20.500.12556/DKUM-86374 Intraosalni in intravenski pristop tekom reanimacije v prehospitalnem okolju Intraosseous and intravenous access during reanimation in the prehospital environment Uvod: Žilni pristop je zelo pomembna intervencija zdravstvene nege pri srčnem zastoju. Še posebej pomemben je žilni pristop v prehospitalnem okolju, ko moramo v primeru neuspešnega intravenskega pristopa vzpostaviti intraosalno pot. Namen zaključnega dela je bil na podlagi pregleda literature raziskati uporabo intraosalnega ali intravenskega pristopa. Zanimalo nas je tudi, kako vplivata na izid zdravstvenega stanja pacienta po reanimaciji v prehospitalnem okolju. Metode: Pregledali smo znanstveno literaturo s področja intraosalnega in intravenskega pristopa v prehospitalnem okolju. Uporabili smo deskriptivno ali opisno metodo dela. Iskanje je potekalo v tujih podatkovnih bazah: CINAHL, PubMed, Cochrane Library, Science Direct, SAGE, Web of Science in Scopus. Rezultati: V končno analizo smo vključili 10 raziskav. Ugotovili smo povrnitev spontanega krvnega obtoka, preživetje in ugoden nevrološki izid v primerjavi z različnima žilnima pristopoma (intravenski in intraosalni). Razprava in zaključek: Na podlagi pregleda literature lahko trdimo, da je še vedno premalo raziskano, ali obstajajo bistvene spremembe med intraosalnim in intravenskim pristopom na zdravstveni izid pacienta, saj rezultati raziskav niso prišli do enakih zaključkov. Introduction: Regarding cardiac arrest, vascular access is a critical healthcare intervention. It is especially important to establish an intraosseous route in case of unsuccessful intravenous access in prehospital environments. The objective of the thesis was to conduct literature-based research on the usage of intraosseous and intravenous accesses and to investigate how they affect the patient’s health after reanimation in a prehospital environment. Methods: Scientific literature from intraosseous and intravenous accesses in the prehospital environment was researched. We used a descriptive search method. The search was conducted in foreign databases: Cinahl, PubMed, Cochrane Library, Science Direct, SAGE, Web of Science, and Scopus. Results: 10 studies were included in the final analysis. Following the analysis, we established that in comparison to both vascular approaches (intravenous and intraosseous), spontaneous blood circulation was restored, the patient survived, and the neurological outcome was good. Discussion and conclusion: Based on the research of the literature, we can conclude that the data on whether there are significant differences between the intraosseous and intravenous approaches on patient’s health outcome is still poorly investigated as research results have not reached the same conclusions. Intraosalni pristop intravenski pristop prehospitalno okolje srčni zastoj Intraosseous acces intravenous access prehospital environment cardiac arrest true true false [A. Kotnik] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2023-11-21 11:37:38 2024-01-23 14:45:22 2024-04-16 15:55:49 0000-00-00 00:00:00 2023 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616.12-008.315-083.98(043.2) 181596931 VS_Kotnik_Anja_2023.pdf VS_Kotnik_Anja_2023.pdf 1 BC514C4635E4901FED16EB6C3BA9BE77 0fc6639321446a3a017e3711834841f982207587feea979ec3e28f9729d38809 54e9b336-885b-11ee-b15b-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=174251 Fakulteta za zdravstvene vede 0 0 0