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Title:Učinkovitost mehanskega izvajanja stisov prsnega koša: sistematična analiza preglednih člankov
Authors:ID Metličar, Špela (Author)
ID Marinšek, Martin (Mentor) More about this mentor... New window
ID Fijačko, Nino (Comentor)
Files:.pdf VS_Metlicar_Spela_2022.pdf (895,80 KB)
MD5: A8DA76F7502F4C407DD509FE6DB200A6
 
Language:Slovenian
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:FZV - Faculty of Health Sciences
Abstract:Uvod: Nenadni srčni zastoj je eden najpogostejših vzrokov smrti. Za preživetje je ključno izvajanje temeljnih postopkov oživljanja s stisi prsnega koša, ki morajo biti dovolj kakovostni. Kot možno nadomestilo ročnih stisov so se začeli uveljavljati mehanski stisi prsnega koša. V diplomskem delu smo primerjali ročno in mehansko izvedene stise prsnega koša ter vpliv na pacientovo preživetje. Metode: Izvedli smo krovni (sistematični) pregled sistematičnih člankov na tematiko primerjave med uporabo mehanskih pripomočkov in ročne izvedbe stisov prsnega koša ter vplivov na klinične izide. Uporabili smo opisno metodo dela. Izbrane članke smo analizirali s pomočjo tabel in grafov. Rezultati: Od 71 zadetkov smo podrobno analizirali 8 člankov, s skupnim vzorcem 143 999 oseb. Vsi sistematični pregledi so skupaj vključevali 102 študiji, oziroma 54 študij brez dvojnikov. Najpogosteje uporabljena mehanska pripomočka za izvajanje temeljnih postopkov oživljanja sta bila LUCAS (angl. Lund University Cardiac Arrest System) in AutoPulse. Skoraj vse študije so obravnavale mehanske stise prsnega koša izvajane pri zunajbolnišničnem srčnem zastoju, slaba polovica pa pri znotrajbolnišničnem srčnem zastoju. Razprava in zaključek: Avtorji so med seboj neenotni glede najučinkovitejšega načina izvajanja stisov prsnega koša. Na splošno ni mogoče potrditi večje učinkovitosti izvajanja mehanskih stisov prsnega koša, saj obstajajo tudi razlike med samimi napravami in njihovim načinom delovanja. Ti so se za koristne izkazali v primeru zunajbolnišničnega srčnega zastoja, vendar obstajajo pomisleki glede preživetja in varne obravnave.
Keywords:srčni zastoj, temeljni postopki oživljanja, mehanski stisi prsnega koša, ročni stisi prsnega koša, preživetje
Place of publishing:Maribor
Publisher:[Š. Metličar]
Year of publishing:2022
PID:20.500.12556/DKUM-82405 New window
UDC:616.12-008.315(043.2)
COBISS.SI-ID:125165315 New window
Publication date in DKUM:19.10.2022
Views:1643
Downloads:213
Metadata:XML DC-XML DC-RDF
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:18.08.2022

Secondary language

Language:English
Title:Effectiveness of Mechanical Chest Compressions: Systematic Analysis of Review Articles
Abstract:Introduction: Sudden cardiac arrest represents one of the most frequent causes of death. Patient survival depends on performing cardiopulmonary resuscitation with quality chest compressions. In the last decades, mechanical chest compressions are substituting manual chest compressions. The purpose of this study is to compare manual and mechanical chest compressions, resulting in patient survival. Methods: We performed a systematic analysis of review articles about the comparison between the use of mechanical chest compression devices and manual chest compressions and their impact on patient survival. We used the descriptive method. The selected articles were analyzed using tables and graphs. Results: Out of 71 hits, we analyzed eight articles with 143,999 subjects. All of the systematic reviews included 102 studies, to be precise, fifty-four of them without duplicates. Most frequently used devices for performing cardiopulmonary resuscitation were LUCAS (Lund University Cardiopulmonary Assist System) and AutoPulse. Almost every study is based on a research of mechanical chest compressions in Out-of-Hospital cardiac arrest; furthermore, less than half of the studies included a research of In-Hospital cardiac arrest. Discussion and conclusion: Authors are still inconsistent about the most effective way to perform chest compressions. In general, it is not possible to confirm superiority of mechanical chest compressions to manual chest compressions due to the differences between device types and their mechanism. They are found to be useful in the case of Out-of-Hospital cardiac arrest with few concerns about patient survival and safety.
Keywords:cardiac arrest, cardiopulmonary resuscitation, mechanical chest compressions, manual chest compressions, survival


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