20.500.12556/DKUM-17819 Vloga reševalca pri hitri sekvenčni intubaciji na terenu Paramedic's role at rapid sequence intubation in the prehospital setting Hitra sekvenčna intubacija je način vzpostavitve dihalne poti, kjer je potrebno uporabiti zdravila, ki omogočijo lažjo intubacijo in zmanjšajo zaplete med posegom. Ker ta zdravila povzročijo globoko nezavest in prenehanje dihanja pacienta, je zelo pomembna usklajenost ekipe, ki hitro sekvenčno intubacijo izvaja. Pri izvajanju posega mora reševalec poznati poseg do potankosti, poznati mora tudi delovanje zdravil in aparatov, ki jih uporabljamo pri hitri sekvenčni intubaciji. Čeprav so študije dokazale, da imajo pravočasno intubirani pacienti boljšo prognozo in manj zapletov pri zdravljenju, se hitra sekvenčna intubacija ponekod v Sloveniji še vedno ne izvaja dovolj pogosto pri pacientih, kjer je indicirana. Raziskava, ki smo jo naredili med reševalci, zaposlenimi v reševalnih postajah, prehospitalnih enotah in enotah nujne medicinske pomoči na Štajerskem in Koroškem, je pokazala, da se reševalci hočejo izobraževati o intubaciji in hitri sekvenčni intubaciji, vendar nimajo vsi možnosti, ker nimajo organiziranih delavnic na to temo. Veliko reševalcev se izobražuje samovoljno, brez mentorjev ali strokovnega nadzora, kar lahko privede do napačnega učenja. Polovica anketiranih lahko nudi zdravniku dovolj dobro strokovno in časovno ustrezno pomoč pri izvajanju hitre sekvenčne intubacije, približno pri polovici anketiranih pa zdravnik ne bo deležen pričakovane asistence, kar lahko privede do hudih in življenje ogrožajočih zapletov med samim posegom. Rapid sequence intubation is a way of establishing airways, where it is necessary to use drugs that facilitate intubation and reduce the complications of the intervention. Because these drugs cause deep unconsciousness and cessation of breathing, it is very important that coordination of the team that performs the rapid sequence intubation is well performed. The paramedic implementing the intervention should be familiar with the procedure in detail. Additionally, the paramedic should also be familiar with the drugs and devices that are used in rapid sequence intubation. Although studies have shown, that timely intubated patients have better prognosis and fewer complications from treatment, in Slovenia rapid sequence intubation is still not performed always frequently enough, where indicated. The survey, which we did during the paramedics, working in the ambulance stations, pre-hospital stations or emergency medical service in Štajerska and Koroška, it is shown that they want to educate about intubation and rapid sequence intubation, but they have not all the possibilities, they do not have organized exercises on this topic. Many paramedics are trained arbitrarily, without any mentors or peer review, which can lead to erroneous learning. Half of the respondents can provide sufficient medical expertise and timely assistance in the implementation of rapid sequence intubation, approximately half of the respondents doctor will not receive the expected assist, which can lead to serious and life threatening complications during rapid sequence intubation. hitra sekvenčna intubacija zapora dihalne poti vzpostavitev dihalne poti podpora dihalne funkcije relaksacija sedacija intubacija. rapid sequence intubation airway obstruction airway establishment respiratory function support relaxation sedation intubation. true true false [T. Globačnik] Slovenski jezik Angleški jezik Diplomsko delo 2011-03-20 15:21:41 2011-05-12 08:59:48 2022-04-13 10:11:01 2023-12-23 03:11:33 2011 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-083.98 1682596 URN:SI:UM:DK:RPEIA7CQ VS_Globacnik_Tahi_2011.pdf VS_Globacnik_Tahi_2011.pdf 1 807942D2B75F3F0A4B9369993F52E06D 47a8f89fcd5dd6ef9d3a79b811763fbcf7fbcde59a3841299298eae60b07fd29 fb3828f8-7c04-11eb-bb7a-00155d0001ca 20.500.12556/dkum/e9df5ef3-d400-48fe-a170-ae97fa3132f9 https://dk.um.si/Dokument.php?lang=slv&id=21060 Fakulteta za zdravstvene vede 0 0 0