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Title:	SIMULACIJE MONITORINGA MINUTNEGA IZTISA SRCA IN SISTEMSKE ŽILNE UPORNOSTI NA LiDCO RAPID SISTEMU
Authors:	ID Radovanović, Nataša (Author) ID Križmarić, Miljenko (Mentor) More about this mentor... ID Mekiš, Dušan (Comentor)
Files:	MAG_Radovanovic_Natasa_2015.pdf (3,01 MB) MD5: 3B4EF578D85FCD55A33B5BC7FD75EB5F
Language:	Slovenian
Work type:	Master's thesis/paper
Typology:	2.09 - Master's Thesis
Organization:	FZV - Faculty of Health Sciences
Abstract:	Izobraževanje s simulacijami je nova metoda poučevanja zdravstvenih delavcev, ki se je uveljavila šele v zadnjem desetletju. Potekajo v okolju brez tveganja za bolnika in zdravstvene delavce. V sklopu izobraževanja s simulacijami se vedno bolj uporabljajo tudi simulatorji bolnika, ki predstavljajo navideznega bolnika, ki je v interakciji z realno medicinsko opremo. Za spremljanje delovanja bolnikovih obtočil se v zadnjem času precej uporablja LiDCO sistem, ki je namenjen zdravstvenim delavcem v intenzivni terapiji in operacijski dvorani kot pomoč, da pravočasno zaznajo morebitne negativne spremembe bolnikovega hemodinamskega stanja. Raziskovalna metodologija. Za izvedbo scenarijev smo uporabili simulator bolnika METI HPS in LiDCO Rapid sistem. Simulacije smo izvedli v simulacijskem centru Fakultete za zdravstvene vede v Mariboru. Za obdelavo podatkov smo uporabili program LiDCOview skupaj z njegovo različico LiDCOviewPRO Trial. Rezultati raziskave. Ugotovili smo, da ima LiDCO Rapid sistem na voljo šest različnih scenarijev, ki jih je možno simulirati in sicer: aplikacija inotropnih učinkovin, bolnikova visoka HR, stabilno stanje bolnika, tekočinska obremenitev – polnitev bolnika, stanje bolnika po tekočinski obremenitvi, odgovor bolnika na tekočinsko obremenitev in podatki v živo. Ti scenariji popolnoma zadostujejo, da študentje dobijo osnovno znanje o delovanju LiDCO Rapid sistema. Ključni spremenljivki, ki smo ju opazovali, sta bili CO in SVR. Ugotovili smo, da sta spremenljivki odvisni od ABP. To smo videli pri scenariju aplikacije inotropnih učinkovin, kjer se je z zviševanjem ABP CO zvišal, SVR pa znižal. Sklep. Z izvajanjem scenarijev za različna inotropna in vazoaktivna zdravila na METI HPS simulatorju, smo prišli do sklepa, da METI simulator ni ustvarjen tako, da bi spremljal obliko arterijskega pulza, preko katere LiDCO Rapid sistem izvaja meritve, zato se vrednosti spremenljivk, ki smo jih dobili s simulacijo dopamina in noradrenalina, ne skladajo z realno klinično sliko in strokovno literaturo, zato teh simulacij ne moremo uporabiti v namene izobraževanja zdravstvenih delavcev.
Keywords:	LiDCO Rapid, minutni iztis srca, sistemska žilna upornost, simulator, simulacije, scenarij.
Place of publishing:	Maribor
Publisher:	[N. Radovanović]
Year of publishing:	2015
PID:	20.500.12556/DKUM-47486-f0575aca-cc2e-70d8-aaad-76cb368557ba
UDC:	004.94:616.12(043.2)
COBISS.SI-ID:	2081956
NUK URN:	URN:SI:UM:DK:MDHAQ3QC
Publication date in DKUM:	20.04.2015
Views:	2857
Downloads:	288
Metadata:
Categories:	FZV
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Secondary language

Language:	English
Title:	Simulations of cardiac output and systemic vascular resistance monitoring in LiDCO Rapid system.
Abstract:	Simulation training is a new method of educating healthcare professionals, which became recognised in the last decade. It takes place in a risk-free environment both for the patient and healthcare professionals. Patient simulators are also increasingly used as part of simulation training, which represent a supposed patient, who is interacting with real medical equipment. LiDCO system has been significantly used in recent times for monitoring the operation of a patient’s circulatory system. The LiDCO system is intended for healthcare professionals in intensive therapy and operating rooms and helps them detect on time any potential negative changes in the patient's hemodynamic state. Research methodology. We used the patient simulator METI HPS and LiDCO Rapid system for acting out the scenarios. The simulations took place at the simulation centre of the Faculty of Health Sciences in Maribor. We used the LiDCOview programme together with its variety LiDCOviewPRO Trial for data processing. Research results. We have determined that the LiDCO Rapid System has six different scenarios available, which may be simulated: the application inotropic agents, high HR, stable condition of the patient, fluid challenge, post fluid challenge, fluid response and live data. These scenarios are considered completely efficient for the students to obtain basic knowledge of the operation of the LiDCO Rapid system. The key variables we observed were CO and SVR. We established that the variables depend on ABP. We witnessed this after applying inotropes, where by increasing ABP CO rose and SVR lowered. Conclusion. By acting out the scenarios for different inotropes and vasoactive medication at the METI HPS simulator, we have come to the conclusion that the METI simulator is not built in such a way to monitor the type of arterial pulse, with which the LiDCO Rapid system carries out the assessments, therefore the values of variables, which we obtained by simulating dopamine and noradrenalin, were not consistent with the actual clinical picture and professional literature. As a result we cannot use these simulations for the purpose of educating healthcare professionals.
Keywords:	LiDCO Rapid, minute cardiac output, systemic vascular resistance, simulator, simulations, scenario.

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