ii#*sr guilffi*ts m s*Lt #FA W nuf**'x lr *K

*!ils$ pfs m*Uffi Wfd t}S**€l * ffi@I* Iar ffiiL{ffiE eErtlerfs S**te |c le e b EgbE dcl^ts f*&Ir.

In aaex x a#tEtgt*Im ffi&tf ffic** xk rcg* € IrG*a fr{!,&nl* *eg*atuds affir gffiE, srtilltg6rag rgr|tt ehi3}d[t nrl 6rr cgsili

g**3** {sses ! - c$f ffi*n** pi$*a&l *t*c* e* ffislgn&rk*

*qlM,fml WM;tmW $Seffi{, lt**ffir fftrfnl

Sgrut*rolm m*lm #W n*f * *rtrlffir** Selkel

X rydr esi$r

Mtffi gn 3N* snem8 t* *il*kt #,l fr*ry'*

Wl.ffieru' IS*FG gffi"W G* re$# SwW ffi **s* e &de wl.t*L$*

e sffe3ilfr ie ,8sEfuk rfffutci fass asrlru ehoilgl*i $L

*t$*ffi eastl*e€ * #fhlst+ &E l*iet .6.l*1 {ufifm *g*g

x eW 3prc mffis# ffi ffi In m* tn *r* #" *lg

Ssfrtr*tslr{*ffi ese+s$**" eaa* &nffiI,ffi {re#tr l

S#G *!r*l@.

W;ffm S fwx*t&m* ar*l*l, ry,effi t$*Bruu*llffiar

ssg dls Enepffit g; rmilct {ar.r mnrl' ftailal}* atgfr#&+l+ 3sr

effigt rt&* ttrfieeffi eru*,ru[f* ffirel', *f ffi

&stffi4.ffi4rf,$Ffib'rrffi*,ryffir ,:L ffi{ggrg f,Wlg€ #so

" ryg* t&ffilr Istartf# als f*Ft* hil€ sg€I*ee #ls# S x#ete.

a6.

Ief*lts* mtprtar r ffie*lsl& l'lnferfoer$9 e #*e*, S ru* lnfpcbbfill$s*larr- &r$t& l&*se:S * m#{Sn**** dF ** **ls

I8 W le t m de €dr*ffi fi**fiI"& ffie$ Iln ffiffitrrp*cgr

Page 6: Anestezie Loco - Regionala - Lp

*S *

Iffiagstrt -Wfffi ro*ge#tr W&* *c*rt*i6

ffi1 * @*#t rcgqffir fa$qs#m Fe T€C'tffi HI* tstit*Mffi S&kl€lff iI*ryffk

tek6rffiIh?*L

*u *#tmila* *gdfixE il* *ffirt rr*ffi {Mk #.q#*,Ieiffigtr*ffi t*dfuma* lsnsf&Fl8f4ilIFa gtlifea ele f,se @Lt letruI# gk*g{t Ea 1g trfiittr-

"_ -ffi &cffi*S:s W,l # #* SFst* ffi*$ Ic h&*s* #..

romand* M SEe* +i m #t*ke gn *,ryal m*t**S#, gwtt-1.i*

WffiW,eSrSm * *F*; *attffie g*qfl,B$ rb*p*

tnre_gs,*E:F*ilF €*ts #ffi @ I#ni[ry**f,r a*tr o

n mSfiffi mne*n* W*c**€ Wsr*S m3*t ft*.tr{*r $g *r*Wfm g*,*d Esfar*mssrym$*dwlsf Sthlffi* ffi$1re ffie,e c*q,iFm'n ffii. rtr d M* fihifgn W*m*,X. ffi*fitee ***e fi*H* ffiI** sE *tr f&E I&.* €'eer

Sffi e*'is**lx srJryL *a SsS * ***f**e {#nA f;resffis*

Imk* *.hf*,tt*q$3e &l*

* twHilR* gabfas srft*sta** ss*s t*rot gle*ae al# * lcr

Rf$ Wm*&$*e H**ts5- s$*l s fn**ffiln *i ryptnA 3e sf# s sefil-

tgk$ # sresIffi &r es fe*k Iffit€rgffir€ ret# * ffiSftre

*S. mt8* Ask &F X*na** ##n * htlafip **tH ryrfa*Illt ffit mm*** ffiffi*ffi* |rffi*S#.

