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The Influence of the Prone Position on Systemic Hemodynamics in Spinal Surgery
Kukrálová, Lucie ; Dostálová, Vlasta (advisor) ; Málek, Jiří (referee) ; Kieslichová, Eva (referee)
1 Summary Hemodynamic monitoring is a fundamental part of perioperative care. This thesis deals with hemodynamic changes due to the prone position under physiological, awake state and under general anesthesia during spondylosurgical procedures and to assess the influence of the patient's body support. The next goal was to evaluate the effect of extended non-invasive hemodynamic monitoring on perioperative circulatory stability, used hemodynamic interventions, and the occurrence of postoperative complications. This work consists of two separate studies. In the study "Hemodynamic changes in prone position - a non-invasive physiological study" 12 healthy volunteers older than 18 years were included. Non-invasive hemodynamic measurement was initiated using ClearSight/EV 1000 system in supine position (S position). Cardiac index (CI), stroke volume index (SVI), stroke volume variation (SVV), systemic vascular resistance index (SVRI) and mean arterial pressure (MAP) were recorded. Following parameters were measured using ultrasound at predefined sites: expiratory area of v. cephalica (sVCe), v. saphena (sVSe), v. jugularis interna (sVJe), expiratory and inspiratory area (sVCIe a sVCIi), and maximum and minimum diameter (dVCImax a dVCImin) of v. cava inferior and index of colapsibility (VCI CI) were calculated....
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Treatment of pain with a focus on output / / and use of strong opioid analgesics / / in the Masaryk Memorial Cancer Institute in Brno
Hofmanová, Jindříška ; Višňovský, Peter (advisor) ; Dostálová, Vlasta (referee)
Treatment of pain with a view to usage of potent opioid analgetics in Masaryk memorial cancer institute in Brno. The content of this work is evaluation of treatment of pain with a view to usage of potent opioid analgetics in Masaryk memorial cancer institute in Brno. Theoretical section is devoted to treatment of pain. Pain influences the quality of life in a fundamental way and that is why we necessarily must pay attention to pain and we must efficiently calm pain. In the theoretical section there are mentioned definition of pain, anatomical and physiological aspects of pain, aspects of diagnostics and evaluation of pain and epidemiology of pain. The literature search is mostly aimed to treatment of pain - especially to pharmacotherapy, but also other possibilities of interference of pain are mentioned - for example analgetic radiotherapy, invasive procedures, aplication of radioisotopes or psychotherapy. Pain is phenomenon, which has its somatic, psychologic and social component and therefore treatment of pain is multidisciplinary mission, which requires complex solution. Treatment of pain has to be always suited to individual patient. Aim of pain treatment is not only reduction or elimination of pain, but mainly increasing of patient's quality of life and patient's return to full-value life. In...
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Treatment of pain with a focus on output / / and use of strong opioid analgesics / / in the Masaryk Memorial Cancer Institute in Brno
Hofmanová, Jindříška ; Višňovský, Peter (advisor) ; Dostálová, Vlasta (referee)
Treatment of pain with a view to usage of potent opioid analgetics in Masaryk memorial cancer institute in Brno. The content of this work is evaluation of treatment of pain with a view to usage of potent opioid analgetics in Masaryk memorial cancer institute in Brno. Theoretical section is devoted to treatment of pain. Pain influences the quality of life in a fundamental way and that is why we necessarily must pay attention to pain and we must efficiently calm pain. In the theoretical section there are mentioned definition of pain, anatomical and physiological aspects of pain, aspects of diagnostics and evaluation of pain and epidemiology of pain. The literature search is mostly aimed to treatment of pain - especially to pharmacotherapy, but also other possibilities of interference of pain are mentioned - for example analgetic radiotherapy, invasive procedures, aplication of radioisotopes or psychotherapy. Pain is phenomenon, which has its somatic, psychologic and social component and therefore treatment of pain is multidisciplinary mission, which requires complex solution. Treatment of pain has to be always suited to individual patient. Aim of pain treatment is not only reduction or elimination of pain, but mainly increasing of patient's quality of life and patient's return to full-value life. In...
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