20.500.12556/DKUM-73443 Preoksigenacija med zaprto aspiracijo umetne dihalne poti Pre-Oxygenation betwen closed suction of tracheal tube 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. 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. zaprta aspiracija dihalna cev preoksigenacija plinska analiza arterijska kri enota intenzivne terapije closed suction system tracheal tube preoxygenation gas analysis arterial blood intensive care unit true false false [A. Justin] Slovenski jezik Angleški jezik Magistrsko delo/naloga 2019-04-17 11:04:04 2019-06-26 07:57:59 2022-08-02 00:44:27 2019-07-11 19:56:40 2019 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616.231-089.85(043.2) 2498980 URN:SI:UM:DK:ZMVH1Z1R MAG_Justin_Anton_2019.pdf MAG_Justin_Anton_2019.pdf 1 D954205091303057C1DEEBD809812739 d38cb2ad39de0c2b78c56dce98243f9d46bc4b495e7ae7f5bd8933dd9da4c21f abb48f31-7c10-11eb-bb7a-00155d0001ca 20.500.12556/dkum/a6336ea2-82e0-413c-908a-ecd92de21b7d https://dk.um.si/Dokument.php?lang=slv&id=133544 Fakulteta za zdravstvene vede 0 0 0