SffiIr* slffifs$ l#u ll**rffiflr*L* ffiIs** S&**$1 nl*ml"er *** SqffiG i[$e S#S glesrr* sqpGftc.iat, gil,

Se3ffiS* $*s**lr3 sr*lml*lgi!*1, *r*a amsti**&* Sip gn*mnff #st*i,e

Ea elq& c*@lf *firstm* ScfM e *r&l#|dl*m5ts$, tlillw!;ltr*\-

s*Stn$ffil *sffi& *I. arlgxfr, *nmls$, Sl, hffi:. qxrfnere* *Nfi*&.

fuq1 Ix{SFil* ee besi, *qprlmr** eee**ttr* aeml* f* *ffitr. **HF

nr**ls sl,egs*$* Si' ryl€ f*s!s*lx €l$ g*rlsel gtfiBtr,r$l* M

eoegtl qflEhr. *irse Innffactt $lrrrgfs ttrarfl fff,FEt e tg*

gKeS*Se &

Page 7: Anestezie Loco - Regionala - Lp

*f*

nmm*& e Sql x ry6,f *e ffi ffi W W ** Mp

s@ @m g* 1wgf' rsodfe#sf.

g*+*prt, f,srftnd* I*WS amrune' !.nnplig til&

{gr$c *nS ffi** ffitri* W*a* I*ri' ffi** *'

SffiW * 31,qry ffi 4g*- ry *&F'* I* ffiim #mI *p

Sndr *r* **s*ffi * *ffiltrF*** ib &rcfaseffi#**fp

XS ;6{ag.*m_*m$* *e # & tri *r bwe *pimfu*6 fi#Im"

tepm ffi*ffi** * **s**t'*am** s* Ws?&l *1 **#Ut

r# #reMlw"&d* *le&iexsW hlatSX#

a gJ[ &*trffi* #*rtr Ststr |* ffids f,*f,a]**

* $ffiffiff ,Xilil.milffi r *** # *t#s gcffi*rd$ *e e*rg ** fm'*

tffi* ffi*€#* c **M f,*' tmk l"r*.:, &btst* ffi*S S* &S p

ffi##l q **,ffik, *.f retm'rwe* ffiEs f,dl G 3*as W 3*

#ffisgg se6|e |s8l*f * fq*ffig g* s iilt#$* S*etd.|n arl'fl-

* rs g# ffifhx}.lll ffi* sryn Sa &e86ir3 Gfirg *e 3e e$* snil#*

tmlcfug*** slenE*fl e reIxlni r;{ffis .* 5l*

gg sprelxt$ lafrt @ es i!*trnt€gs lffi*E &E€ tnsft* W

etr wiffie 3sb*sil$ E#, *m sr*sl ssg# srfp mantut s* *#Stsl,

ngaglld]:L iEEgF* dn3 Effi $c e.inmsls$ 6a eiffi E - E|tr'ts

$**** ne&$*sn* #EilHI /3* **r s # *a a*rl

tt,hrS P$a anmLiwls *1re*sjk

q Sle&rrtr ffit $*t€ f,aumt re3$ de w 3n S &r SsS # *

gnl}xi *tnr* *r* #rtflffi* * qn-ll*sqfi*qf *eFsl*lffi c*#d*

*I ffiael *E*sns*a* atr^ frm€ffiftL FsS ar** * *xL*lagdd S

!fiet rw*ui !m*',B *w*A* Ms& ffi}* ts€* ** s*M**

imx33s*,* pt ams*A *"*f se SW* fp S-€ s agfr mreiffi **E* *

***Af qrt*[***rE #*i,na* tepw *##hr4l gfx s*n iffi

Sts Mlrll, *#rntu,ttffi wsl, fsgrw*S,k* {**r fffits*t * {c}r

luli$ #ks +rle gg'lg*l Er e€tetrr. .rs gia ar*Iess l*HeE*

e{an g96* # g$#grt* Sffi3n wt*E ** m*g*f * ***a tt ffi tr

effiS ffipf*l3 fnen*xtt*arr ex,e*irrll* $stfiis*s 3i*g"a S

Page 8: Anestezie Loco - Regionala - Lp

*8*

ns*r ffitr$ *,nser*Im $ffig *rHg ,#rq ar sl*re g3 s$*srrr8*

#ffifqt* *3x* re,ri gt, isssrgeta s *nl*e ffi*r ffi e**erbiteSlr fes iiir: ar,zti.er€ 8at*r Lar gSetFCSEE r fCa*;1 g €ia er

**nrmlrg3$ gaffisf:h*s}& *r.k&*€ w d,ra ean*tt& M* er*tclqc fseIeIE sl,E€ ,::a Lela a&sesd.lb*r^eg! 5s 3trFl *.,,rngjarLaras tsdF{Es*a s$ffis sffig,.ele lebfu:,s $ee & eta;$, as s3i*s& 3pn31 wg

$if. Wa*qiffifue S*,ee l* r.ntri*nl *&t. *3 m:g!sl11t rffi ae dsm*p66dls ar**n$"affis3.sE$ {E* sasffi*&j,i sn a mncl,,S w *** lcltg,c*ef,tslffts$l* ,*#ffi#pst8eq *rrt* ffi*+rsd !ru*sg*s*it *rt***ci$i s,se m &a$ect mt' dregb #t &t*s?ewams' t# a4*;r*E ***cr* sl@,&&lsf, er rsffisi oftaS*ais*l *xe *s6 "w$E E*s d*ryS e*l ***rou3ar?v€&.gee tg*'f er*reE gsr**sls*, de tss6e#*se$t^s $ stffi*,*3 *a*Tswe" *s EgseSeA ;isx srirura$e$f& .reg$ffit-t gmi*al'* @$nsrg Ss1*$* s&8es.l**sxei $t w xaecs fu s*re jr*mles6 t*krn*,

g 'En we*m*a 6p*se**:$ &lf&tss€ fu gr.*F*tJEe-Ta4epgm-, * gs**sgt*k s&&3firag d*&*€ {$ax #1 eerr fs,sartet s6t€ gsryfl5llg

