Zapleti povezani z bolnišničnim transportom kritično bolnega

Draganič, Maja

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Title:	Zapleti povezani z bolnišničnim transportom kritično bolnega
Authors:	ID Draganič, Maja (Author) ID Dobnik, Mojca (Mentor) More about this mentor... ID Halec, Bine (Comentor)
Files:	VS_Draganic_Maja_2024.pdf (631,49 KB) MD5: 4387AB5051B4E7F68949694E1D9CECAE
Language:	Slovenian
Work type:	Bachelor thesis/paper
Typology:	2.11 - Undergraduate Thesis
Organization:	FZV - Faculty of Health Sciences
Abstract:	Uvod: Za namen zagotovitve potrebnih postopkov in posegov zdravljenja kritično bolnih v enoti intenzivne terapije je pogosto treba opravljati bolnišnične transporte. Med transportom je kritično bolni posebej ranljiv, saj obstaja tveganje za nastanek zapletov. Namen zaključnega dela ja raziskati najpogostejše zaplete in identificirati intervencije, s katerimi preprečimo nastanek le-teh. Metode: V zaključnem delu smo izvedli pregled literature, objavljene v časovnem obdobju med letoma 2014 in 2024, v podatkovnih bazah PubMed, CINAHL Ultimate in MEDLINE. Uporabili smo opisno ali deskriptivno metodo dela. Potek pregleda literature smo prikazali v diagramu PRISMA. Identificirane raziskave smo analizirali in predstavili v evalvacijski tabeli. Izvedli smo sintezo identificiranih raziskav, ki smo jo razvrstili po hierarhiji dokazov. Rezultati: V končno analizo smo vključili osem raziskav. Najpogostejši zapleti bolnišničnega transporta so hemodinamska in respiratorna nestabilnost, odpoved opreme ter nenamerna odstranitev sond in katetrov. Med intervencije za preprečevanje zapletov, povezanih s transportom kritično bolnega, spadajo strukturirana priprava na transport, hemodinamska in respiratorna stabilnost kritično bolnega, usposobljeno osebje, ustrezna oprema, neprestano spremljanje parametrov ter komunikacija med vsemi člani ekipe med transportom. Razprava in zaključek: Rezultati so pokazali, da so s transportom kritično bolnih povezani zapleti, ki se lahko pojavijo med bolnišničnim transportom in lahko privedejo do hudih posledic. Ključnega pomena je poznavanje zapletov in intervencij za preprečevanje teh.
Keywords:	enota intenzivne terapije, prevoz, pacient, neželeni dogodki, intervencije
Place of publishing:	Maribor
Publisher:	[M. Draganič]
Year of publishing:	2024
PID:	20.500.12556/DKUM-89191-8c553744-cf9e-42c3-df7c-2bfaa114d8bf
UDC:	614.883:616-083.98-056.24(043.2)
COBISS.SI-ID:	203358211
Publication date in DKUM:	04.09.2024
Views:	315
Downloads:	211
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:	24.06.2024

Secondary language

Language:	English
Title:	Complications associated with the hospital transport of a critically ill patient
Abstract:	Introduction: In order to provide the necessary procedures and treatments for critically ill patients in the intensive care unit, hospital transports are often necessary. During transport, the critically ill patient is particularly vulnerable as there is a risk of complications. The aim of this thesis is to investigate the most common complications and to identify interventions to prevent their occurrence. Methods: Finally, we conducted a literature review of the PubMed, CINAHL Ultimate and MEDLINE databases for the period 2014 to 2024. We used descriptive or descriptive methods. The flow of the literature review was presented in a PRISMA diagram. The identified studies were analysed and presented in an evaluation table. We synthesised the identified studies and ranked them according to the hierarchy of evidence. Results: Eight studies were included in the final analysis. The most common complications of hospital transport are haemodynamic and respiratory instability, equipment failure, and inadvertent removal of probes and catheters. Interventions to prevent complications related to transport of the critically ill include structured preparation for transport, haemodynamic and respiratory stability of the critically ill, trained staff, appropriate equipment, continuous monitoring of parameters and communication between all team members during transport. Discussion and conclusion: The results showed that issues related to transport of the critically ill are associated with complications that can occur during hospital transport and can lead to severe consequences. Knowledge of these complications and interventions to prevent them is crucial.
Keywords:	intensive care unit, transport, patient, adverse events, interventions

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