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Pitfalls of the surgical treatment of obesity from the patient's point of view
Hakenová, Renata ; Heczková, Jana (advisor) ; Stoklasová, Radka (referee)
This thesis examines the surgical treatment of obesity from the perspective of the patient. The theoretical portion deals with etiopathogenesis, diagnosis, complications, related illnesses, conservative and surgical treatments (definitions, overview and types, principles of basic bariatric approaches, as well as effects and indications, side effects, and results of treatment. It also includes the specifics of the pre-operative preparation, immediate and long- term post-operative care, psychological preparation and post-bariatric-surgery nutrition. The empirical portion consists of quantitative research in the form of a survey instrument with closed-end questions with the possibility of individual responses. The respondents were patients who had been diagnosed as morbidly obese or third-degree obesity and who had also been through surgery within the past three years. One hundred and fifty surveys were distributed, 125 were returned, and 10 of those were not used for incompleteness, and another 6 were not used because the respondents did not meet the criteria. One of the primary goals of the research was to ascertain the information that patients were missing before bariatric surgery and whether this information had a significant effect on the result of the bariatric approach. Another primary goal of...
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Awareness of pediatric patients and their parents before anesthesia
Caletka, Petr ; Marková, Eva (advisor) ; Novák, Ivan (referee)
The primary aim of the thesis was to describe current awareness system of pediatric patients and their parents before anaesthesia and whether and to what extent the two groups are informed about anaesthesia. Furthermore, the thesis presents actual opinions of both responding groups on the current state of clinical practice and suggestions for its improvement. In accordance with available sources, so far no similar research has been carried out in the Czech Republic. A total number of 215 respondents at two biggest teaching hospitals in the Czech Republic have been addressed (Teaching Hospital Motol, Prague and Teaching Hospital Brno), the survey was finished by 131 people (60.93 %). Consequently, the questionnaire output was statistacally processed. The findings demonstrate a need of an improved anaesthesia awareness of pediatric patients and parents before the surgery. Obviously, both parents and children require printed information materials, although parents still tend to prefer rather the oral form - the anaesthesia interview. Keywords Anaesthesia, pediatric anaesthesiology, awareness, education, children, parents
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Patient education nurse anesthetist
Kloubcová, Lenka ; Hošťálková, Monika (advisor) ; Heczková, Jana (referee)
Bachelor thesis is focused on assessing the quality of patient education nurse anesthetist. Patient education is considered from the perspective of nurse anesthesia. The theoretical part of this work is devoted to general anesthesia characteristics, definitions and history of anesthesia. The following section deals with different types of anesthesia, complications of anesthesia and drugs used in anesthesia. Furthermore, the work focuses on the characteristics of the patient before, during and after anesthesia, and the specifics of the individual parts of anesthesia from the viewpoint of anesthesia nurses. The last chapter includes the very concept of education and the importance of good communication with the patient throughout the preparation of the patient for anesthesia. The basis of this work is a quantitative research ideas anesthesia nurses by anonymous questionnaires. Here the sisters reflect the stated objectives of work. The stated goal of the work is to identify the knowledge of anesthesia nursing Educational process, whether anesthesiology nurses involved in patient education before elective surgery and anesthesia nurses whether they have created suitable conditions for patient education. These objectives were met. As a possible solution for improving the efficiency of education could...
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L-serine induced effects on blood pressure in normotensive and hypertensive rats: the influence of anesthesia
Bencze, Michal ; Zicha, Josef (advisor) ; Husková, Zuzana (referee)
Anesthetics cause profound alterations in respiratory and cardiovascular systems. Our experiments demonstrated that different anesthetics caused different changes in blood pressure regulating components. The role of particular BP regulating systems was disclosed by their selective inhibition - sympathetic nervous system blocked by pentolinium (peripheral ganglionic blockade), renin-angiotensin system by captopril (angiotensin converting enzyme blocker) and nitric oxide production by L-NAME (nitric oxide synthase blocker). Components of blood pressure regulating mechanisms in conscious normotensive Wistar rats and spontaneously hypertensive rats were compared with four different groups of anesthetized rats by pentobarbital, ketamine-xylazine, chloralose-urethane and isoflurane. Each anesthesia caused different hemodynamic changes. If hemodynamic conditions should be similar to conscious rats, the most suitable anesthetic is pentobarbital. L-serine-induced effects represent endothelium-derived hyperpolarizing factor (EDHF)-mediated response, which is a type of endothelium-dependent regulation of vascular tone, independent of nitric oxide and prostacyclin production. Pronounced L-serine effects on blood pressure were shown in NO-deficient type of hypertension. Our study demonstrated its pronounced effects in...