-----er*: rstu'd ffi#ngfg ce€Ml3 ryl*r:rs*se gs, #.fr.el-l re ss#stg$'J'effit$' Il&a$**S,g *mm*3,*lw *c.s 3,S.d'etdsete ry*S*.i trry*gafrsllg: S& rctgmf.f;" ealki&*,ilnttrsrsi*

trcst$, sF*r&&l rlgatsu qrgpnt{ ls.€raEg s*nt *EsrEt drs g.fEctrrf,

trL* W gd, tsqlErs"fse,tetrr ;*s*fit$n$Ss fils*els, **fec*,Et #€ e*sfr, t.e i.qx-et Ge SsiErrC, &srplE g€ct*--<.5g;

Ls c.sFe re- g(*xlr!€ rsc qls{trEl, ri fegei cu *fseb fi,e,rssgcgslEs*€ ,eq#s&6t{ttr&* &s*?tr. sffis*,*g#, ffisa *;*n rasxrrl;l* Ftdroesls ,E*ffi*il'*s {xeg lafcsflr*ttb+r} angi dtrr s€ffigls s€gtmuls a:,*n* msd'5tnlss (.menlL hnell.

2.. :rg6fui*s 5te$eti.*!.'4.c€irsrtaE rre usgi:tararele lSsikr

- aupr!ff - rrcde etgoantscii gj,.eend.nctnt audltls axtcra

- Lnfe,rfsr * mnrgf,nua lnfer$s*rs * m*rsj&lst g*r*s*ts qr*c

Xps*sc{ef $s}e i"etf,Sset** rs?gims exstgttie's$ a x;cb'ulu*, **B,ffi*clsF,Cffigttsielfg*f

Page 9: Anestezie Loco - Regionala - Lp

*S-

- *nteriffi * *Fm*.€$.*Bs Bet*FS.sorS * mse*eeelu3.

* $'a$t*rt{H * epoff;,a* m*tst*E g$ mrrgi**s *&tes$ess$ e rtr *iff€

I& sawstii r*g$rwe *s efI.S *e3e Elsteii reg&rr-*;t etue*ete #5rexat

&pS aryl*epftf,* s&stsc,ri[s€t x*g$mne* ae,*s*esle# S* Jr€ Srmw $psst3*

dlenii.

nq+W *csselere& s6ffi*.$i. ess.:$dsn* eX wndl.kaleS

g5. wrgw&8*rl,ra.S s*eet€s" Psst**a **agesloe baffiffi4eari gI, s€ Sst IEJ}.pa

le ss{set elteS m{gc$rtl* s,6*}S,t$u&aj, a*ndtb*lsrr ies frtt*e eendf,X

S& &s*gns s'r m*st pl3e*}i{}e srt*raE *em*sse3e er*€verf*e,ie3s.

ry+qe$q f,il*€ g$ m*bil& se*s {3$btret$ Ss rrl: rcslEsl e€f;res, l rri}ttst

$rs*m$ de * *effi4*"_$&+qrffgl*n+' snb f*sc$s s*&rerf,lsful$ ee

e#es$tq c p$&ur$ Se tge*t *eXt**s s*b*utarps* dsss pes.rdse *3u***

seasrs pe ge?cmmS$CI pro&xcis,* {f,r Bc€st !*ext ** g$a*gter axtese

,tsuslssers{i * f*fie$ nam qlXm *ea$rcrsEe Bt#rergtc{,etfi.1 xeffEr$ile ter-

n*r;e3e {direegex*c} s}e xexwrg:i:l f***,r,rl ers* f*er,:e$si: L* ex,e{:nL3:e

$h es,nl:*a$ p". *; 9s$cet Sg d**lii ffirEF€a *eapcre*f,e*9,*1* €sre s€

Sradx**pt$ *.e ses *S f,r:al.a** gt eeevX.esf,*sg.a1e *ss* se Srrdseap€i

S* $a* gg t"nslrate* *r*1e*ngJ.eea cassg'Lmsii Elq€ffiBgstesI.sl6 e g&sndsi

gwrotlse* s{?ss se S**reep*S ga aus gS. Sse{rlS* S$, dc sub *ceesta:

pre},ss63^ae s&ffi.ss *cn*3ta: $€*mg s,{}Jrs ,wss* eElsseset S,n**{,r:*s

{ $tEs*,e4tt$€tr*s* S}s } {tif.s €s$* *ne$*e }sb**L*]' urs*bAt eu arsgm &D-

eu.tre.&l gS fu*fiegE*rii re"rglrls* cater*ec*fr G tr{rcs**r* ****&tal

iits*lsts sse s &,urySse Se 5*6 *s gA ila

tra* gws#llce f$*,*etra s&trls*ear fesste Sgsr* de &set**",

$,nWeTF6,qg rffilffi?.s#,&# cs* fsrm&. pstrt$e*esfi $5.. ** $FS.sSs $s mer*

gtee* r+s*asEffie$r pn*fsr&e*le€ p* 5m,fes*,sae€ n r*w3nl, eese*d*&t

n1,sffir$dftffi1*t ** *regrer:[a* s]s effi*r3n e1#p6s*l*So fiff S&d tn$getrn;

