Preoksigenacija med zaprto aspiracijo umetne dihalne poti

(magistrsko delo)

Anton Justin (Author), Miljenko Križmarić (Mentor), Saša Kadivec (Co-mentor)

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;

Data

Language:	Slovenian
Year of publishing:	2019
Typology:	2.09 - Master's Thesis
Organization:	UM FZV - Faculty of Health Sciences
Publisher:	[A. Justin]
UDC:	616.231-089.85(043.2)
COBISS:	2498980
Views:	968
Downloads:	171
Average score:	0 (0 votes)
Metadata:

Other data

Secondary language:	English
Secondary title:	Pre-Oxygenation betwen closed suction of tracheal tube
Secondary 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.
Secondary keywords:	closed suction system;tracheal tube;preoxygenation;gas analysis;arterial blood;intensive care unit;Respiratory insufficiency;Oxygen;Respiratorna insuficienca;Kisik;
URN:	URN:SI:UM:
Type (COBISS):	Master's thesis/paper
Thesis comment:	Univ. v Mariboru, Fak. za zdravstvene vede
Pages:	V, 31 str., 1 str. pril.
ID:	11113442