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Returnig to Normal Life after Prolonged Period on ICU Following Major Surgical Procedures
Žánová, Libuše ; Židková, Lucie (advisor) ; Pucholtová, Romana (referee) ; Hocková, Jana (referee)
Introductin: The diploma thesis deals wits the quality of life of patients who have undergone more demanding surgery in the area of thoracic or abdominal surgery and were subsequently connected to artificial at present. This increases the need for patients to be places in an intensive care unit. Whwther i tis performance intenzity, length of anesthesia, possible complications during surgery or age of the patient. Stay in intensive care for a patient is physically and mentally very demanding, which may lead to deterioration in qaulity of life after returning to the home environment. Methodology: The research itself was carried out in the framework of qualitative research using a sem- structured interview. The interview was made up of the maim questions that could be supplemented by supplementary questions. Researchers selected patiens who had more severe surgery in the chas tor abdomen and were vented for at least 48 hours. The study also include patients who had a "minor" surgery but had complications nad had to be connected to artificial pulmonary ventilation. The research was conducted from August 2018 tu February 2019. Research Objektive: The main goal of the diploma thesis is to map the quality of life of patients who were hospitalized under intensive care and were exposed to PICS (Post...
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Nursing process for client Stenosis of the internal carotid artery
Duštírová, Monika ; Kordulová, Pavla (advisor) ; Trávníčková, Ivana (referee)
Tématem bakalářské práce "Ošetřovatelský proces u klienta se stenózou arteria carotis interna" přibližuji problematiku a specifika pooperační péče u pacientů s touto diagnózou. Zúžení krční tepny na podkladě vytvoření aterosklerotického plátu je nejčastější příčinou cévní mozkové příhody. Nedostatečné prokrvení některých částí mozku může způsobit jeho poškození a vést k nezvratným změnám. Odstranění zúžení krční tepny patří k nejčastěji prováděným cévním operacím, v ČR je ročně odoperováno přibližně 1500 pacientů. V teoretické části mé závěrečné práce se zaměřuji na anatomii a fyziologii cévního řečiště mozku a tepenného systému. Zabývám se zde zúžením krční tepny, včasnou diagnostikou a bezpečnou léčbou, především chirurgickou. Podklady pro vypracování práce jsem získala vyhledáváním v databázích NLK, PubMed, Embase, Medvik a CINAHL apod. Dále jsem čerpala z internetových zdrojů profesních organizací a společností zabývající se touto problematikou. Zahrnuta byla i doporučení profesních organizací jako je ESVS - European Society for Vascular Surgery, SVN - Society of Vascular Nursing. METODIKA: Pro vypracování bakalářské práce jsem zvolila případovou studii pacienta se stenózou arteria carotis interna po chirurgickém operačním výkonu endarterektomii. Informace k vypracování bakalářské práce byly...
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Test of exposiv partitions in anestetic praxis.
Klimešová, Marie ; Dvořák, Miroslav (referee) ; Jehlička, Karel (advisor)
On anesteziologic workplace are workers meet with various substances and materials every day. Are they put at risk of outbreak of fire or explosion? I´m going to put mind to this issue in my work, which is aimed at monitoring concentrations of explosive substances used in anesthesia. A related study of gases and vapors of volatile liquids concentration, explosiveness, flammability and other properties. I'm interesting in security and the timely identification of gases and vapors of volatile substances of the leak of anesthetic workplace, then studying the detection system and the detectors themselves. I meet with gas analyzers of company Brűel & Kjaer.
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Skull Trepanation in Prehistory of the Europe: The Oldest Surgical Procedures
Moravec, Tomáš ; Komárek, Stanislav (advisor) ; Pankowská, Anna (referee)
The main aim of the thesis is to provide a comprehensive overview of trepanations in the prehistory of Europe and to compile a brief overview of the oldest findings in Europe and closer in the Czech Republic. At first, the thesis deals with the types of trepanations according to their execution and the problems with trepanation diagnosis, where the work focuses on various groups of defects created by different mechanisms, which can be incorrectly diagnosed as trepanations. Further, the thesis deals with the reasons for trepanation and the description of the trepanations tools and techniques used in the prehistory. It also briefly mentions the first references to surgical interventions and the origin of anesthesia. Additionally, the thesis deals with the overview of the oldest findings in Europe and the Czech Republic and their brief description. And finally, there is a mention of trepanations at the present time.