et* ectrtr, wnS3;bnl,*r o SegS *s*eef,S,hs.wsil esre ewrx$c$ ou grrc.pe

e$emettc{i gSe$m $a*3st*ss a 6om*,o-*ffu f*se*et$ Le$& saset*r*,.g:S snte

oeupetg g* gats*gSsu Ss *6&xe sr&&ss*ea./b.*"""6se *sl*reetii

grl.rsr"l S-EACffi-. \ -

Page 10: Anestezie Loco - Regionala - Lp

*t rS*glssn*l ss,s*l {&st€, f,*ret d*Jr ge*n$. ss*s#*sat aX' madft*fielr $rt$,**l#$fi"e @6 Fl" swedm Etgpsats.c&"

&m*Wm ,+qf,slq*$*ffifu Ce} re{ fw€#tsn# strot e3 *e6lmI;t-g&*,rettr*:ten* s*& treg* ffist*dtffi$ &er€ *angi,m sca re* mre g:l.e#Sm3*re*61 gjl,Mta $pr***d*L *bsgr nassl Sf ffig,ftffit" f*,Cotfo*.

effih{t {!e rffirt**gi* &i[,ad!e ge*rytidE sss s* rot vprnsr*m*B

eraxda *livar6 e eLrtsstd, le eHL 6;\il|| F€alnta douE+__:Jtrsluee*ni. e,i tsgw&**er gs*?ryt+ee sas&rt&6 e rs mx* m

v c3eslgte$F ws1i*.}' &{rg e*w Et ,n g#s3ffs€Ssg t*igre6il f,a*iqg$sp$

,#,Y- tG7 Fsrr**tds sm*xtl s 3s amd.ilnl w**,s,kllrr (Sag$safisl &ri] es a*

fWsft6 fa wle **tr6 lnmrl *ssetffiXn* m*3escr tu*au*6 grl,. terynre.

MSur gl mt- l*kxal ab *aFB*.***F

tu,

,ffld,,re sserf,rgsar6*F *'€mlsr€ , **

gt$.ki*ws*d.fi**lr$ S*, &tocs fa **imeh$rr} * fa*kfr E*Iw1asbwe wealfttr&*"' t*f,esis SIsffi relro*i& gi sm**s*irrc Br$CS.

$tqpg m tre*strt Ss ls*I* pm, &mrj[ f*s*ef fttuS 3a efsfiS e

,to._,,.( .txemr*a*S *risffit*l ls ? &i Es& srgs* eIsffittsg" s&i3&&*sel ! , ;1tu' r-

J"''G t+efa*a wr#ilffi gi s *e*L Srynln*q. JIaatatq ds CIa gtsffitr'* *{f€*etsl" E* h8.**rg$ 3a ,nsffil

teryx**e*&*teX gS wmtm.*.fu**,s& prts @@t - -+*,-prs*fd${eete grySrtltg *n g**$ ee fitlsls une{ ssrtt*i Imsms

*wr*lr:3 fe*Sa}" tre an:t*gx'*t g*nn*ei gnna*ti,e ffi€ffi!*H l*ertnlte!*fs LelS *{}ef&

-.Ser?'}$&_tielss i,qnsrr sn gsrcfre,t srffirr

fn*a$el*. E:t, Irffsftnet.r EESI';I.miS, srylsxf,tsful"t' &*&l& filentm ryn;{4ry.*U u rotu* U* n* *OA 4 ffie3,$ e{ eF qstsw& a g3"m&l,* &{ ef-st eellskf f-E effiU} ss*re s*t.lgl mb. n*, 5wsmn*s SteetlsslE **l[s s&gr @wsf$ $ Ss le fsSE"

Page 11: Anestezie Loco - Regionala - Lp

-11 -*@I.trmig gtrsffil* m,l *lwragg sge€ €r$3ffiEf i*-* f&€sl'

wsa*t&{ GE**sm gl;1, grlmw 33e**m3s & ts watm *{$!€s**r

.*ffLrrl" putn*3an gf *l*st& ry#Iffisil * f,wter aa*l**

3r Ssffi ffi ' S6r**sl e*w*l*S *p "ee6t W{eesOGa *qilfrffeffS* f;nscro*g$ *wt Inn&qn *Esssfg;'s *xgm't**;[*lng

