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Design of Single Hyperbaric Chamber
Trněná, Eliška ; Paliatka, Peter (referee) ; Rubínová, Dana (advisor)
The topic of the diploma thesis is the design of a monoplace hyperbaric chamber for medical use. The aim of the work is to create a design respecting technological and ergonomic requirements for safe and comfortable operation of the device. The design is based on the current state of knowledge, its shape respects the target environment of the device and is focused on details that provide the patient and hospital staff with comfort. Important design elements are cover of the pressure capsule, incorporating the compressor and auxiliary accessories into the overall shaping and increasing the general aesthetic level of the device compared to competing products.
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Hyperbaric Oxygen Therapy in Intensive Care from the Perspective of Nurses
KRAJÍCOVÁ, Dominika
This diploma thesis deals with the work of nurses taking care of patients in intensive care during hyperbaric oxygen therapy. The theoretical part of this thesis summarizes current knowledge in the field of hyperbaric medicine. The practical part of the thesis applies to the particular experiences of nurses, which accompany the patients during therapy. The thesis studies how the nurses are trained, how they prepare the patient, and how they perceive the work in hyperbaric conditions. The nurses work in two different workplaces, which are compared.
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Design of Single Hyperbaric Chamber
Trněná, Eliška ; Paliatka, Peter (referee) ; Rubínová, Dana (advisor)
The topic of the diploma thesis is the design of a monoplace hyperbaric chamber for medical use. The aim of the work is to create a design respecting technological and ergonomic requirements for safe and comfortable operation of the device. The design is based on the current state of knowledge, its shape respects the target environment of the device and is focused on details that provide the patient and hospital staff with comfort. Important design elements are cover of the pressure capsule, incorporating the compressor and auxiliary accessories into the overall shaping and increasing the general aesthetic level of the device compared to competing products.
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Care of pacients intoxicaded by carbon monoxide
FORMANKA, Matěj
The topic of this thesis is the care of the patients intoxicated with carbon monoxide. Carbon monoxide ranks first among random poisonings in Europe. Therefore it is a significant socio-economic problem. The thesis is divided into the theoretical and practical part. The theoretical part describes the physical features of carbon monoxide and the ways it reaches the human body. It also describes the anatomy of the respiratory tract, breathing physiology and pathophysiological processes in the human body that are caused by carbon monoxide. The thesis describes possible sources of carbon monoxide, clinical symptoms of poisoning, diagnosis and treatment methods. In the practical part, the research is conducted using a qualitative method - interviews. The practical part has two goals. The first goal is to map the level of paramedics' knowledge of carbon monoxide intoxication. The second goal is to find out if paramedics are able to provide patients poisoned by carbon monoxide with adequate care and also to find out what care is given to them. The research sample consists of two groups of respondents. The first group is paramedics working in pre-hospital emergency care and the other are nurses working in the intensive care unit. Research has shown that respondents have good knowledge of carbon monoxide poisoning. The greatest drawbacks were found in the knowledge of the pathophysiology of carbon monoxide poisoning. The most of the problems were related to these drawbacks. In a field of care have been discovered some facts, that could cause problems. For example, the fact that there is only one hyperbaric medicine center in the whole Moravia region or the lack of CO-oximeters in the paramedics' equipment.
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Care of pacients intoxicaded by carbon monoxide
FORMANKA, Matěj
Theme of this bachleor thesis is care of pacients intoxicaded by carbon monoxide. Carbon monoxide occupies the fist place among accidental poisoning in Europe. This means, it is a big social-economic problem. Theoretical part describes physical attributes od carbon monoxide a his ways, by which it enters the human body. Further it describes the anatomy of airways, physiology of breathing and pathophysiological proces, which carbon monoxide causes in human body. There are described posibble sources of carbon monoxide, clinical symptoms, diagnostics and a way of threatment. In practical part, the research is processed by qualitative method using dialog. The practical part had two objects. The first object was to chart a level of knowlege of health professionals about carbon monoxide poisonning. The second object was to find out, if health professionals are able to provide an adequate care to pacients intoxicaded by carbon monoxide and to find out what kind of care is provided to pacients. The research sample was formed by two groups of respondents. The first group were paramedics, who work in pre-hospital emergency care. The second group were nurses, who work on a intensive care unit in a hospital. The research showed that the respondents have quite good knowlege about carbon monoxide poisoning. The biggest deficiency was discovered in knowlege of phatophysiology of carbon monoxide poisonynig. Most ignorace was related to this problem. In knowlege and provision of care were found some facts, which can cause problems. For example the fact, that there is ony one hyperbaric oxygen therapy centre in a whole Moravia, or missing pulse co-oxymeters in paramedics quipment.