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Hemodynamic optimalization in hepatic recection
Zatloukal, Jan ; Pradl, Richard (advisor) ; Cvachovec, Karel (referee) ; Málek, Jiří (referee)
Lowering of central venous pressure in hepatic surgery is nowadays widely recommended and used procedure. Low central venous pressure anesthesia is associated with decreased blood loss and improved clinical outcome. There are several approaches how to reach low central venous pressure. Till now none of them is recommended as superior in terms of patient safety and clinical outcome. Concurrently there is still debate if to use the low central venous pressure anesthesia principle or if it could be replaced with a principle of anesthesia with high stroke volume variation (or another dynamic preload parameter) with the use of a more sophisticated hemodynamic monitoring method. Results of our study didn't show any significant difference between two approaches used for reduction of central venous pressure, but suggest that the principle of low central venous pressure anesthesia could be possibly replaced by the principle of high stroke volume variation anesthesia which presumes the use of advanced hemodynamic monitoring. KEYWORDS Hepatic resection, central venous pressure, Pringle maneuver, hemodynamics, hemodynamic monitoring, fluid therapy, anesthesia
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Skull trepanation in archaic ethnics
Moravec, Tomáš ; Komárek, Stanislav (advisor) ; Hroníková, Linda (referee)
This thesis is focused on skull trepanation in archaic ethnics. Trepanation has been used since the Stone Age almost all around the world and since that time have occured the constantly improved tools, trepanation techniques and used anesthesia. However to the present time we are not sure, what exactly was the motivation of then primitive nations to perform such a dangerous procedure. Trepanation has been the subject of many researches since the 19th century, which has been tasked with bringing closer knowledge about the procedure and what was the reason for doing it. This work should provide general knowledge about the topic of trepanations.
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The role of nurses in patient education prior to anesthesia for surgical procedures in orthopedics
Slouková, Michaela ; Di Cara, Veronika (advisor) ; Hakenová, Renata (referee)
The thesis is focused on the role of nurse in patient education prior anaesthesia in surgical procedures in orthopaedic. Description of this role is based on the experience at the orthopaedic clinic and problems related to it are seen in the results of survey. The aim was to assess the level and effectiveness of patient education done by nurse before anaesthesia, measure the level of satisfaction and patient awareness before surgery, assess the quality and content of education provided by nurse and identify the current competencies of nurses in patient education before anaesthesia. Data for the research survey were obtained through two questionnaires designed for nurses working at the orthopaedic clinic and for patients who have undergone scheduled intervention in this clinic. The most important finding of the research results was crossing the competencies of nurses in the preoperative patient education because the lack of visits by anaesthesiologist. Based on what I studied in the available literature and the research results, in the discussion I am presenting proposals for solutions of this situation and I suggest active offering of the information material to patient during admission, the creation of improved education material for preoperative preparation, using of different teaching methods...
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Education of patients before anesthesia.
Vizinová, Gabriela ; Kulhavá, Miluše (advisor) ; Hladká, Petra (referee)
The present diploma thesis is engaged in the education of patients prior to the application of anaesthesia. The theoretical part studies the area of education. For a comprehensive overview of the problems at issue, the theoretical part delves in the area of anaesthesia. The thesis examines the contribution of education provided to patients prior to the application of anaesthesia. The target group of respondents is composed by patients who underwent a procedure requiring an anaesthesiology care. Patients suitable for data collection were selected using the purposeful sampling method on the basis of collaboration with head nurses of the given hospital wards. The research was conducted by a quantitative method, using the author's own questionnaire. The total of 69 questionnaires was distributed. The results of the research investigation conducted that patients are provided advice as to anaesthesiology care in more than one half of all cases. The greatest share in providing advice and education to patients in anaesthesiology care is taken up by physicians - anaesthesiologists. Most often, advice is provided in form of an informed consent, including oral advice. A vast majority of the patients questioned observe the recommendations and measures that they have been informed of. The results further imply...
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History of the pain treatment
Erbenová, Helena ; Mellanová, Alena (advisor) ; Vaňková, Milena (referee)
The thesis focuses on the history of pain treatment from the beginning of humanity to present days. It aims to provide a comprehensive overview of the research development, creation of theories and struggling of a man with the pain, an unpleasant sensory perception, without which the mankind would most probably not survive. From the skeletal remains we learn about pain-killing practices among primitive people who were, besides various potions, charms, spells and rituals, able to use even the trepanation techniques. We find that people in ancient times apparently understood the pain caused by traumatic mechanisms but they could not handle the pain caused by some internal disorder. Early findings about the treatment of pain were thus linked to the nature. People used plants with narcotic and analgetic effects e. g. opium, cannabis, mandrake and physical quantities such as pressure, heat, cold or even shocks generated by electric fish. Over the time they improved this knowledge and reached for new findings. This thesis presents also ideas and creation of theories of pain provided by thinkers and scholars across centuries. Works from antiquity had apparently the biggest and the longest lasting influence on pain and medical problematics. From historical sources we read that new discoveries in medicine...
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