METODE NADZORA NAD TLAKOM V MEŠIČKU TRAHEALNEGA TUBUSA

Radolič, Dejan

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Title:	METODE NADZORA NAD TLAKOM V MEŠIČKU TRAHEALNEGA TUBUSA
Authors:	ID Radolič, Dejan (Author) ID Križmarić, Miljenko (Mentor) More about this mentor... ID Mekiš, Dušan (Comentor)
Files:	MAG_Radolic_Dejan_2015.pdf (1,72 MB) MD5: 846270159AC28D3F962476CAD1765487
Language:	Slovenian
Work type:	Master's thesis/paper
Typology:	2.09 - Master's Thesis
Organization:	FZV - Faculty of Health Sciences
Abstract:	Zaposleni zdravstveni delavci večinoma polnijo mešičke dihalnih cevk brez kontrole tlaka z manometrom za razliko od zaposlenih v enotah intenzivne terapije. Namen raziskave je bil ugotoviti kolikšne tlake dosegajo udeleženci raziskave z tipanjem kontrolnega ventila in kolikšne tlake dobimo pri različnih količina vpihanega zraka v mešiček dihalne cevke glede na njeno velikost. Metodologija: Eksperimentalno študijo smo izvedli med zaposlenimi na oddelku intenzivne terapije v bolnišnici v Lachnu v Švici, v kateri je bilo udeleženih 15 zaposlenih, ki so izvedli 1620 meritev. Uporabili smo dihalne cevke velikosti od 6.0 do 8.5. V drugem delu pa smo ugotavljali razliko v tlaku v mešičku dihalne cevke glede na volumen vpihanega zraka in velikosti dihalnih cevk. Rezultati: Opaziti je trend v naraščanju tlaka glede na vrstni red vpihovanj (3 meritve). Na začetku polnjenj so bili tlaki manjši. Pri majhni dihalni cevki 6.0 in veliki brizgalki 20 ccm smo pri prvih polnjenjih izmerili tlak 25,73 ± 5,4 cm H2O, medtem, ko se je pri tretjem polnjenju tlak povečal na povprečnih 30 ± 6 cm H2O (p=0,003). Sklep: Edini pravilni način kontrole tlaka v mešičku dihalne cevke je uporaba merilca za merjenje tlaka. Nobena druga tehnika ali drug sistem ne sme zamenjati uporabe teh merilcev. Samo z redno kontrolo tlaka v mešičku dihalne cevke lahko preprečimo puščanje zraka iz pljuč in zatekanje tekočin iz zgornjih dihal v pljuča. Prav tako pa z optimizacijo tlaka v mešičku dihalne cevke preprečujemo možne poškodbe na sluznici sapnika. Ključne besede: dihalna cevka, mešiček dihalne cevke, tlak, merilec tlaka, kontrolni balon.
Keywords:	dihalna cevka, mešiček dihalne cevke, tlak, merilec tlaka, kontrolni balon.
Place of publishing:	Maribor
Publisher:	[D. Radolič]
Year of publishing:	2015
PID:	20.500.12556/DKUM-53822
UDC:	616.24:615.4(043.2)
COBISS.SI-ID:	2151076
NUK URN:	URN:SI:UM:DK:LOZTSLIX
Publication date in DKUM:	01.10.2015
Views:	1593
Downloads:	193
Metadata:
Categories:	FZV
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Secondary language

Language:	English
Title:	METHODS OF CONTROLLING THE PRESSURE WITHIN THE ENDOTRACHEAL CUFF
Abstract:	Employees health care professionals mostly filled cuff of breathing tubes without control pressure gauge unlike employees in the intensive care unit. The purpose of the research was to determine the exact extent pressures reach research participants by touching the control valve, and what pressures obtained with different amount of inflated air in to breathing tube cuff in relation to its size. Methodology: The experimental study was carried out among employees in the department intensive care in hospital in Lachen in Switzerland, which involved 15 employees who have performed 1620 measurements. We used the respiratory tube size from 6.0 to 8.5. The second part was used to determine the pressure difference in the cuff of respiratory tube according to the volume of air inflated and the size of the airway tubes. Results: There has been a trend in the increase of pressure in the order of injection (three measurements). At the beginning of the inflating were lower pressures. In a small breathing tube 6.0 and a large 20 cc syringe was the first fillings pressure measured 25.73 ± 5.4 cm H2O, while the third is in charge pressure increased on average 30 ± 6 cm H2O (p = 0.003). Conclusion: The only correct way to control the pressure in the breathing tube cuffs is to use control pressure gauge for measuring the pressure. No other technique or an alternative system should not replace the use of these control pressure gauge. Only by regularly checking the pressure in the breathing tube cuff can prevent leakage of air from the lungs and swelling of fluids from the upper respiratory tract to the lungs. Also, by optimizing the pressure in the breathing tube cuff prevents possible damage to the tracheal mucosa.
Keywords:	breathing tube, breathing tube cuff pressure, pressure gauge, control the balloon

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