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The impact of patient´s preparation on the progress of treatment in hyperbaric chamber.
KREJČOVÁ, Zuzana
Hyperbaric oxygen therapy is a treatment method that involves inhalation of 100% oxygen, and under higher pressure than the atmospheric. Blood has the ability to deliver more oxygen authorities. Treatment takes place in facilities called the hyperbaric chamber. During treatment, patients must adhere to certain principles that are given by the doctors and nurses working in these workplaces.The main objectives of this thesis were to map the influence of preparation on the course of treatment in a hyperbaric chamber and to determine how the patients are instructed by nurses during treatment in the hyperbaric chamber. Three research questions were set up to clarify how the preparation affects the patient during treatment in a hyperbaric chamber, as the patient is educated before treatment and what output the patient receives after leaving the hyperbaric chamber. In order to fulfill the objectives qualitative research methods were done, using a semi structured interview. The survey was conducted in two selected hospitals, in the České Budejovice Hospital, and at the University Hospital Plzeň - Lochotin. An individual, semi-structured interview was used as data collection technique, which was initially recorded on a cell phone and then transcribed into written form. At the beginning of the research interviews were conducted with nurses, who gave a comprehensive view of their job description. These conversations only complement the research. We included the brochure with basic information in our research and that was supplemented by information obtained from these interviews. The sample included patients treated in a hyperbaric chamber. They were subsequently divided into three subgroups. The first subgroup consisted of chronic patients, the second subgroup of patients undergoing hyperbaric oxygen therapy for the first time and who got the booklet with background information before their first exposure and in the third were also new patients but who were given a booklet after their first exposure. The survey was conducted in January and February 2015. Analyzed data formed four categories. Careful preparation of the patient is an essential part of treatment in a hyperbaric chamber, largely because of the specificity of this treatment, which consists mainly of placing the patient in an enclosed space, the need for a breathing mask and the inability to quickly leave the hyperbaric chamber without health risks. Therapy in a hyperbaric chamber alone is, in compliance with the indication, contraindication and dosing schedules and well-executed preparation, relatively safe and simple. From the above mentioned reasons it is necessary that the nurses in the area are sufficiently educated and that the patient who enters the hyperbaric chamber is properly prepared. Nurses educate each patient just before their first exposure, but also before every following one. There is very much information given to patients during preparation for entry into a hyperbaric chamber. The research showed that almost all the respondents had difficulty to remember all the details. Nurses tell them about hyperbaroxy essence, indications, contraindications, the exposure pattern, they select a breathing mask with them, and teach the patients to equalize the pressure in their ears, check their clothes and what they have with them. The nurses also check whether they are greased with creams, makeup and other cosmetics, and in the case of wounds if they are treated using a moist treatment instead of greasy. Before each exposure, the patient is asked about their health (a cold is a contraindication), their blood pressure is measured and the necessary nasal drops are applied. Precisely because of the considerable amount of information that patients get at their first exposure, we decided to include the booklet, which contains basic information for patients who are treated in a hyperbaric chamber for the first time, in our research.
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Application of hyperbaric oxygen therapy in nursing care for patients suffering from sensorineural hearing impairment
VOKURKOVÁ, Gabriela
Hyperbaric oxygen therapy is a treatment method using the effect of oxygen inhaled under increased atmospheric pressure. This leads not only to a complete saturation of hemoglobin by oxygen but also to an important increase of oxygen dissolved in plasma. The oxygen dissolved in body fluids is able to ensure the basal metabolic rate of hypotoxic tissue. Auricular medicine applies hyperbaric oxygen therapy to treatment of hearing impairment and tinnitus. Sensorineural hearing impairments, i e. impairments caused by disfunctions in the inner ear, can be treated by HBO. Acute, sudden sensorineural hearing impairments are indicated for HBO treatment. Patients with an impairment of the inner ear of lesser extent and impact have a greater chance to be treated by HBO successfully. The paper aimed at determining whether the HBO treatment is more effective than the common medicamentous therapy for the sensorineural hearing impairment. The following hypotheses were set for the research survey. H1: By means of HBO treatment sensorineural hearing impairment can be improved. H2: HBO treatment is more effective than common medicamentous therapy for sensorineural hearing impairment. H3: HBO treatment reduces tinnitus in sensorineural hearing impairment more frequently than medicamentous treatment. H4: Nurses know the principles of nursing care for patients undergoing HBO treatment. H5: Patients undergoing HBO treatment have sufficient information on safety measures. All set hypotheses have been confirmed and the goal of the paper has been fulfilled. The research survey was successful and much interesting information was received that is to be used to improve the care for patients, especially in co-operation with ULZ Praha (Institute of aviation medicine), that is interested in the results of the research survey in order to to apply them in its practice.
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