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Determination of Blood Pressure
Plch, Miroslav ; Smital, Lukáš (referee) ; Čmiel, Vratislav (advisor)
The thesis includes a general introduction to monitoring and measurement of blood pressure of horses, the design of algorithms for pressure curve detection and the calculation of respiratory variabilities in mechanical ventilation under anaesthesia. The first two chapters focus on anatomy, on characteristics of blood flow and on vascular system. Then it deals with the measurement of blood pressure, monitoring of a horse under anaesthesia and it describes particular thermodynamic parameters. In the following part of the thesis, the methods of pressure curve detection are described. The last part contains the description of an algorithm designed for detection of pressure curve of horses in the environment of the program LabVIEW. The program calculates, displays and saves variabilities of systolic pressure, pulse volume, pressure amplitude, pulse frequency, peripheral resistance and vascular expansion from the detected values.
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Management of patient´s care focused on anaesthesia before planned surgical procedure
HOLKUPOVÁ, Klára
This bachelor thesis aims to map the specifics of the duties of a nurse anaesthetist. To meet the goals, 2 main research questions were set: "What activities does a nurse anaesthetist perform?", "What is the role of a nurse anaesthetist in a multidisciplinary team?". The goal is achieved through a qualitative survey, which was conducted in the form of semi-structured interviews with 6 nurse anaesthetists from hospitals in the South Bohemian region. To select and obtain informants, the "snow ball" technique was used. Data collection took place from March to June 2020. The data obtained were coded using the "pencil and paper" method and divided into categories and subcategories. The first part of the work is divided into chapters and subchapters dealing with management, anaesthesia, the profession of a nurse anaesthetist, and patient preparation before surgery. The practical part of the work processes and analyses interviews with nurse anaesthetists, where the open coding method is used to analyse the research data. From the analysis of the obtained data, we received a comprehensive view of the profession of a nurse anaesthetist. Nurse anaesthetists provide nursing care for the patient before, during, and after the operation. Among other things, they prepare the operating room and anaesthesiologic workplaces, and check and prepare the necessary aids and devices. During the provision of comprehensive patient care, the nurses mention communication and cooperation with all members of the multidisciplinary team as an indispensable part. Team members communicate with each other, work together, and help each other to ensure quality patient care. The bachelor's thesis can serve in practice as a motivation for general nurse students to further their education and to perform the profession of a nurse anaesthetist. The whole work aims to explain the scope of work of a nurse anaesthetist. The output of this work is a professional article mediating information for medical staff in a professional periodical.
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Endothelial Glycocalyx - Diagnostic Approach and Intervention Assesment
Pouska, Jiří ; Beneš, Jan (advisor) ; Málek, Jiří (referee) ; Štourač, Petr (referee)
UNIVERZITA KARLOVA Lékařská fakulta v Plzni Dizertační práce Endothelial glycocalyx - diagnostic approach and intervention assessment MUDr.Jiří Pouska ABSTRACT Endothelial glycocalyx (EG) is fine structure on the surface of endothelium. After extensive research in past years, revisited Starling principle was finally formulated. It describes fluid physiology in capillaries precisely. EG has pivotal role in keeping endothelium semipermeable and thus avoiding extensive filtration of fluids to interstitium. Assessment of EG is clinically difficult. Many pathological conditions lead to damage of EG (sepsis etc.). Intravenous fluid therapy is mainstay of treatment of such conditions. Our aim was to determine the changes of EG integrity depending on the choice of intravenous fluid and its infusion time in physiological and pathological conditions. Key words: Endothelial glycocalyx, infusion therapy, anaesthesia, sepsis, microcirculation.
