Simulacije tehnologije monitoringa intrakranialnega tlaka

Rošer, Valerija

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Title:	Simulacije tehnologije monitoringa intrakranialnega tlaka
Authors:	ID Rošer, Valerija (Author) ID Križmarić, Miljenko (Mentor) More about this mentor...
Files:	MAG_Roser_Valerija_2020.pdf (2,72 MB) MD5: B359210D1528AD9380CB59EBDF1B48F9 PID: 20.500.12556/dkum/86730c35-b205-401f-b8e0-ae41a1a5978b
Language:	Slovenian
Work type:	Master's thesis/paper
Typology:	2.09 - Master's Thesis
Organization:	FZV - Faculty of Health Sciences
Abstract:	Uvod: Uporaba simulacije je zelo pomembna za usposabljanje študentov zdravstvene nege in zdravstvenih delavcev, saj pripomore k osnovam varne prakse. Monitoriramo z namenom spremljanja in nadzorovanja stanja pacienta, pri pacientih po poškodbi možganovpa spremljamo intrakranialni tlak. Glavni cilj magistrske naloge je narediti simulacijski model, na katerem se bodo lahko študentje učili. Metode: V empiričnem delu smo uporabili eksperimentalno metodo dela s pomočjo simulacijskega modela. Na simulatorju SimMan 3G smo simulirali tehnologijo, ki je potrebna za zunanjo ventrikularno drenažo (ZVD). Za izvedbo te simulacijske tehnologije smo pri zastopnikih pridobili vse potrebne medicinske pripomočke. Rezultati: Simulirali smo merjenje ICP preko ZVD in rokovanje z ZVD. S simulacijskim modelom smo prikazali prenos tlačnega vala iz ventriklov do tlačnega pretvornika. Opazovali smo krivulje intrakranialnega tlaka (ICP) in jih analizirali. Na simulatorju SimMan 3G in METI HPS smo raziskovali funkcije glede merjenja ICP. Diskusija: ZVD omogoča merjenje ICP in dreniranje cerebrospinalne tekočine. Njena slabost pa je, da se merjenje ICP in dreniranje cerebrospinalne tekočine ne more istočasno izvajati. Študentje se lahko učijo pravilnega rokovanja z ZVD sistemom, odčitavanja cerebrospinalne tekočine in merjenja ICP. Na tak način bodo z omenjeno tehniko v času kliničnih vaj že seznanjeni. Sklep: Na trgu obstajajo katetri, ki omogočajo istočasno drenirane cerebrospinalne tekočine in merjenje ICP. Menim, da bi na tem področju bile potrebne dodatne raziskave, saj je takšna oblika katetra zelo praktična in bo vedno bolj v uporabi v intenzivnih terapijah ter bi bilo priporočljivo prikazati na simulacijskem modelu.
Keywords:	simulacijsko okolje, monitoring, zunanja ventrikularna drenaža, simulator, znotrajlobanski tlak, simulacijski model, merjenje.
Place of publishing:	Maribor
Publisher:	[V. Rošer]
Year of publishing:	2020
PID:	20.500.12556/DKUM-75833
UDC:	004.94:591.112.3:612.82(043.2)
COBISS.SI-ID:	17791235
NUK URN:	URN:SI:UM:DK:WKR77AUO
Publication date in DKUM:	04.06.2020
Views:	1612
Downloads:	193
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:	16.02.2020

Secondary language

Language:	English
Title:	Simulations of intracranial pressure monitoring technology
Abstract:	Introduction: The use of simulation is extremely important for the training of nursing students and health professionals as it contributes to the basics of safe practice. We monitor for the purpose of monitoring and controlling the patient's condition. With patients who had suffered brain damage, we monitor the intracranial pressure. The main aim of this master's thesis was to create a simulation model nursing students can use for learning. Methods: In the empirical part of the thesis, we used an experimental method, using a simulation model. On SimMan 3G simulator, we simulated the technology required for external ventricular drainage (ZVD). To implement this simulation technology, we have obtained all the necessary medical supplies from the representatives. Results: We simulated ICP measurement through the CVD and the handling of the CVD. We used the simulation model to show the transfer of a pressure wave from the ventricles to the pressure transducer. The intracranial pressure (ICP) curves were observed and analysed. We used the SimMan 3G and METI HPS simulators to explore the measurements related to the ICP. Discussion: The ZVD enables measurements of ICP and drainage of cerebrospinal fluid. Its disadvantage, however, is that it is not possible to simultaneously measure ICP and the drainage of cerebrospinal fluid. Students can learn how to handle the ZVD system correctly, how to read cerebrospinal fluid and the ICP measurements. This way they will be familiar with this technique when they come into contact with it during clinical exercises. Conclusion: There are catheters on the market that allow for simultaneous drainage of cerebrospinal fluid and measurement of the ICP. I believe further research should be done in this area as this type of catheter is very practical and will increasingly be used in intensive care therapies. It may be advisable to show this on a simulation model.
Keywords:	simulation environment, monitoring, external ventricular drain, simulator, the pressure inside the skull, simulation model, measuring.

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