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Patients' Satisfaction with the Approach of Healthcare Providers to Post - Operative Pain Management.
Horinová, Martina ; Holubová, Jana (advisor) ; Kravcová, Kateřina (referee)
This bachelor's thesis deals with the issue of healthcare providers' approach to postoperative pain. The work is divided into two parts - the theoretical part and the empirical part. The theoretical part describes pain, its distribution and perception. It also deals with pain diagnostics. The pathophysiology of postoperative pain, the negative effect of pain on organ systems and factors affecting pain are described here. At the end of the theoretical part, multidisciplinary care for a patient with pain and the principles of proper patient education are presented. The empirical part describes the research investigation. The research was carried out in the form of a non-standardized anonymous questionnaire, which was distributed to patients after surgery at the Orthopedic-trauma clinic in one of the Prague university hospitals. The aim was to determine the overall satisfaction of patients with the approach of healthcare providers to postoperative pain. Key words: postoperative pain, pain, approach
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Reasons and Frequency of Ventilatory Circuit Disconnection in Patients on Artificial Pulmonary Ventilation
Ševčíková, Klára ; Línková, Šárka (advisor) ; Kravcová, Kateřina (referee)
The thesis deals with the reasons for disconnecting the ventilation circuit and the frequency of individual causes. It is part of a broader and more comprehensive study whose common goal is to combat ventilator-associated pneumonia (VAP). The theoretical part of the thesis briefly describes the definition of VAP and its preventive elements. However, it highlights the conflict between manufacturers' recommendations and the results of the latest studies regarding the interval for replacing individual components of the ventilation circuit. Furthermore, it draws attention to the limited and insufficient emphasis placed on this issue both in the theoretical sphere and in clinical practice. The practical part of the thesis presents the results of the conducted observation, whose main objective is to identify the most common cause of ventilation circuit disconnection. The assumption was a high proportion of the frequency of replacing individual circuit components,especiallythe passive heat and moisture exchanger,which was confirmed by the results of the research survey. Another objective was to observe hygiene practices in the care of the ventilation circuit, which had not been fully defined before. Equally important was the establishment of foundations for creatingstandardized procedures and highlighting...
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Preoxygenation before suction of patients on mechanical ventilation
Čermáková, Martina ; Línková, Šárka (advisor) ; Kravcová, Kateřina (referee)
Charles University Third faculty of medicine Department of Anaesthesia and Intensive Care Medicine, Charles University, 3rd Faculty of Medicine and FNKV University Hospital Author: Bc. Čermáková Martina Supervisor: Mgr. Šárka Línková, DiS Consultant: MUDr. Bohumil Bakalář Title of diploma thesis: Preoxygenation before suction of patients on mechanical ventilation The standard procedure for patient care in intensive care units is the suctioning from the lower respiratory tract. This process is necessary to keep the airways clear and open. Suctioning can lead to a number of-post-suction complications such as asystole, bradycardia/tachycardia, desaturation and changes in blood pressure values. Preoxygenation before suction from the lower respiratory tract appears to be an effective method to prevent the-complications described above. Current research indicates that preoxygenation prevents a decrease in saturation. This information led us to the question of whether preoxygenation can positively affect other physiological functions as well. After reviewing articles, we realized that saturation values were only assessed without discrimination among reasons for artificial ventilation. Therefore, we came up with a research question which lung diseases/disorders could benefit from preoxygenation by...
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