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Title:
Preoksigenacija med zaprto aspiracijo umetne dihalne poti
Authors:
ID
Justin, Anton
(Author)
ID
Križmarić, Miljenko
(Mentor)
More about this mentor...
ID
Kadivec, Saša
(Comentor)
Files:
MAG_Justin_Anton_2019.pdf
(1,43 MB)
MD5: D954205091303057C1DEEBD809812739
PID:
20.500.12556/dkum/a6336ea2-82e0-413c-908a-ecd92de21b7d
Language:
Slovenian
Work type:
Master's thesis/paper
Typology:
2.09 - Master's Thesis
Organization:
FZV - Faculty of Health Sciences
Abstract:
Izhodišča: Med izvajanjem aspiracije dihalnih poti z zaprtim aspiracijskim sistemom se bolnike z vzpostavljeno umetno dihalno potjo preoksigenira. Namen raziskave je bil ugotoviti, ali je preoksigenacija med aspiracijo potrebna. Raziskovalna metodologija in metode: Raziskava je temeljila na kvantitativni metodi dela. Podatki so bili zbrani s pomočjo kontrolne liste. Vzorec je zajemal 30 bolnikov z vstavljeno dihalno cevjo, pri katerih je bilo izvedenih in analiziranih 180 vzorcev arterielne krvi. Vsakemu bolniku je bilo odvzetih 6 vzorcev arterielne krvi: 3 vzorci z izvedeno preoksigenacijo s 100-odstotnim kisikom in 3 vzorci brez preoksigenacije. Vzorci so bili odvzeti pred aspiracijo, 2 in 10 minut po aspiraciji. Za analizo podatkov so bili izvedeni test ANOVA, Student t-parni test in Hi-kvadrat test. Rezultati raziskave so bili analizirani s pomočjo programa SPSS 22.0. Rezultati: Rezultati so pokazali statistično pomembne razlike v parcialnem tlaku kisika (p < 0,001), v primeru izvajanja preoksigenacije, pred aspiracijo (n = 9,83 kPa) in 2 minuti po aspiraciji (n = 14,66 kPa). Brez preoksigenacije je bila vrednost saturacije v različnih časovnih obdobjih enaka (n = 94 %). Diskusija in zaključek: Raziskava je pokazala, da preoksigenacija med izvajanjem aspiracije z zaprtim aspiracijskim sistemom pri bolniku, ki ima vstavljeno dihalno cev, daje statistično pomembne višje vrednosti parcialnega tlaka kisika.
Keywords:
zaprta aspiracija
,
dihalna cev
,
preoksigenacija
,
plinska analiza
,
arterijska kri
,
enota intenzivne terapije
Place of publishing:
Maribor
Publisher:
[A. Justin]
Year of publishing:
2019
PID:
20.500.12556/DKUM-73443
UDC:
616.231-089.85(043.2)
COBISS.SI-ID:
2498980
NUK URN:
URN:SI:UM:DK:ZMVH1Z1R
Publication date in DKUM:
26.06.2019
Views:
1602
Downloads:
246
Metadata:
Categories:
FZV
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:
JUSTIN, Anton, 2019,
Preoksigenacija med zaprto aspiracijo umetne dihalne poti
[online]. Master’s thesis. Maribor : A. Justin. [Accessed 26 March 2025]. Retrieved from: https://dk.um.si/IzpisGradiva.php?lang=eng&id=73443
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Licences
License:
CC BY-NC-ND 4.0, Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
Link:
http://creativecommons.org/licenses/by-nc-nd/4.0/
Description:
The most restrictive Creative Commons license. This only allows people to download and share the work for no commercial gain and for no other purposes.
Licensing start date:
17.04.2019
Secondary language
Language:
English
Title:
Pre-Oxygenation betwen closed suction of tracheal tube
Abstract:
Background: During the aspiration procedure using a closed suction system, the patients with an artificial airway are preoxygenated. The aim of this study was to determine if the preoxygenation before and during aspiration is necessary. Methods: The research was based on the quantitative method. Data was gathered using a checklist. The sample included 30 patients with an inserted tracheal tube. A total of 180 arterial blood samples were taken for blood gas analysis, i.e. 6 for each patient. Of those 6 samples, 3 were taken without preoxygenation, namely one sample before aspiration, the second sample 2 minutes after aspiration and the third sample 10 minutes after aspiration. The other three samples were taken from a patient preoxygenated using 100% oxygen at the same time intervals. Data analysis was conducted by means of the ANOVA test, the t-test and the chi-squared test using SPSS 22.0 software. Results: The results show statistically significant differences in the partial oxygen pressure (p<0.001), in cases where preoxygenation was used, before aspiration (n=9.83 kPa) and 2 minutes after aspiration (n=14.66 kPa). Oxygen saturation remained the same across all time intervals in the samples taken without preoxygenation (n=94%). Discussion: The research has shown that preoxygenation during aspiration using a closed suction system in patients with an inserted tracheal tube gives statistically significant higher values of partial arterial oxygen pressure.
Keywords:
closed suction system
,
tracheal tube
,
preoxygenation
,
gas analysis
,
arterial blood
,
intensive care unit
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