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Nursing care in anestesiology for a patient undergoing endarterectomy
Mocková, Karolína ; Di Cara, Veronika (advisor) ; Pucholtová, Romana (referee)
The subject of my bachelor thesis is a description of nursing process for the patients in anesthesia during the endarterectomy. By myself, I find this topic very interesting, because the disease of the cerebrovascular system is currently the most frequent disease. Stenosis of carotids is responsible for the one-third cases of stroke. In most cases is asymptomatic. Stenosis of carotids is more frequent in the age of 60 and higher. The goal of my bachelor thesis is to describe the nursing process on the operating theatre during the endarterectomy and the differences in the nursing process for the patients in a general anesthesia and locoregional anesthesia. Point out the importance of the cooperation between anesthesiology team and surgical team. In my bachelor thesis, I used the method of the case study of the patient on the operating theatre in the county hospital. For my thesis I have used following sources: Czech or foreign professional literature, Czech or foreign scientific articles, my own observations and providing professional nursing care, interview with the patient, information from health care personnel and patient's medical documentation. Analyzing of the nursing care I found that the healthcare professionals follow the nursing standards and recommended procedures. I found also the...
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Monitoring quality indikators of anesthesilogy care
Šimonová, Petra ; Jeřábková, Lenka (advisor) ; Dynáková, Šárka (referee)
Safety and quality of care are considered to be one of the main priorities in anaesthesia and their management and monitoring should be continuous and systematic. Quality indicators in anaesthesia must be frequently evaluated. Their evidence and evaluation create not only safe environment for patients but also continuously improve quality of anaesthesiologic care. The main objective of this diploma thesis was to evaluate patient's satisfaction with provided anaesthesiologic care, one of the main quality indicators in anaesthesia. Other objectives were research of quality indicators recommended in the Czech Republic and quality indicators recommended by foreign medical societies. The last partial objective was to create quality indicators checklist tailored for specific department of anaesthesiology based on collected data. Quantitative method research was conducted, using unstandardised questionnaire for patients, hospitalized and anaesthetised. 140 questionnaires were distributed of which 117 questionnaires returned. Based on objective the author of diploma thesis found out that Czech society of anaesthesia, resuscitation and intensive care determines quality indicators monitored in the Czech Republic. Quality indicators in foreign countries are in form of criteria that are necessary to adhere to....
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Prevention of perioperative hypothermia
Miketová, Štěpánka ; Heczková, Jana (advisor) ; Hakenová, Renata (referee)
Perioperative hypothermia, defined as a core body temperature lower than 36řC, is associated with increased perioperative complications and prolonged hospitalization. The aim of this thesis is to analyze measures that are taken to prevent perioperative hypothermia at the Orthopedic Clinic of one Czech hospital and compare them with the current recommendations of the American Society of PeriAnesthesia Nurses, Association of Operating Room Nurses and the National Institute for Health and Care Excellence. The study included 223 patients who underwent a planned orthopedic surgery and who were more than 18 years old. As a method of data collection I chose studying the medical documentation. The obtained data were processed quantitatively. The recommended body temperature range 36.5-37.5řC before leaving an operating room had total of 60.55% of cases. Neither one patient has been no action in terms of prevention of hypothermia. Body temperature was taken in 22.4% of cases at the beginning of and during the surgery. Except for a cotton sheet, which was used in 100% of patients, no additional measures were taken in 18,4% of patients. Thermal insulation was used in 41,7% of patients, in-line warming system of infusion fluids in 65% of patients, forced air warming system in 17.9% of patients, and disposable...
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Determination of Blood Pressure
Plch, Miroslav ; Smital, Lukáš (referee) ; Čmiel, Vratislav (advisor)
The thesis includes a general introduction to monitoring and measurement of blood pressure of horses, the design of algorithms for pressure curve detection and the calculation of respiratory variabilities in mechanical ventilation under anaesthesia. The first two chapters focus on anatomy, on characteristics of blood flow and on vascular system. Then it deals with the measurement of blood pressure, monitoring of a horse under anaesthesia and it describes particular thermodynamic parameters. In the following part of the thesis, the methods of pressure curve detection are described. The last part contains the description of an algorithm designed for detection of pressure curve of horses in the environment of the program LabVIEW. The program calculates, displays and saves variabilities of systolic pressure, pulse volume, pressure amplitude, pulse frequency, peripheral resistance and vascular expansion from the detected values.