$&effif lps*.t#t s$6r$ifi*M wrabf,sw$S$* Is **mst6 me{ffin

$r plsa s*#Frf;l*tslr f,g ess*tffi Sse$tfi"ttrt w3"*I"gr gM' *e* sa

5,S#S}* s**ffi gI. tana wper**.c*s36 el&k gs 3fiffi *nts*pssta*

r$.nrt *xt rlm ri*en' likrw #selpJe*- 3€

ag:twwlsn€ lpe**lrt$ re gre€ *r {tL*Lesle*E* eas *q***. -------\

/ \ ! : -_-I

It*a ST,Sserf taeqlst€ ia @l1.,Ecg!.w @t16

sac$e g*. 3"*$a @ry}"S *Stmst$ ta*ffi eglnwrscs t*W-ul$ *tpl."ffi} &ssr tmlsCS trylerelxElrf). I& & lrt ef16 nn@*lrl. *rryssel

xa*la p*, msryffi @ti n*qfkst *E s *aetfkt€ & Ss** *lln3|l

gr&ag Ss uE*l:$rtsr$..l-I$a mrylwat& ere effi*ls$r.L S..esE$ €$ r€gl-

uai.le mad3"g*trs*'leler sstfel e cew*Ss$ es*esls *s tsgngglmE

irn €rg€ ffi$ffi Ss geE$€Glmt*ak"

Wf#e$g grgts@ *tnt al*S*tr*c Si,F p$rlEf,e ei ct$* 3* S#5*

*m *sstesg gi !ps*er*ss$ s reslrnl*,l$ fffi*sI *3 *qrtr"a* g* Sa

Et€;aw*i,$&* ffpFffiE futcrs €'t sa&Ea;nl Sm.

In dErS Ss sq*gtmg** ssFcl'ftsfut* el* fs*{ *3 re*a"ff* Sffii*e

*s*t*w*sl ffiS gr**lgt6 et tre6liffiiLl€ *trf*Etgt k1**

Fqttqffi,!ffi}4 **e ,w*e${Et6 $f se irntf& €s 3g wifildnt k-

wI' trtra ffi$ry e€ffistn$ c*r €,M{srEI S*t*e Xdr *sffir} ggt1*$sSul.

x*rla && *rmmt.es su f,artrepX*f t*HS61r d*b** tsffit et*,+qr

k Ml,& f.,s SffiH *ery#ttffi*r le&tlnl srEs&lffi &tst* s

gfug# w**tets* WatS gcasr*& a$,e& ta* 3mffi Xr* **w*l.hl$,

froiL Sqffist3,6 s*t*6ttt kBXe *iat sdtffi*ailsr wc*t***!**l

Iss Imst{*rteg sE €F6*Ss sf,gffit*e€.r Ia s.qrus$X.til"a M as*a*e

sugg$,*Srt sg$t e$i 6*rceE ds dfgt$fua# * gn#}}.et, 6*#tei*3#

Page 12: Anestezie Loco - Regionala - Lp

*t r8?

kfr $tW. Sef*tte#* ffig*esI€Se3;[w1 S*WS} w*SA]{,i. &u3*":$Sb }-tqgseX6 gt GW, @t*-gnrffim*aloc

1" n€S,itw gelxtSs€ f,areB F**qs**:s srefor g,f po***r{.*r sI#vtt&**,f Mle. & ss& w*$**t*& f& Ixgg*ft.a&sts6r6 &**1* ffi3***eg i*r ffiiffi *s r,Stg 5p*,*i*a"*r* fsgre rffix,k3S w*ffir*r osk limitats *u*twi,ss srr, $,*,HEI' ih Mrseekffi* $ss SofieJr*&d {ba rye*w L*Me e *S*rirnt Ss}stiacfs lw$w +rlkr*.w*S sa€b $rufs*j'a$ q*,& ers* $*ae*{Btg p I"t*r'*e #fr,a*S ru &fw* il.6! ds * pss*a *e €pi ** atrk s we*sf* *gfu*c wGEw *r*at* tbe reffi ,s&tt** mn kE*sstrsec {gt**g$# slst*#e}' &r w#xrc ffi*snsass rFB$b *st* *err s{ g*

grq*l&*r& - yflfar, pretr,a, r$,ul pexstr*r s*tr pi ew*m*tr.[;

Ssps& ry rel fffi** Iryt*et *s m6lt* fw$*r &d#,*tt$c. *EaF*

see*s x"i*brs w setet6 pe Srar* M,ims l&*s, & * #str sE &sita a l,wk3' w gSFw *e&S trurq*et & s*pilLus$. w*"te p&I.teri.