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Determination of Blood Pressure Parameters for Ventilation Control during Anaestesia in Horses
Horský, Martin ; Provazník, Ivo (referee) ; Čmiel, Vratislav (advisor)
The present work deals with the issue of hemodynamic monitoring of blood pressure in horses during mechanical ventilation in anesthetized horses. Result of this work is an extension to the application Datex-Ohmeda S/5 Collect, which from the pressure curve provides values needed for optimal ventilation. Initial chapter provides a general physiologic introduction. It describes the definition of blood pressure, cardiac cycle and description of the pressure curve. It also deals with the hemodynamic parameters such as pulse pressure, stroke volume and their variabilities. In the second chapter is described methodology of measuring blood pressure in horses. Both, noninvasive and invasive methods are included. The third chapter analyzes fluctuations in blood pressure during ventilation. The last fourth chapter describes the implemented extension module which is designed to monitor hemodynamic parameters of the pressure curve.
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Reproduction of Hawaiian red shrimp \kur{Halocaridina rubra}
HOMOLKA, Václav
Hawaiian red shrimp - Halocaridina rubra (order Decapoda; family Atyidae) is an endemic species originated from Hawaii Islands. It is adapted to a specific environment of underground systems and anchialine pools. Halocaridina rubra has a great potential for aquarium shrimps breeders as well as for researchers. The aim of this work was to: (1) document the reproduction of shrimp Halocaridina rubra and (2) determine the influence of selected chronobiological factors and presence/absence of a shelter for its reproduction. The experiment was realized in the aquarium room and chronobiological laboratory at the department of Biological disciplines at the Faculty of Agriculture, University of South Bohemia in České Budějovice. The experiment took three months (i.e. from 3 rd November 2014 to 3 rd February 2015). This experiment had 4 treatments each with two repetitions: on the light with and without a shelter, in the dark with and without a shelter. Experimental shrimps were put into the aquaria in the breeding groups: 10: 16 (female: male). The frequency of mating was evaluated. Neither the light conditions (12 h (light): 12 h (dark) or permanent dark) nor the presence of shelter had impact on the reproduction of Halocaridina rubra. The reproduction of shrimp Halocaridina rubra was documented. Spermatophore transfer, eggs, four larval stages of zoea type, megalopal stage and two juvenil stages are monitored. Recommendations for breeding have been developed. Anesthesia was tested by using eugenol (clove oil) in shrimps.
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The Changes of Body Temperature of Patients during a Medical Procedure in Total Anesthesia
BENEŠOVÁ, Monika
The first part of the present dissertation shows mechanisms of keeping of body temperature in an optimum range as well as it divides and evaluates range of body temperature. My dissertation also deals with the ways of measurement of body temperature, methods of measurement and tools which are neccessary for measurement of body temperature. Another part presents characteristics of aneshtesia its division, ways of application and tools which are used for total anesthesia. It is also described an observation of body temperature during total anesthesia, negative consequences of hypothermia, regulations of body temperature during total anesthesia and prevention and treatment of hypothermia. There are descriptions of targets and hypothesis in the second part. There were made five hypothesis. The third part shows methods of collecting data itself. They are results of stucture observation of changes of body temperature of patiens in total anesthesia during surgery.The fourth part are charts and graphs showing results of measurements of body temperature of our patients in total anesthesia as well as results of the questionnaires based on answers from asked nurses. There are particular hypothesis and their results in discussion part. Hypothesis H1 was proved. Hyphothesis H2 is not possible to be disproved. Hyphothesis H3 was not proved. Hyphothesis H4 was proved and hyphotesis H5 was proved. We can deduce from the results that active use of tools for keeping body temperature in a physiological range can prevent decrease of body temperature. It is clear from the questionnaires that nurses are aware of complications connected to hypothermia. They actively use tools for keeping body temperature in physiological range. There is a summary in the conclusion of the dessertation whether all estimated targets were accomplished. As a result of the dissertation we can assume that using of tools for keeping body temperature of total anasthesia patients should be a standard. There should be also a standard to measure body temperature during an operation in total anasthesia itself.
