(diplomsko delo)
Tomaž Škurnik (Author), Miljenko Križmarić (Mentor), Dušan Mekiš (Co-mentor)

Abstract

NAMEN: Namen raziskave je bil izdelati in validirati simulacijski model, ki predstavlja bolnika z boleznijo pljuč. Model omogoča, da sicer zdravi prostovoljci, ki izvajajo spirometrijo, simulirajo patološki spirografski zapis. METODE: Za teoretični del smo uporabili deskriptivno metodo dela. Osrednji del raziskave je temeljil na eksperimentalni študiji, kjer smo izdelali simulator ki prikazuje patološki spirografski zapis. Simulator smo izdelali tako, da smo dve anestezijski dihalni cevi povezali s spojkama Y oblike na obeh straneh. Ena dihalna cev predstavlja inspirij bolnika, druga pa ekspirij. Na dihalno cev, ki predstavlja ekspirij smo namestili izpustni APL ventil, s katerim smo povzročali obstrukcijo. Nato smo na eno stran simulatorja priključili spirometer s katerim smo izmerili spirogram. Na drugo stran smo prvo priključili obrazno masko in nato še ustnik, s katerima so zdravi prostovoljci izvajali spirometrijo. REZULTATI: Testirali smo pet prostovoljcev, ki so izvajali spirometrijo preko ustnika in preko obrazne maske na štiri različne načine. In sicer pri popolnoma odprtem in zaprtem APL ventilu, APL ventilu obrnjenim za 90 stopinj v smeri urinega kazalca in APL ventilu obrnjenim za 180 stopinj v smeri urinega kazalca.Obstrukcijo smo dokazali samo petkrat, dvaintridesetkrat pa mešano motnjo ventilacije, od tega sedemnajstkrat pretežno obstruktivno in petnajstkrat pretežno restriktivno. Trikrat test zaradi otežkočenosti ni bil izpeljan oziroma je bil prekinjen. ZAKLJUČEK: Ugotavljamo, da so podatki iz simulatorja primerljivi z realnimi podatki, kar pomeni, da smo uspešno izdelali simulator, s pomočjo katerega lahko simuliramo bolnika z boleznijo pljuč, nismo pa dokazali same obstrukcije, ampak mešano motnjo ventilacije, kar pomeni da ima simuliran bolnik dve ali več bolezni hkrati.

Keywords

simulacije;simulatorji;spirometrija;spirometer;anastezijska dihalna cev;obstrukcija;restrikcija;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UM FZV - Faculty of Health Sciences
Publisher: [T. Škurnik]
UDC: 004.358:612.2(043.2)
COBISS: 2247588 Link will open in a new window
Views: 939
Downloads: 75
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Other data

Secondary language: English
Secondary title: Modification of the respiratory system for the simulation of pathological spirogram
Secondary abstract: PURPOSE: The purpose of this research was to make and validate a simulation model which represents a patient with lung disease. The model allows healthy volunteers which conduct spirometry to simulate a pathological spirographic record. METHODS: We used a descriptive method of work to describe the theory. The middle part of the research was based on an experimental study where we made a simulator that shows a pathologic spirographic record. The simulator was made so that the two anesthesical breathing tubes were linked with the Y-shape coupler on both sides. One breathing tube represents inhalation and the other exhalation. We put an APL valve on the exhalation tube which caused an obstruction. We attached a spirometer on one side of the simulator which measured the spirogram. We attached the breathing mask on the other side and then the mouthpiece with which healthy volunteers implemented spirometry. RESULTS: We tested five volunteers which implemented spirometry with the mouthpiece and facial mask on four different ways. With the APL valve fully opened and closed, the APL valve turn 90 degrees clockwise and the APL valve turned 180 degrees clockwise. Obstruction was proven five times, thirty-two times a mixed interference of ventilation from which seven-teen times predominant obstructive and fifteen times predominant restrictive. Three times the test was aborted do to difficulties. CLOSURE: We note that the simulator information are comparable to real data which means that the simulator was successfully manufactured, so now we can simulate a patient with lung disease, but we did not only prove an obstruction but a mixed interference of ventilation, which means that a simulated patient has two or more diseases at once.
Secondary keywords: simulation;simulators;spirometry;spirometer;aneasthetic breathing tube;obstruction;restriction;
Type (COBISS): Undergraduate thesis
Thesis comment: Univ. v Mariboru, Fak. za zdravstvene vede
Pages: VIII, 44 f.
ID: 9153862