#'t*r$ffi* *t Sc*stcr* *sre ikl;Istc*g$ le*ffii e{ l*g* wtsffi.i**as" ra ro re snr*rsg** srlssffi&ls g3sM*,s t8Gtmrs *€ rstls#sS wmre lxnit"stt&g *s*s & fa$* s trtswees{ eroeegr *E} *wfc*

:rstsbs*€ S* sil#w+g fs gffi#* sc ib****el f!ffis*i eff&$*w €ersl @t & s a$t6 ge$* a*mrusr$ &*ffi*g etn et#€18*Ilwe lp etigsl *Iwrl acffi a**e faffit Ss gl3 es*arl#e

S* ofsf,IreX* st*fpffifra sls *srilsa G6sdl*s* iss ta 1./l gx*s&lri*s*

& *gefissla *r$,eslgt*Ls s3,a a#lai gnf.e*ta* f.Kqrs$e bAWt in3.8-gg'*6 ts& e WF wL*tt g1 +**e s#S$regt6 de w*sl 6ee*-tpls*Ie

relHu *l3 s*tsrrffi $1 {s nll*vtt, lnlstlat ster**i ryku e/3gl****rl,mm* {Ee#rJ" **g wtl*I, rex$Isr}*

8. *tgIwEf* fn*uwfnt, !*ree * 1*eagffil bB3 ar*e e&*&t**f* €Xs

tak3.t*et* St*[m wfi.'ryl,fies 3strg'Gsffi*€ Msf& gt S*i,*3cn*a CpmSt*lX €S.l*tss ebe ix*cm$ e mffitr&mls$ E& awt eistd* sl, **e

ffit Sk*r.4e **a$ .xqresfitegsgiltsil *estu qurixtu ,ffi*3*€m15

Sf *ffiS #&* s{lb[swtlsl* El *a **a$ @ fsrGfi*t Sre

Page 13: Anestezie Loco - Regionala - Lp

, ,

_13_

st8. MffiitsilgiS*rS&r @*S€truP f f i*m$*s*g*f ru! * p#f$r**gint€ Sfftils s,s&I btstd ils Wfrm g$*brf*se e ffi,IhIn:I, *nts*

W#fs ffir$ser* *3s ar fiI€r*s,brge e5 n- H**ru* rl#,*xrf gf**

Iei, estr ffi Se#tdp sr lM. fr fgp g*SHS s{tmlnt Smt w*r**

aeel$m,*urs *n vfp# 3SA $&xf c3,set$*3k*ry ft #**rnile$ *carcee 63t t*$Hci.t* Sass€b m&u*m3*rE*@*ffe

!-t$,et!sl, sr*s grtm* IS&*IwIe €F Ia & *Sssloc*E Sf f,trel

ilerL

* &€ffi ffiIeHq!,S g.lf, dg$fi#b c 65arytr SE*X

S* trffie *Gks*sr s3 rua$*$S**qr ffiffi:rc kLS $f $ffif ffi*t.

e#f* *n * sfi,efrG* xl*us$ mtmn$,Ifi*dt*rfin g* ISffig ffi*-/-^-lsftsfil.{ F*t grsm $1 s*}*a gry{na{ W/effiettil}" €fatr*

ffiStfr*}*s,if affi s gpffie* d* kdslt s* dLg S,t&.'* fssg 6s&eF

ff[*w*e Wg f*$E rrrtfiryt*&qltrsH* g*aa *e relat{* cE I*rE

#esieill;t€I.e*ef @ csg$Wk wptnsgmrs wlsr€ ffit* +fr+ $ryfF g: *r*i*B fwlaeg. k st€lsf

*t$sl fie# e €S#X nrr''rt.x*fffi4f;*se *e &6r*e s lnul"sAtasWae*& ss ffiffir F6 &F goWX s s* atf*f*ldfa *r sSWn

3n w*i&,ts* Sssm,f **bliryI*r &gs ffi r Eecrrt p*a elsi*Krl.

l$f rqfdm+ @* mbffiffire ffillL Saffilsatx]r-

trr *l e3s#bl, ffi #"t*rr-l wbr* *rs,

*ffi * lsrelae * 5 s *I' tlg *ts*s*rnt e 3 m' &! ts fis€ncfi*& e 3xfsta *lx}nm€ * e*lref @ * & ** gre,Iry&se #wl*

r& * mffiSs* su ffiss tr€ree *a trs& mb3lneml& * ffi&s{E

A*sef$ # s#[6 la pfft ie*t n w rs,r*:rtr r*.€nn3" *$na6f# lr

cxtrdsh tEftrlffiFE e f,arsalnl I'faesl-r el re d*edle ia w*

rtktcfi eI& g$,* *{r*Sfi*rt *.1.}"9 lfu#* i

-H&fu rpilrrE*lf,r *re!ro @Estels*r.slE

Sf 5I,sEhE ei,etd e ndtul. 1rEsgl,l' IIbr+ 3 rmttr,r fr lr$t€

Page 14: Anestezie Loco - Regionala - Lp

_t/$_

esi,s&g *e efue*e fffiry tfqsn, rr *sr s* s s**s s* $g s,l& s

$*[ oe strl& ffi effldB**lE &r i*ewhg#sry s ffiffnletff A* *ns *Fffin*L'ar ffir*tw* a S$e&itrs* srb},*affit**{wM*ls Se*,*!r'ts*n*l* XgSs effi w*#lgfI" *i rlffirfir sffi eryryqre ffi S&rss& *f& m *eit,.l*f etdt wle *nt*s5m$g" ffi ftKxl ffig*ss S?6 ts*s sg&Wsf$ sel* w#ffi g*ffi mf*,@*afE (3l* ,S*afexet*ffi wer*car$ s gS*#* @* ffi*l*l &g&e'mrsf,g trl.*q#na!#* Mi*s s{&I* Ei" *mI* #Sl*gualn.,