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Experience of expecting mothers with spinal analgesia
VRHELOVÁ, Jitka
Obstetric analgesia has lately become a modern supplement during physiological birth as well as during births with increased risk. Spinal analgesia together with epidural analgesia represent important methods in obstetric analgesia and anesthesia during delivery. The objective and the core of my thesis is to make a survey of expecting mothers´ experience with spinal analgesia which is a less used method of obstetric analgesia than for example the epidural method. But because this method is entirely equivalent to the epidural method, it is advisable to get familiar with its adverse and positive aspects and especially with the expecting mothers´ response to this method. In the thesis I used combination of quantitative and qualitative research, with six objectives, six hypotheses and two research questions. Methods of collecting data were questionnaires and interviews. The research database consisted of women after vaginal as well as operative deliveries who had used spinal analgesia or anesthesia during delivery. Objective 1 {--} to find out the overall awareness of women about methods of obstetric analgesia was fulfilled and hypothesis 1 {--} women do not have enough information about methods of obstetric analgesia was confirmed. Objective 2 {--} to find out whether the spinal analgesia method brings expected comfort of painless birth to expecting mothers was fulfilled. Hypothesis 2 {--} spinal analgesia method brings expected comfort of painless birth to expecting mothers was confirmed as well. Objective 3 {--} to find out whether spinal analgesia has a positive effect on the course of delivery was fulfilled. Hypothesis 3 which stated that spinal analgesia method has a positive effect on course of delivery was confirmed as well. Objective 4 to find out how the spinal analgesia method influences condition of fetus during delivery was fulfilled. Hypothesis 4 {--} spinal analgesia method has a positive influence on condition of faetus during delivery was confirmed. Objective 5 was to find out side effects of spinal analgesia during delivery as well as in confinement. The objective was fulfilled and the hypothesis was confirmed as well. Objective 6 to compare postoperative condition of mothers after Caesarean section in spinal analgesia and total anesthesia was fulfilled. The hypothesis stated to objective 6 was also confirmed . Two hypotheses can be stated from the results of qualitative research which comprised two research questions. The first hypothesis claims that spinal analgesia has a positive effect on physical condition of expecting mothers during delivery. The second hypothesis claims that spinal analgesia has a positive effect on mental condition of expecting mothers. The findings from the field of obstetric analgesia and research results can be used in the nursing process not only in delivery rooms and obstetric wards but also in primary care where the pregnant woman gets into the very first contact with medical staff.
