20.500.12556/DKUM-83717 Učinkovitost neinvazivne ventilacije pri zdravljenju pacienta s pljučnim edemom Effectiveness of noninvasive ventilation in the treatment of a patient with pulmonary edema Uvod: Pljučni edem je pogosto urgentno stanje, za katerega sta značilna hiter nastanek in potek, pri zdravljenju je bistveno takojšnje prepoznanje stanja ter vzpostavitev hemodinamskega ravnotežja bolnika. Neinvazivna ventilacija (v nadaljevanju NIV) je, zraven medikamentozne in kisikove terapije, eden izmed načinov zdravljenja bolnika s pljučnim edemom, v okviru zaključnega dela pa smo s pomočjo že opravljenih študij, raziskovali učinkovitost NIV pri bolniku s pljučnim edemom. Metode: V zaključnem delu smo uporabili deskriptivno metodo dela, za oceno moči dokazov zbranih raziskav pa hierarhijo dokazov po Polit & Beck (2021). Za iskanje strokovne in znanstvene literature smo uporabili mednarodne podatkovne baze Wiley Online Library, PubMed in Science Direct. Upoštevali smo vključitvene in izključitvene kriterije, ter uporabili vire, objavljene med letoma 2011 in 2021. Rezultati: S pomočjo identificiranih virov smo ugotovili, da je neinvazivna ventilacija pri bolniku s pljučnim edemom učinkovita, vendar ima velik vpliv sam vzrok za nastanek pljučnega edema. NIV, v primerjavi s trahealno intubacijo, skrajša ležalno dobo v enotah intenzivne terapije, čas rehabilitacije in zmanjša psihofizične posledice. Razprava in zaključek: Pri obravnavi bolnika s pljučnim edemom je ključnega pomena takojšnja prepoznava obolenja, prav tako pa ažurna reakcija zdravstvenega osebja, saj ima le ta veliko vpliva na končni izid zdravljenja. Introduction: Pulmonary edema is an often emergency condition, which is characterized by a rapid onset and course, in treatment it is essential to immediately recognize the condition and establish the patient's hemodynamic balance. Non-invasive ventilation (hereafter NIV) is, along with medication and oxygen therapy, one of the methods of treating a patient with pulmonary edema, and in the final part, with the help of already completed studies, we researched the effectiveness of NIV in a patient with pulmonary edema. Methods: In the final part, we used the descriptive method of work, and to evaluate the strength of the evidence of the collected research, we used the hierarchy of evidence according to Polit & Beck (2021). We used international databases Wiley Online Library, PubMed and Science Direct to search for professional and scientific literature. We have considered the inclusion and exclusion criteria, and used sources published between 2011 and 2021. Results: With the help of identified sources, we found that non-invasive ventilation in a patient with pulmonary edema is effective, but the cause of pulmonary edema itself has a major impact. Compared to tracheal intubation, NIV shortens the length of stay in intensive care units, the rehabilitation time and reduces the psychophysical consequences. Discussion and conclusion: When treating a patient with pulmonary edema, the immediate recognition of the disease is crucial, as is the fast reaction of the medical staff, because this has a great influence on the final outcome of the treatment. neinvazivna ventilacija pljučni edem učinkovitost noninvasive ventilation pulmonary edema effectiveness true true false [V. Motaln] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2023-01-26 22:33:44 2023-03-27 12:22:19 2023-03-29 15:58:52 0000-00-00 00:00:00 2023 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-083:616.2(043.2) 145593091 VS_Motaln_Veronika_2023.pdf VS_Motaln_Veronika_2023.pdf 1 6ADCDB36BBE4921427047E43E667247D 23a2adcef45110e8ba0da231b58e7cf5e4689d525e987f29eec1b7610dd9ac71 90b07056-9f12-11ed-bd5e-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=165479 Fakulteta za zdravstvene vede 0 0 0