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Oskrba dihalne poti v predbolnišničnem okoljuProsen, Gregor, 1979- ; Zadel Topić, SabinaOskrba dihalne poti ter zadostna oksigenacija in ventilacija sta piva nujna koraka pri oskrbi kritično bolnega (ABCDE pristop). Za pravočasno oskrbo dihalne poti je potrebna takojšnja prepoznava ... ogroženosti ter hitro, usklajenoin predvsem uspešno ukrepanje. Za zagotovitev dihalne poti imamo na voljo osnovne in napredne postopke/pripomočke. Vsak reševalec mora biti brezpogojno usposobljen za oskrbo dihalne poti z osnovnimi postopki/pripomočkiin poznati zaporedje postopkov pri naprednih metodah oskrbedihalne poti. Zlati standard in končna metoda je endotrahealna intubacija ki jo v urgentni medicini opravimo po metodi RSI oz. kateri od primernih modifikacij le-te. Ker gre pri RSI za globoko sedacijo in mišično paralizo za uspešnejšo vstavitev endotrahealnega tubusa, ni možnega nobenega popravnega izpiti - ob neuspešni oskrbi dihalne poti oz. vsaj oksigenaciji sledi smrt. Zato se je na RSI postopek intubacije potrebno pripraviti, predvsem pa biti sposoben dihalno pot oskrbeti tudi z drugimi rešujočimi postopki oz. pripomočki ("plan B" in "plan C'!)Source: Zbornik predavanj (Str. 6-12)Type of material - conference contribution ; adult, seriousPublish date - 2012Language - slovenianCOBISS.SI-ID - 512210744
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Prosen, Gregor, 1979- | 37131 |
Zadel Topić, Sabina |
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