ANALIZA SPREMENLJIVK UMETNEGA PREDIHAVANJA S TRISEGMENTNIM DIHALNIM BALONOM

Turza, Boštjan

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Title:	ANALIZA SPREMENLJIVK UMETNEGA PREDIHAVANJA S TRISEGMENTNIM DIHALNIM BALONOM
Authors:	ID Turza, Boštjan (Author) ID KRIŽMARIĆ, MILJENKO (Mentor) More about this mentor...
Files:	VS_Turza_Bostjan_2013.pdf (1,33 MB) MD5: 535EF61CA40262D5E00B72AAF1655FE9
Language:	Slovenian
Work type:	Bachelor thesis/paper
Typology:	2.11 - Undergraduate Thesis
Organization:	FZV - Faculty of Health Sciences
Abstract:	Ročni dihalni baloni se največ uporabljajo med oživljanjem in med transportom bolnika. Dihalni volumni, ki jih dosegamo, so odvisni od njihovih mehaničnih karakteristik. Raziskali smo te razlike med različnimi dihalnimi baloni. V raziskavo smo vključili 20 reševalcev, ki so ventilirali s posebnim trisegmentnim dihalnim balonom in s klasičnimi ročnimi dihalnimi baloni, simulator pljuč IngMar Medical, ter beležili spremenljivke umetnega predihavanja. Raziskali smo, kako deluje balon v funkciji spontanega dihanja pri hiperventilaciji. Povprečni enkratni volumni polnega stisa, ki smo jih dosegli z največjim segmentom, so znašali 708±52 ml, pri srednjem segmentu 500±47 ml in pri najmanjšem segmentu 286±24 ml. Volumni manjšega in srednjega segmenta se statistično razlikujejo glede na volumne, ki smo jih dosegli z balonom standardne oblike (p<0,001). Prav tako opažamo razliko med velikim segmentom in standardnim balonom za odrasle (p=0,048). Po 10 minutah uporabe redihalne komore pri hiperventilaciji smo iz začetnih 13 mmHg PetCO2 zabeležili 35 mmHg PetCO2 v izdihanem zraku. 300 ml mali segment lahko nadomešča 550 ml klasični dihalni balon in 500 ml srednji segment lahko nadomešča 1000 ml klasični dihalni balon. Pozorni moramo biti na dejstvo, da ročni dihalni baloni ne dovajajo natančnih vrednosti enkratnih volumnov.
Keywords:	trisegmentni ročni dihalni balon, klasični ročni dihalni balon, simulacije, minutni volumen, predihavanje
Place of publishing:	Maribor
Publisher:	[B. Turza]
Year of publishing:	2013
PID:	20.500.12556/DKUM-42663
UDC:	612.216.3
COBISS.SI-ID:	1955748
NUK URN:	URN:SI:UM:DK:6YMCVHMV
Publication date in DKUM:	22.10.2013
Views:	2101
Downloads:	277
Metadata:
Categories:	FZV
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Secondary language

Language:	English
Title:	AN ANALISYS OF THE VARIABLES OF ARTIFICIAL VENTILATION WITH THREE-SEGMENT SELF-INFLATING MANUAL RESUSCITATOR
Abstract:	Manual resuscitators are most commonly used during the resuscitation and during transportation of the patient. Breathing volumes, that are achieved by them, depend on their mechanical characteristics. We explored the differences between the different respiratory balloons. We have included 20 paramedics in the study who used a special three-segment breathing balloon, a classic handheld respiratory balloon and an IngMarMedical, a lung simulator. We took notes of the variables of artificial ventilation. We explored how the balloon works in function of spontaneous breathing in hyperventilation syndrome. The average single volumes that were achieved with the largest segment, amouted to 708±52 ml, the middle segment amouted to 500±47 ml and the smallest segment to 286±24 ml. Volumes statistically vary, depending on the volumes that were achieved through the standard format balloons (p<0,001). We also recorded a difference between the large segment and a classic balloon for adults (p=0,048). After ten-minute use of rerespiratory chamber in hyperventilation syndrome, we recorded 35 mmHg PetCO2 in exhaled air of the initial 13 mmHg PetCO2. A 300 ml small segment can replace a 550 ml classic respiratory balloon and a 500 ml middle segment can replace a 1000 ml classic respiratory balloon. We need to be aware of the fact that manual respiratory balloons do not supply precise amounts of one-off volumes.
Keywords:	three-segment manual respiratory balloon, classic handheld respiratory balloon, simulations, minute volumes, ventilation

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