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Dokazovanje endotrahealne intubacije s kapnometrijo in ultrazvokom = Confirming of the endotracheal intubation with capnometry and ultrasoundZadel Topić, Sabina ; Strnad, Matej, 1978- ; Grmec, ŠtefekCilj endotrahealne intubacije je zaščititi dihalno pot z vstavitvijo tubusa v trahejo, pomembna pa je tudi prava globina tubusa v traheji. Do sedaj je opisanih kar nekaj metod potrditve lege tubusa, ... kot so klinični pregled, samonapihljiva bučka, ezofagealni detektor, kapnometrija, itd. Klinični pregled se je izkazal za nezanesljivo metodo potrditve lege tubusa v traheji. Kapnometrija je razširjena in dokaj zanesljiva pri potrjevanju endotrahealne intubacije, vendar pa tudi to ni popolna metoda. Zelo obetavne rezultate kažejo raziskave, ki preučujejo uporabnost ultrazvoka (UZ) pri potrjevanju pravilne intubacije. S prospektivno študijo želimo na terenu in v ambulanti SNMP Maribor zbrati 100 intubiranih bolnikov. Do sedaj smo zbrali 29 bolnikov, pri katerih smo beležili osebne podatke, osnovne parametre, rezultate kliničnega pregleda, vrednosti CO2 na koncu izdiha (EtCO2) in z UZ po intubaciji opazovali drsenje plevre ter premikanje prepone. Dosedanji okvirni rezultati so potrdili nezanesljivost kliničnega pregleda, dokaj zanesljivo uporabnost kapnometrije ter nakazali zelo veliko zanesljivost UZ pri potrditvi pravilne trahealne intubacije. Kombinacija vseh metod skupaj ima 100 % specifičnost in 100 % senzitivnost. Čas, ki ga preiskovalec porabi za UZ, je sprejemljiv.Source: Urgentna medicina : izbrana poglavja 2011 : zbornik = Emergency medicine : selected topics [2011] : proceedings (Str. 203-206)Type of material - conference contribution ; adult, seriousPublish date - 2011Language - slovenianCOBISS.SI-ID - 3983167
Author
Zadel Topić, Sabina |
Strnad, Matej, 1978- |
Grmec, Štefek
Topics
Intubation, Intratracheal |
Intratrahealna intubacija |
Cardiopulmonary Resuscitation |
Kardiopulmonalno oživljanje |
Ultrasonography |
Ultrasonografija |
Blood Gas Monitoring, Transcutaneous |
Krvni plini, transkutano merjenje
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Database name | Field | Year |
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Links to authors' personal bibliographies | Links to information on researchers in the SICRIS system |
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Zadel Topić, Sabina | ![]() |
Strnad, Matej, 1978- | 37133 |
Grmec, Štefek | 26218 |
Source: Personal bibliographies
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