DINAMIKA HEMOGLOBINA MED OPERATIVNIMI POSEGI V SPLOŠNI ANESTEZIJI IN NADOMEŠČANJE TEKOČIN Z UPORABO CELL SAVER 5

Tijanič, Sandra

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Title:	DINAMIKA HEMOGLOBINA MED OPERATIVNIMI POSEGI V SPLOŠNI ANESTEZIJI IN NADOMEŠČANJE TEKOČIN Z UPORABO CELL SAVER 5
Authors:	ID Tijanič, Sandra (Author) ID Križmarić, Miljenko (Mentor) More about this mentor... ID Mekiš, Dušan (Comentor)
Files:	MAG_Tijanic_Sandra_2018.pdf (1,19 MB) MD5: 415A168882132D6F712E086AD3EB138C PID: 20.500.12556/dkum/a3d0bfb9-fdd9-4597-aec2-a38e42faa30f
Language:	Slovenian
Work type:	Master's thesis/paper
Typology:	2.09 - Master's Thesis
Organization:	FZV - Faculty of Health Sciences
Abstract:	Uvod: Vsak večji operativni poseg predstavlja nevarnost povečane izgube krvi, na kar moramo biti pripravljeni. Sprva apliciramo kristaloidne in koloidne raztopine, nato pa glede na vrednost hemoglobina, ki se v teh primerih naglo zniža, nadaljujemo z zdravljenjem s KE in krvnimi derivati. Namen: Namen je ugotoviti, ali lahko s CS 5 v celoti nadomestimo izgubljen volumen krvi, kdaj lahko nadomestimo izgubo krvi s kristaloidi in koloidi ter katere vrednosti hemoglobina predstavljajo indikacijo za zdravljenje s KE. Raziskovalna metodologija in metode: S kvantitativno analizo rezultatov smo izvedli presečno enocentrično raziskavo. Podatke smo zbirali s metodo opazovanja. V raziskavo smo vključili 19 primerov iz različnih kirurških področij. Rezultati: V raziskavi smo si zastavili tri raziskovalna vprašanja. Ugotovili smo, da pri uporabi CS 5 izgubljenega volumna krvi ne moremo nadomestiti v celoti. V primerih izgube krvi 800 - 1500 ml lahko izgubljen volumen nadomestimo s kombinacijo kristaloidnih in koloidnih raztopin. Prav tako ugotavljamo, da je zdravljenje s KE indicirano glede na vrednosti hemoglobina. Diskusija in zaključek: Pri masivnih krvavitvah je pomembno, da izgubljen volumen krvi hitro pričnemo nadomeščati s kristaloidnimi in koloidnimi raztopinami, nato pa z zdravljenjem s KE, SZP in TP v razmerju 6:6:1, po potrebi pa apliciramo še pripravke fibrinogena. Pomembno je, da poskušamo krvavitev hitro ustaviti z diagnostiko in kirurško hemostazo.
Keywords:	Izguba krvi, kristaloidi, koloidi, avtotransfuzija, krvni derivati.
Place of publishing:	Maribor
Publisher:	[S. Tijanič]
Year of publishing:	2018
PID:	20.500.12556/DKUM-70263
UDC:	616-089.5
COBISS.SI-ID:	2409380
NUK URN:	URN:SI:UM:DK:09HMTKPH
Publication date in DKUM:	06.06.2018
Views:	1586
Downloads:	197
Metadata:
Categories:	FZV
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Licences

License:	CC BY-NC-ND 4.0, Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International

Link:	http://creativecommons.org/licenses/by-nc-nd/4.0/
Description:	The most restrictive Creative Commons license. This only allows people to download and share the work for no commercial gain and for no other purposes.
Licensing start date:	23.04.2018

Secondary language

Language:	English
Title:	DYNAMICS OF HEAMOGLOBIN DURING SURGERY UNDER GENERAL ANASTHESIA AND FLUID REPLACEMENT WITH CELL SAVER 5
Abstract:	Introduction: Every major surgery presents a high risk of increased blood loss to which we must be prepared. The first step is to apply crystalline and colloidal solutions. Then we continue with RBC and blood derivatives treatment, depending on the value of haemoglobin, which is rapidly decreasing in these cases. Aim: The aim is to determine if CS 5 can replace the complete lost blood volume, when can we replace blood loss with crystalloids and colloids, and which haemoglobin values represent an indication for treatment with RBC. Research methodology and methods: For the quantitative analysis of the results, we used a cross-sectional study with observation method. The study included 19 cases of surgical areas. Results: In the study, we set three research questions. We have found out that when using CS 5, we cannot replace the lost volume of blood in its entirety. In cases of blood loss between 800 and 1500 ml, the lost volume can be replaced by a combination of crystalloid and colloidal solutions. We also found out that treatment with RBC is indicated by the values of haemoglobin. Discussion and conclusion: In mass blood losses, it is important to replace the lost blood volume by crystalloid and colloidal solutions. Then we continue treatment with RBC, SZP, and TP in the ratio 6:6:1. We also apply fibrinogen if necessary. It is important that we try to stop bleeding quickly by using diagnostics and surgical haemostasis.
Keywords:	Blood loos, crystalloid, colloids, autotransfusion, blood derivates.

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