20.500.12556/DKUM-96423 Izvajanje stisov prsnega koša z nogo Chest compressions using a leg Uvod: Tehnika stisov prsnega koša z nogo je lahko alternativa, kadar standardnih stisov ni mogoče izvajati. V simulacijski raziskavi smo preverili kakovost stisov prsnega koša z nogo pri zaposlenih v zdravstvu ter primerjali stise s peto in metatarzalnim delom stopala v pravokotni in vzdolžni orientaciji na prsnico. Metode: Osemdeset udeležencev je na simulacijski lutki izvedlo dva dvominutna niza neprekinjenih stisov z nogo (peta/metatarzalni del × vzdolžno/pravokotno na prsnico). Spremljali smo kazalnike kakovosti stisov in fiziološke parametre. Rezultati: Povprečna globina stisov je bila 54,2 ± 6,2 mm pri tehniki s peto in 51,6 ± 7,1 mm pri tehniki z metatarzalnim delom stopala. Frekvenca je bila pri obeh metodah ≈120 stisov/min, s skupnim rezultatom stisov ≈60 %. Srčni utrip se je zvišal z ≈80 utripov/min v mirovanju na ≈106 utripov/min med stisi, ocenjena poraba energije je znašala ≈7,8 kcal/min, zaznan napor pa ≈4 točke po Borgovi lestvici. Orientacija stopala statistično ni bila pomembna. Razprava in zaključek: Udeleženci so s stisi prsnega koša z nogo dosegli priporočene parametre kakovostnih stisov. V anketi so kot glavne okoliščine za uporabo tehnike navedli invalidnost ali poškodbo zgornjih okončin, izrazito utrujenost in prostorske omejitve. Za jasno opredelitev mesta obravnavane teme v prihodnjih smernicah so potrebne dodatne klinične raziskave. Introduction: Chest compressions using a leg can be an alternative when standard manual compressions cannot be performed. In this simulation study, we evaluated leg-foot chest compression quality among healthcare professionals and compared heel and ball-of-the-foot techniques in longitudinal and perpendicular orientation over the sternum. Methods: Eighty participants performed two 2-minute series of continuous leg-foot chest compressions on a manikin (heel/ball of the foot × longitudinal/perpendicular to the sternum). Chest compression quality indicators and physiological parameters were monitored. Results: Mean compression depth was 54.2 ± 6.2 mm with the heel and 51.6 ± 7.1 mm with the ball-of-the-foot. In both techniques, the compression rate was ≈120 compressions/min, with an overall compression score of ≈60 %. Heart rate increased from ≈80 beats/min at rest to ≈106 beats/min during compressions, estimated energy expenditure was ≈7.8 kcal/min, and perceived exertion was ≈4 points on the Borg scale. Foot orientation was not statistically significant. Discussion and conclusion: Participants achieved recommended parameters of high-quality chest compressions using leg-foot compressions. In the questionnaire, they most frequently cited upper-limb disability or injury, pronounced fatigue and spatial constraints as the main situations for using this technique. Further clinical studies are needed to clearly define its place in future resuscitation guidelines. stisi prsnega koša z nogo stisi prsnega koša s peto stisi prsnega koša z metatarzalnim delom stopala poraba energije med izvajanjem stisov z nogo chest compressions using a leg chest compressions using the heel chest compressions using the ball of the foot energy expenditure during chest compressions using a leg true false false [T. Horvat] Slovenski jezik Angleški jezik Magistrsko delo/naloga 2026-01-07 12:56:24 2026-03-12 08:27:04 2026-03-13 03:13:35 0000-00-00 00:00:00 2026 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-036.882-083.98(043.2) 269632515 MAG_Horvat_Tomaz_2026.pdf MAG_Horvat_Tomaz_2026.pdf 1 2FC108A3B9567345BB70467A839AAC1E e5b2bb5ac6c85f3c757604b5a4dca4abd67738d7ed1fc404d91a2a5b2f092666 7f7cb133-0bcb-11f1-aedc-00155d580e1a https://dk.um.si/Dokument.php?lang=slv&id=203397 Fakulteta za zdravstvene vede 0 0 0