20.500.12556/DKUM-38935 LAZARJEV FENOMEN - KO MRTVI OŽIVIJO LAZARUS PHENOMENON - RISE FROM THE DEAD Med ljudmi je bila v devetnajstem stoletju prisotna tafofobija, tako med laiki kot tudi med strokovnjaki. Pisatelji, kot je na primer Edgar Allan Poe, so strah še stopnjevali s svojimi grozljivimi zgodbami, ki so jih opisovali v svojih knjigah. Strah je postopoma zbledel v začetku dvajsetega stoletja, predvsem zaradi napredka v medicini in tehnologiji. Lazarjev fenomen pomeni, da se bolniku spontano povrne cirkulacija, oziroma da le-ta »vstane od mrtvih«. Med mehanizme nastanka uvrščamo pozitivni tlak na koncu izdiha, zakasnjeno delovanje zdravil, hiperkaliemijo, delovanje kateholaminov, vpliv intubacije na avtonomni živčni sistem ter možnost spregledanih minimalnih vitalnih znakov. V Sloveniji je v strokovni literaturi zapisan le en primer. Med laično literaturo smo našli sedemnajst primerov, ki so se zgodili v tujini. Več o fenomenu se piše v tujih strokovnih revijah, vendar še vedno z veliko mero previdnosti, saj se zaradi dogodka zdravniki bojijo profesionalnih in pravnih posledic. Za uspešno preživetje bolnikov z Lazarjevim fenomenom je potrebna čimprejšnja prepoznava le-tega ter takojšnje oživljanje. Pomembno vlogo pri tem imajo medicinske sestre, ki z bolnikom preživijo največ časa. Pri pregledu literature smo ugotovili, da je področje mehanizmov za nastanek fenomena še dokaj neraziskano in da je za nastanek fenomena verjetnih več mehanizmov, ki se med seboj povezujejo. In the 19th century taphophobia was common among people, whether they were laymen or professionals. Writers, such as Edgar Allan Poe contributed to the intensification of fear with horror story writing about the subject. The fear gradually diminished at the beginning of the 20th century, thanks to the medical and technological progress. The Lazarus phenomenon is the spontaneous return of circulation, or better that the latter »rises from the dead.« The mechanisms for the development of the phenomenon are the positive pressure at the end of exhalation, delayed effect of medicines, hyperkalemia, catecholamine effects, the impact of intubation on autonomic nervous system and the possibility of minimum vital symptoms having been overlooked. In Slovenia only one case is officially documented. In lay literature seventeen cases have been found which happened abroad. The phenomenon is more extensively described in foreign technical journals, although still with a great deal of precaution, because doctors fear the professional and juridical consequences. In order for the patients with Lazarus phenomenon to survive it is vital that the phenomenon is recognized as soon as possible and that immediate resuscitation is performed. Therefore the nurse plays a crucial role in the recognition of the phenomenon, as she spends most of the time with the patient. In reviewing the existing literature it has been found that the field of mechanisms for the development of the phenomenon is rather unexplored and that for the development of the phenomenon various mechanisms are probable, which are connected to each other. Lazarjev fenomen prezgodnji pokop varne krste SROC auto-PEEP ventrikularna fibrilacija asistolija vloga medicinske sestre Lazarus phenomenon premature burial safety coffins SROC auto-PEEP ventricular fibrillation asystole the role of the nurse true true false [S. Jurkovič] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2012-11-08 18:47:16 2013-01-15 11:03:26 2022-05-04 13:51:39 2021-04-20 03:38:25 2012 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616.12-008.315-083.98 1876388 URN:SI:UM:DK:UEL83QRU VS_Jurkovic_Silvija_2012.pdf VS_Jurkovic_Silvija_2012.pdf 1 330A8B0AC950CFFC76736C987441F144 21f4f75ff7c4fc21d8879b32770b45798d1eef9c068057dfac3b80cf8073174c 9a6cd34a-7c08-11eb-bb7a-00155d0001ca 20.500.12556/dkum/b8c32b8d-7f3b-4ac4-b1a2-8303f4f78e3a https://dk.um.si/Dokument.php?lang=slv&id=53015 Fakulteta za zdravstvene vede 0 0 0