Vpliv ezofagealnega uravnavanja telesne temperature kritično bolnih na potek zdravljenja

(magistrsko delo)

Eva Marolt (Author), Andrej Markota (Mentor), Barbara Donik (Co-mentor)

Abstract

Uvod: Ciljno uravnavanje telesne temperature z inducirano hipotermijo lahko dosežemo na različne načine. Namen raziskave je bil ugotoviti razlike med ezofagealnim uravnavanjem telesne temperature v primerjavi z drugimi načini ohlajanja v porabi vazopresorjev, nastavitvah mehanske ventilacije, pojavnosti preležanin, pojavnosti krvavitev iz zgornjih prebavil, nadomeščanju koncentriranih eritrocitov in v času v ciljni temperaturi. Metode: V raziskavi je bila uporabljena retrospektivna metoda ocenjevanja in beleženja različnih tehnik ohlajanja kritično bolnih pacientov. Opazovali smo ohlajanje z ezofagealno hladilno sondo in druge načine ohlajanja. Za preverjanje postavljenih hipotez smo uporabili t-test. Rezultati raziskave so obdelani v programih Microsoft Office Excel ter SPSS 25.0., predstavili pa smo jih kot povprečne vrednosti, standardne odklone in v odstotkih. Rezultati: Rezultati so pokazali, da obstaja statistično pomembna razlika v času v ciljni temperaturi med pacienti, hlajenimi z ezofagealno hladilno sondo, v primerjavi s pacienti, hlajenimi z drugimi načini ohlajanja. Pacienti, hlajeni z ezofagealno hladilno sondo, so bili dlje časa v ciljni temperaturi (t = 7,442; p = < 0,001). Čas v ciljni temperaturi pri pacientih, hlajenih z ezofagealno hladilno sondo, je bil v povprečju 81,64 %, pri pacientih z drugimi načini ohlajanja pa 68,78 %. Razprava in sklep: Ezofagealno uravnavanje temperature se v primerjavi z drugimi načini ohlajanja kaže kot razlika v času v ciljni temperaturi. Znanje in usposobljenost medicinskega osebja, prepoznavanje neželenih stranskih učinkov in hitro ukrepanje pa je ključ do uspešno izvedene terapevtske hipotermije

Keywords

ezofagealna hladilna naprava;terepevtska hipotermija;načini ohlajanja;enota intenzivne terapije;

Data

Language:	Slovenian
Year of publishing:	2021
Typology:	2.09 - Master's Thesis
Organization:	UM - University of Maribor
Publisher:	[E. Marolt]
UDC:	612.56:616-001.18-083.98(043.2)
COBISS:	49716995
Views:	433
Downloads:	75
Average score:	0 (0 votes)
Metadata:

Other data

Secondary language:	English
Secondary title:	The influence on the course of treatment of esophageal body temperature regulation of critically ill patients
Secondary abstract:	Introduction: Targeted body temperature regulation with induced hypothermia can be achieved in various ways. The aim of the study was to determine the differences between esophageal body temperature regulation compared to other cooling methods including vasopressor consumption, mechanical ventilation settings, occurrence of bedsores, upper gastrointestinal bleeding, concentrated erythrocyte replacement, and time at target temperature. Methods: A retrospective method of evaluating and recording various cooling techniques for critically ill patients was used in the study. Esophageal probe cooling and other cooling modes were observed. We used the t-test to test the hypotheses. The results of the research are processed using Microsoft Office Excel and SPSS 25.0., and are presented as average values, standard deviations and in percentages. Results: The results have shown that there is a statistically significant difference in time in the target temperature between patients cooled by the esophageal cooling device compared to patients cooled by other cooling methods. Patients cooled using esophageal cooling device were in the target temperature for a longer period of time (t = 7.442; p = <0.001). The time in the target temperature was on average 81,64 % in patients cooled with an esophageal cooling device, and 68,78 % in patients with other cooling methods. Discussion and conclusion: Oesophageal temperature control, compared to othe cooling methods, manifests itself as a time difference in the target temperature. The knowledge and training of medical staff, the recognition of side effects, and quick action, however, is the key to successfully applied therapeutic hypothermia.
Secondary keywords:	esophageal cooling device;therapeutic hypothermia;cooling methods;intensive care unit;Body temperature regulation;Patients;Intensive care units;Uravnavanje telesne temperature;Bolniki;Enote za intenzivno oskrbo;
Type (COBISS):	Master's thesis/paper
Thesis comment:	Univ. v Mariboru, Fak. za zdravstvene vede
Pages:	VI, 40 str.
ID:	12311771