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Specifics of Perioperative nursing Care of Seniors from the Point of View an Anaesthesia Nurse
VRÁNOVÁ, Magdaléna
The theoretical part of the thesis is focused on nursing care of seniors during perioperative period from the point of view of an anaesthesia nurse. It is divided into a general and a special part. The general part deals with nursing care approach to a senior, with psychosocial aspects of hospitalization, his/her needs, communication barriers and educational specifics. It also covers the issues of operation in old age, psychosomatic changes and their consequences for anaesthesia care. The theory in the specialized part is divided into preoperative, intraoperative and postoperative care in relation to anaesthesia administration.The first goal of the bachelor thesis was to examine the importance of anaesthesia department from senior?s view. The second goal was to determine the importance of anaesthesia department from the view of an anaesthesia nurse and the third goal was to map nursing care of a senior at an operation theatre in relation to anaesthesia.Qualitative research form, the questioning method was applied to information collection. Non-standardized interview with general nurses and seniors was the data collection technique. The research results show that an anaesthesia department is beneficial from seniors? view.It has also been found that nurses consider the anaesthesia department useful particularly for seniors. The benefit for the nurses themselves has still certain imperfections, particularly in sharing information on nursing care with an anaesthesia nurse. The research in nursing care at the operation theatre shows that anaesthesia nurses participate in the continuity of perioperative care of a senior just partially. They are aware the specifics of care about seniors in intraoperation period and differentiate satisfaction of the needs. The thesis might serve as educational material for nurses involved in perioperative care and nurses in specialization education. Documentation was elaborated from the conclusion of the empirical part upon the found drawbacks, particular ideas of the nurses and in compliance with the procedures recommended by the informed public. A brochure Anaesthesiology Guide was elaborated to make cooperation between a nurse and a senior easier.
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Educational activity of a nurse in perioperative care
FOTROVÁ, Miluše
description of work This paper is devoted to the questions of the education in operating theatres through perioperative nurses. The paper defined the objectives and research questions. Objective 1: To determine the difference in educational activities of a perioperative nurse in selected operating theatres in the Hospital České Budějovice, AG. The objective was accomplished, and the educational methods comply with the orientation of the operating theatres in the relevant departments. The respondents agree on the most used method, which is an interview. Objective 2: To determine the difference in the education through a perioperative nurse in the general and local anaesthesia. The objective was accomplished. Diversity of the education for the local anaesthesia consists primarily in the approach to a patient, where the respondents reported a closer individual contact towards an operated patient. The nurses agree on that during the local anaesthesia they interpret a detailed explanation to the patient to the following surgery in terms of nursing care, and they talk actively to the patient, and inform him throughout the whole period of the surgery process. The objectives of the paper were defined by four research questions. Question 1. What are the educational methods used through the perioperative nurses? The respondents reported unanimously the method of an interview, an explaining, a work with text - leaflets, brochures; further they indicated a photo-documentation and educational books, although they are not used in the operating theatres in questions. Question 2. What method is considered by the perioperative nurses as the most beneficial for the patient? The respondents reported unanimously the method of an interview, six of the respondents stated the work with a text - leaflets, brochures. Question 3. In what manner proceeds the education on the selected operating theatres in the Hospital České Budějovice, AG? All nine nurses consistently reported that they conduct the education in a corridor on the day of surgery. Here the acting nurse acquaints the patient with the operating theatre environment, explains and performs a nursing preparation according to the department practices, instructs the patient about his position on the operating table. Question 4. What is the difference in the education of the patient through the perioperative nurse before the surgery in general and local anaesthesia? According to the nurses´ opinion, the difference lies by the local anaesthesia in a more individual access to the patient, when the method of detailed explanation is used. The nurses talk to the patient throughout the whole performance.
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