- Be€tusge r$Eeqlii - al€ga lilusrlca* ;g&ru!*: blffi ?ecfiksta#tr

*#e ro dw&*e* a&ffiret* ffisiaf* aes*et$ u gw$fu@ wbf.t$stexlers s*ss ss sWkS fe shfmsg*a bnf gt a g*trsm *gs-$Ells${ ft& S*#ssL#r*r hda* ll.e*J, Rrs *# & *ffielet gs*

ry$ffie nE*$sB s l*n&ri, *us * f,*g re*xstrri grt usa e*ffilHrder6 mntgln5' gE ffi

"*il'trr qd+|n

Page 15: Anestezie Loco - Regionala - Lp

VL/;" -: f/ifi .a *,'_'#^ #'': tu:: i:i" :,L:,:,:i, : i, : .,,,,,,, "i-to4rnc.,k- .Z'":,i6. e{'m'#$lt'o,-/oi. ?z7ic ,,//n'(/,ri c,t,,t',n ),,, $- vv' / (7 (4 ue

#'W.#/,t: ;.a i:, fr, :ikti *,,:,'1,1,', ^, c <, fr, d'.,--/q- r

W,,/E,:.,ur7i.,:,':i:,?,(6,.t\ce,c?1c:e:/'.,t,,,."t..-f

:7,;71";;e,-,Arf; ,:;7.7(:'u-<c4a e/'l. "/- -*/

tr{:.*L/.*ri -L,r.th qfi, l(/Lrzrr-,f:* )rtk-ts(u' .tq c(( c-)/',,rr.r. ..*i ft'4We6,-,,-1"'.. , l-./ , fr,,4u/r.t,;,e.6z1o,,y',,,1c,,"7/i,, , , ' , . .- ' ,-..J..#y;,;-/" l;;; -.6t,^A1rL./, t(lLrzr,-nol ,i )uetg(ct\ - / - - t - - - / -

; . , 1 ' ' - ' 429< va r l "

( ( 1a ("

' " , :rWb67+"'. t , l - / . fr , ,4u/r.t}e.tfzjo,y' , 'c1ar,7/ i , j , , , . . , , .u:L:/,i '1,"/2 d-z{.6vs1s-/z; -o/,u,Lt.g.:,t,L6dt'.,,/rr.*{;',- '/., ( / r /./,i'4,& f.*;;"iz;, -of , *7 ,,*6dt'.,1./.,,..{tl ./, {,, (,,',,,

" '/.,/ . #

*/* r* 49ffi 'r e, 4*t,s; i;',,' I';i' ( !'") : " : ii, i,* /tffr,,U t f r!,,r "M :7: I' :!: #u#*., ;? * *:,4$;ffi/a{ ff . /,,/,L,,' :i'. Vi-rt . i:'l $

Page 16: Anestezie Loco - Regionala - Lp

( r / . ,' dk' ,+t

I' ' \

sh: . r

r

, l , i

\ :

I ' i

| : ' .. l_

, ; : . ! :& ' - - 'a. ' r r -_a {}

Page 17: Anestezie Loco - Regionala - Lp

T

nrreu', <. ./

, ' , ' i , t (ur i . , :6n el to togr aLo oor l :u. ! r r l g1 chJ.rr . r d ' "s ooi)ul-rr l r ; r gLt t t l t t i '

G-;- ' , t - - - - . - - - r r r^h -r lv, .F m{at na int ' f ndere. t l .nr ou l t luctur l' lJ!- - Rs*lunl l-e to"oograf lce st*t rnlci oq int lndere, der ou l tr

- r gonplexH f l conl ln olemCInto sttatornlcs B.:ren!1aLe vlel11.

i p leLes fsbeL tn generaL subl l rer f ln i t 91 nnobl lH, este blns 'Yas-

. cuLer lzot l g l prozLnt#santuyl sau pLlur l 91 8lopl !o.

- Tascta superf lc la l ls csx€ ln al te ter16or11 sepsrd planur l le

supotfLclaLe de cele profunde9 l lpsegte g" fatS.

- Tssutul c€luIor suboutanat oolG travercst ds nu6ch11 ple1o51,

mobl l lzato.r l o l tegumentoLor gl or l f lc l l lor focls ls;

- TesutuL grEsos ugur€szS alrrnecareB r l l fer i tolor p5r!1 t tncle pe7

gLtel-e gf contr lbulaXLa rssl lzarea func!1ol f lz loaomLcs a fs!a1.

