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Breath monitoring during motion therapy
Koťová, Markéta ; Bubník, Karel (referee) ; Kolářová, Jana (advisor)
This semestral thesis deals with continuous monitoring of pulmonary ventilation during the patients' theraphy and focuses especially on monitoring of their ventilation processes. It is necessarry to detect, monitor and differentiate abdominal and thoracic breathing during the theraphy. This thesis describes the very basic and common method, a spirometry. Next, an overview of more advanced state-of-the-art methods based on both, tactile and proximity principles is given. In addition to that, two recently developed methods by BUT are discussed as well -- a tactile-based measurement similar to blood pressure sensor and a proximity-based measurement method employing TOF cameras. The data acquired by these two methods are proccesed and examined in order to evaluate and justify their performance in a real application.
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Ventilation Support of Laboratory Animals
Daniš, Václav ; Rozman, Jiří (referee) ; Sekora, Jiří (advisor)
mechanical ventilation an inseparable part of almost all surgery, where is anesthesia used. The introductory chapters of this thesis are focus on a teoretical familiarization with the complex issue with artificial lung ventilation. In additional to the history of artificial lung ventilation, chapters included familiarization with anatomy and physiology of lungs, associated with this defined volume of lungs and itself pulmonary ventilation. In the practical part I deal with design of ventilator for used it on laboratory animals.
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Problematics of transferring the patient onto home artificial pulmonary ventilation
HRBKOVÁ, Lenka
Home artificial lung ventilation (DUPV) is very current topic these days. It provides great hope for the possible return of a patient permanently dependent on artificial lung ventilation back to the home environment. Due to injuries or the development of the disease, some patients are permanently dependent on the support of artificial lung ventilation (UPV). Staying at home with the support of DUPV brings many benefits for these patients. The theoretical part of the diploma thesis is divided into six parts. The first part is devoted to a historical view of the development of artificial lung ventilation. The second part describes the respiratory system. The third part is devoted to artificial lung ventilation, where in the subchapters the indications for connection to UPV, physiological goals, clinical goals and also the subsequent intensive care are analyzed in more detail. The third part comprehensively describes DUPV. The subchapters are devoted to indications for connecting the patient to DUPV, there are described organizations dealing with DUPV. It describes the application for the implementation of DUPV, preparation before the patient goes home, provided nursing care and equipment and medical supplies necessary for implementation. The fourth part focuses on an overview of social benefits and the fifth part on the implementation. Two goals were set for the diploma thesis: 1. To find out, with what problems, including artificial nursing care, do patients face with artificial lung ventilation. 2. Identify what problems, including nursing care, patients experience with home artificial lung ventilation. To meet the objectives, three research questions were created: 1. What problems, including nursing care, occur to patients dependent on artificial lung ventilation in the Follow-up Intensive Care unit? 2. What problems, including nursing care, occur to patients dependent on home artificial lung ventilation? 3. What are the changes in the quality of life and nursing care of patients dependent on ventilator in the hospital and patients dependent on ventilator at home? The empirical part of the diploma thesis is processed in the form of a qualitative research survey. The method of semi-structured interview with NIP general nurses of an unnamed district hospital, caregivers and patients at DUPV was chosen. The method of self-observation and examination of decurses was also used. The interviews were conducted on the basis of pre-arranged questions with four nurses, three caregivers and three patients. The "pencil and paper" method and the open coding method were used to analyze the interviews. For grater clarity, the categories and subcategories were visualized in graphic diagrams. They were also used to compile three case studies. The results of the research survey show that general nurses deal with nursing care, respiratory care and also listen appropriately to the needs of patients. The most common problem that was mentioned was the implementation of personal hygiene, due to the mental and physical dufficulty for patients. Furthermore, problems with defecation, immobility and problems with gestures and communication. An unpleasant problem was also the irritation of the airways during suction. Patients 'and carers' responses show that the most common problem is dependence on the carer for personal hygiene and excretion. Also problems with falling asleep. Social isolation and deteriorated possibility of communication are also problems. A change in the quality of life and nursing care of UPV-dependent and DUPV-dependent patients at home was also found. The answer to this question is that a hospital stay is physically and mentally demanding. It has been said that being at home is real luck. The opportunity to be with family and be able to do everything by yourself. I believe that the work could serve to improve the awareness of family members of patients at DUPV. The work could be used to collaborate in a GAIA grant project.
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Return to life after an PICS, based on acute respiratory failure
Šoltýsová, Veronika ; Hocková, Jana (advisor) ; Pucholtová, Romana (referee)
Introduction: Thanks to the progress of the today's medicine, in particular its therapeutic possibilities, the number of patients overcoming critical acute respiratory failure has increased, resulting in their exposure to stress and impact of intensive care. Thus, we can say that almost every patient suffers from at least one sign of post-intensive care syndrome. The theoretic part of the Diploma Thesis deals with acute respiratory failure and PICS. Materials used to prepare this work were obtained from a research made by the National Medical Library and from sources found in expert databases (PupMed, ResearchGate, ScienceDirect etc.). Aim of the work: The aim of this work is to examine and evaluate the physical and mental state of patients after overcoming the acute respiratory failure and their return to normal life with post-intensive care syndrome. We've divided this main goal into several partial objectives with the main research questions if the signs of PICS can be impacted by the length of artificial ventilation. Methodology: As a part of the research survey and data collection a qualitative research survey was performed on patients with acute respiratory failure by using standardized questionnaires: DEMMI, ADL, IADL, HADS, MAF, SF 36 and physical tests: 30-s SCT, 6 MWT and use of Garmin...
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Ventilation Support of Laboratory Animals
Daniš, Václav ; Rozman, Jiří (referee) ; Sekora, Jiří (advisor)
mechanical ventilation an inseparable part of almost all surgery, where is anesthesia used. The introductory chapters of this thesis are focus on a teoretical familiarization with the complex issue with artificial lung ventilation. In additional to the history of artificial lung ventilation, chapters included familiarization with anatomy and physiology of lungs, associated with this defined volume of lungs and itself pulmonary ventilation. In the practical part I deal with design of ventilator for used it on laboratory animals.
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Breath monitoring during motion therapy
Koťová, Markéta ; Bubník, Karel (referee) ; Kolářová, Jana (advisor)
This semestral thesis deals with continuous monitoring of pulmonary ventilation during the patients' theraphy and focuses especially on monitoring of their ventilation processes. It is necessarry to detect, monitor and differentiate abdominal and thoracic breathing during the theraphy. This thesis describes the very basic and common method, a spirometry. Next, an overview of more advanced state-of-the-art methods based on both, tactile and proximity principles is given. In addition to that, two recently developed methods by BUT are discussed as well -- a tactile-based measurement similar to blood pressure sensor and a proximity-based measurement method employing TOF cameras. The data acquired by these two methods are proccesed and examined in order to evaluate and justify their performance in a real application.
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