| | SLO | ENG | Cookies and privacy

Bigger font | Smaller font
First page > Show document

Show document Help

Title:TEHNOLOGIJA ZUNAJTELESNEGA KRVNEGA OBTOKA IN MONITORINGA MED OPERACIJO NA ODPRTEM SRCU
Authors:ID Kotnik, Nikola (Author)
ID Križmarić, Miljenko (Mentor) More about this mentor... New window
ID Kamenik, Mirt (Comentor)
Files:.pdf VS_Kotnik_Nikola_2011.pdf (15,34 MB)
MD5: A0A65C0A3A8D6EB5C96AFDB4AF1700C1
PID: 20.500.12556/dkum/43f1b699-6e97-459e-bfcc-7f3fad9dd6a1
 
Language:Slovenian
Work type:Undergraduate thesis
Organization:FZV - Faculty of Health Sciences
Abstract:V diplomskem delu smo analizirali tehnologijo zunajtelesnega krvnega obtoka (ZTKO), ki jo uporabljamo med operacijo na odprtem srcu. Ugotavljamo, da ni bistvene razlike v opremi, ki jo uporabljajo trije kardiokirurški centri v Sloveniji (Maribor, Ljubljana in Izola). Valjčne črpalke imajo še vedno prednost pred centrifugalnimi, ki se pri nas uporabljajo le v zunajtelesni membranski oksigenaciji (ECMO). Za zaščito miokarda uporabljamo krvavo anterogradno in retrogradno kardioplegijo v razmerju 4:1. Monitoring plinov v arterijski krvi izvajamo v kardiokirurškem centru Maribor s sistemom CDI-500, ki kontinuirano meri delne tlake plinov in pH vrednosti. Ostala dva kardiokirurška centra uporabljata laboratorijsko POCT (Point Of Care Testing) merjenje. Iz pregleda literature ugotavljamo, da mehanizmi vzdrževanja PaCO2 in pH med hipotermijo še vedno niso dovolj jasni in da so razlike med alfa-stat in pH-stat pristopom še vedno nedorečene. V vseh kardiokirurških centrih po Sloveniji se uporablja alfa-stat pristop. Za učenje s simulacijami na področju zunajtelesne oksigenacije in cirkulacije predlagamo odprtokodni program ECMOjo. Našli smo samo en fizični simulator ZTKO – ORPHEUS. Tehnologija ZTKO, ki se uporablja v Sloveniji, se ne razlikuje od sodobne tehnologije, ki jo uporabljajo drugod po svetu.
Keywords:Zunajtelesni krvni obtok, biomedicinska tehnologija, simulacije v medicini.
Place of publishing:Maribor
Publisher:[N. Kotnik]
Year of publishing:2011
PID:20.500.12556/DKUM-19993 New window
UDC:616.12-089-083
COBISS.SI-ID:1731236 New window
NUK URN:URN:SI:UM:DK:FDFI7ZIK
Publication date in DKUM:07.12.2011
Views:2651
Downloads:414
Metadata:XML DC-XML DC-RDF
Categories:FZV
:
KOTNIK, Nikola, 2011, TEHNOLOGIJA ZUNAJTELESNEGA KRVNEGA OBTOKA IN MONITORINGA MED OPERACIJO NA ODPRTEM SRCU [online]. Bachelor’s thesis. Maribor : N. Kotnik. [Accessed 14 March 2025]. Retrieved from: https://dk.um.si/IzpisGradiva.php?lang=eng&id=19993
Copy citation
  
Average score:
0.5
1
1.5
2
2.5
3
3.5
4
4.5
5
(0 votes)
Your score:Voting is allowed only for logged in users.
Share:Bookmark and Share


Similar works from our repository:

No similar works found

Similar works from other repositories:

No similar works found

Hover the mouse pointer over a document title to show the abstract or click on the title to get all document metadata.

Secondary language

Language:English
Title:Extracorporal circulation technology and monitoring during open heart surgery
Abstract:In the thesis we have analyzed the technology of extracorporal circulation (ECC), which is used during open-heart surgery. We find that there is no significant difference in equipment used in all three cardiac centers in Slovenia (Maribor, Ljubljana and Izola). Roller pumps are still preferred than centrifugal pumps, which are used by us only in the extracorporeal membrane oxygenation (ECMO). To protect the myocardium we are using anterograde and retrograde blood kardioplegic in a 4:1 ratio. Monitoring of arterial blood gases is performed in the cardiac center of Maribor with CDI-500 system, which continuously measure the partial pressure of gases and pH. The other two cardiac center are using laboratory POCT (Point Of Care Testing) measurement. A review of the literature, we find that the mechanisms of maintaining PaCO2 and pH during hypothermia are still not sufficiently clear and that the differences between alpha-stat and pH-stat approach is still unknown. In all cardiac centers in Slovenia is used alpha-stat approach. For learning extracorporeal circulation and oxygenation with simulation we suggest free of charg program ECMOjo. We found only one physical simulator of ECC - ORPHEUS. ECC technology used in Slovenia is no different from modern technology used by the rest of the world.
Keywords:Extracorporal circulation, Cardiopulmonary Bypass, Biomedical technology, Simulation in medicine.


Comments

Leave comment

You must log in to leave a comment.

Comments (0)
0 - 0 / 0
 
There are no comments!

Back
Logos of partners University of Maribor University of Ljubljana University of Primorska University of Nova Gorica