Int le !esutuL celulo[rr ieos din dJ. fer l te le reg. superfJ 'ctale 91

profunde oxlst,{ o comunlcare clestul do 1arg5"

groslmee p6r ' ! iLor moi faclale este redus$. I ,e. fe!5 n

Dras€ muocuLa.ro inrportante. ),. t/

-Re81unl{c*r t tor1u]. t r l .bmfguvascu1ar1zavu,W

exoelent$, lne.r'vo !1o -&rgn*S*# complexit.

u e:cls t 5

vl ta l t ta t o

t

- pnezqnla gLendeLor sel lvoro prlnclpnle Fl e oalrslolor lor sl(r ' l ' ; ) ' -

tor11, ca gl a numoroosolor glonclo sal lvale aoc€sor l t m, i rosc c* ' :1-

plext tetea structuruls a ter l tor lu lu l bnf .

- Muc.oesa oare cdptrrge6te cavl tS! l Ie $1 conductale celv lco-fccls1t

. comqnlc6 ou €xte.r lorul, este septlcS, dal rezlstH blne Ia lnfec-

- -_-+11Ie 3xogen6.

- MaxlXalEl g l1 mandfbula prezlntS psrt loulol l tH!1 onrs nu t€ tn-

t tLneso tn rostul soheletrr luJ. l od.oron!a f lbro- l t l t tGonsol ls Sror-

lLunea lntrabuceLt i a msxJ.Iarslor; ruportur l str tnso o1o nc{trr tor l

cu oavLta1sa buoaLd aopt lc[ ; prezen!a dJ.n!1Lor lmplnnta!1 fn nlv.=- '

1g tntraosoas€i numexoos€ oanql .e tntraososao oe ddHpoctoso v$rn ; '

nervl ; pereletonta de rogtu.rJ. snbr lonare epl to l .Lele lntrao.!oo$n'

:

i;

f . '

Page 18: Anestezie Loco - Regionala - Lp

==t-

t^

-{# -Pa:t lcglgrt t lb l { .gnct igneLg, In ter l torLul bmf sau in str f .nse reL.

!11 cu eoeeta, s6 tnclepl , lnooo func!t i . Lmportonte: ns.qtLca! la, d{r-

g1.ut1!14, resplrql lar fonalrn, oclurtn or l f lo; t " l lorp buoal 91 !s1-

I

pebraL gl mel ales funct la f lzLonomlcl.

CuLoarea gl forrne fofnl , gura, d ln l l i , eu un roL d,eosebl t

tent 1,n vl"a!e oamentl..G,tr.

1.

;

F

oe Bgpo*

!

Fa!a osre ExterLorLzaqsd lndlv ldusl l tetee unoL persosne, este s l ; :g

rE oar€ r lml,ne sproapo perm€nent r lesooperl t : i 9L a1ci se ef l5 prLn*

cipalole organs d,e s lmt (vHzr ouz, mtr ;x, gust) 91 nlJ loace de

exprlmare.

Sxprer lo morfoJ.oglc i t , estot ic. ia a fo f r1, const l tn ls l rns c l ln prLnc:

pale.Le el funct l t . r Cu toete cd, fuctor i i estet lc l s lnt subord,ons!1

oolor funo.!1on411, oo1 nnal eclosee b. suport[ mnl bl ,n,r def lclenlai;

funo t lonale dectt estet lccr

Chlrurgla de ax1raz6 mexlLo-fac1eLfi trebule urmatH de r€constl tui".

r€B plerderl l ,or de substan!I pr in lrr terven!11 ch1rrrrglcele 1'pEal*:

ohlrurglosle sou oplt€ze, ccre si .red.ea funcl l l1e 91 artrxctul fe-

tel el t mal aproape d.o normal.

DoaftgulErlLe oons€cutlve treumatlsmolor naxt lo-fscieLE rau l-nte: '*

ren!111o.r chJ-rurgloale de exeroz.{, pot avoa r€por,ciLrslu}xl grgve

e6upra rela!111or soclaLo, pr.ofeslonaLs sarr fagl lXare aIe poclen-

tului ' In uaele s l tuet l l , prejud. lc i l le f lz lonomloe pot i rnpledlcn

contlnue.ree aottvl tdt i i gl d,aterm1.ns sch.lmbaree profeslr n11. Clc,.*

t lSciLe lnegtet lce ale fetol gl pierderlLe de substen!X oax1lo-

facl,ele dete-rnln6 tteume pslhlce, c.onrpS.exe de Lnferlorlteta gl

ohla:r"stnuoLdetl la unll bolnevl. '

Problomole pol .hoLogloo sLe bolnsvl lLor cu proJuf lo lL est .et l ,oe * tfunat lonaS.e bmf gtnt deogobl t d"e complo-re doooreoe dei oele nrrA ;nuL' te or l peolent l l docin J.nadaptshi . l l , so lzoloazX, fsc st l l ldepreslver leo O, ln alroul tuL socLalr pxofesLoneL gl chlar fs in111.,r , : 'Dac6 rno<l l f l "cH,rLle aFp€otuLul soclal eurvln 1a coplJ.1 Bc€gttnslnt f reovsnt izolaf i j . , taohlnst t de colegl , f l r l pr lotenl 91 f , :oazutl grsve neqooepta!1 ch&,ar ln sinul faralLloI .

$

t

F.i

i:t

ii'{s.F,,q

t

ti

i

f::

.,1:*.

t

j

&