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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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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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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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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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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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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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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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