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Caesarea section- perioperative nursing care during regional and total anesthesia
MAŠKOVÁ, Šárka
In my thesis I focused on perioperative nursing care for women with a caesarean section in regional and general anesthesia. The thesis is divided into a theoretical and research part. In the theoretical part of my thesis history, conditions, indications and contraindications, and also complications during a caesarean section performance are described. Information about anesthesia which is used for a caesarean section is also given. Conditions for general, epidural and spinal anesthesia administration are described. Advantages, disadvantages, indications, contraindications and complications of different types of anesthesia are also mentioned. A substantial part of the theoretical part is devoted to perioperative nursing care. The preoperative nursing care is described, the preparation for it is divided according to the type of anesthesia. Nursing care during the intraoperative and mainly postoperative phases is mentioned in detail. The aim of my thesis was to identify differences in perioperative nursing care for women with a cesarean section in regional and general anesthesia. My work was also focused on women's level of awareness about possibilities of anesthesia for caesarean section. Another goal of my work was to make up standards of perioperative nursing care for women during a caesarean section delivery in regional and general anesthesia, which is administered in the delivery room. Two hypotheses were stated. The first hypothesis is the supposition that women after a caesarean section need a different nursing care, which depends on the type of anesthesia administered. The second hypothesis is the supposition that women are adequately informed about the possibilities of anesthesia for a caesarean section. Quantitative research conducted through questionnaires was chosen to conduct the survey. Questionnaires were distributed to women after a caesarean section at the confinement department. Research results are shown in graphs .The both hypotheses were confirmed by the research investigation. The research has revealed a new finding that women need different nursing care not only after a caesarean section, but also during the intraoperative phase. I used this finding to develop a standard of perioperative nursing care for women during a caesarean section delivery in regional and general anesthesia. The standard is designed for midwives and is intended to improve nursing care for women in the course of a caesarean section delivery during the intraoperative phase. The research has proved that women with a cesarean section need a different perioperative nursing care, which depends on the type of anesthesia administered. It is therefore necessary to differentiate between the two groups and provide them with a different nursing care. The research has also shown that women feel sufficiently informed about anesthesia for a caesarean section. Women´s awareness is a prerequisite for a good cooperation with the patient and successful nursing and medical care. The nursing care provision according to the perioperative care standard will ensure a quality professional nursing care for women before, during and after a caesarean section.
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Patient awareness of anesthesia prior to a planned surgery through the eyes of the patients and the anesthesiology nursesnurse.
HERMANNOVÁ, Blanka
Patient awareness of anesthesia prior to a planned surgery through the eyes of the patients and the anesthesiology nurses Abstract This Bachelor{\crq}s thesis focuses on the research and evaluation of the level of patient awareness of the progress of anesthesia prior to a planned surgery. The awareness of anesthesia is evaluated from the point of view of the patient and the anesthesiology nurse. The scope of the thesis also includes the issue of proper communication with the patient and the importance of winning his trust to the medical personnel during the general preparation for the surgery as well as in the course of his hospitalization. It also shows the patient{\crq}s opinions on the acquisition of information on anesthesia, which would certainly alleviate his fear of the surgery. This Bachelor{\crq}s thesis is primarily based on a quantitative survey of opinions of patients and anesthesiology nurses, conducted in the form of anonymous questionnaires in which both groups expressed their views on the specific hypotheses. The key purpose of the thesis is to confirm the hypotheses, which assume that patients are not given sufficient information on their anesthesia, in spite of their interest in obtaining better knowledge of the anesthetic process. Hypothesis 2, i.e. ``Patients are interested in information from the anesthesiology nurse,{\crq}q cannot be confirmed because, based on the survey, patients prefer doctors to anesthesiology nurses as the source of information. On the basis of the survey, the thesis confirms hypothesis 1, i.e. ``Patients are not informed about the progress of anesthesia by the anesthesiology nurse.{\crq}q The low share of anesthesiology nurses in the patient{\crq}s education prior to a planned surgery is demonstrated by the opinions of the participating anesthesiology nurses, whose share is extremely low and mostly involves situations just before the planned surgery, when the patient is already lying in the surgery room. As regards hypothesis 3, i.e. ``Anesthesiology nurses are not interested in informing the patients of the progress of anesthesia prior to a planned surgery,{\crq}q it is confirmed that anesthesiology nurses are really not interested in educating the patients for many reasons, such as their large workload, lack of time, insufficient motivation and unsatisfactory financial reward. As a possible solution, we have suggested a patient education standard for anesthesiology nurses and an information leaflet for patients, which could help them understand the progress of preparation for anesthesia and the possibilities of anesthesia in general. In no case should the leaflet substitute personal education by an anesthesiology nurse; its purpose is only to serve as on instruction for the patient to prepare questions which he would like to ask before the surgery.
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