|
|
The Role of an ICU Nurse in DAS Algorithm
Balejová, Paulína ; Línková, Šárka (advisor) ; Truhlář, Anatolij (referee)
We are investigating this topic because there is no complex view of the role of an ICU nurse in difficult airway (DA). This is despite the fact that the nurse is an inseparable part of the team. In the case of inadequate management of the team securing the airway, DA can end up being fatal for the patient. It is necessary to realize that if the nurse knows her role, she can play an important part in the DA and minimize this risk. The main aim of our study was to find out the role of an ICU nurse in DA or in the DAS algorithm to minimize the permanent damage to the patient. The sample of our research consisted of 10 intentionally selected participants, working at the Clinic of Burn Medicine of the Královské Vinohrady University Hospital in the ICU and at the Clinic of Anaesthesiology and Resuscitation of the 3rd Faculty of Medicine of the Charles University and the Královské Vinohrady University Hospital. Our research is qualitative. Data collection was done by semi-structured interview method. Interviews with participants were recorded, then transcribed and presented using annotated transcription. We chose the grounded theory method as the method of analysis. We were able to develop the first Theory of the role of an ICU nurse in the DA, or in the DAS algorithm, based on which we claim that the...
|
|
|
Vasopresin and its analogues in treatment of cardiac arrest
Truhlář, Anatolij ; Černý, Vladimír (advisor) ; Kasal, Eduard (referee) ; Ošťádal, Petr (referee)
Vasopressin and its analogues in treatment of cardiac arrest Introduction: Recent guidelines for cardiopulmonary resuscitation (CPR) recommend use of drugs as an integral part of treatment. Vasoactive drugs have been used in resuscitation to increase myocardial and cerebral perfusion during chest compressions. Resuscitation research is trying to find alternative vasopressors to adrenaline, for which the long-term survival benefit has not been proven. Successful use of terlipressin in cardiac arrest (CA) was documented in small studies in children and some rare case reports. Terlipressin has never been tested in CA of cardiac aetiology in any clinical or experimental study. Objectives: We aimed to evaluate the role of catecholamines and non-adrenergic vasopressors, vasopressin and terlipressin, during CPR based on review of selected trials. Introduction of a standardized experimental porcine model of ventricular fibrillation (VF) was done for research of therapeutic interventions during CPR. We aimed to evaluate the effects of terlipressin with adrenaline on perfusion of vital organs during prolonged CPR compared to placebo with adrenaline. We tested our hypothesis that terlipressin, if given simultaneously with the first dose of epinephrine during CPR for VF, increases CorPP (coronary perfusion pressure) or...
|
|
| |
guest ::
