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"Spiralni pristop" - oskrba nepričakovano težavne dihalne poti = Vortex approach - management of the unanticipated difficult airwayBorovnik Lesjak, Vesna ; Prosen, Gregor, 1979-V uporabi so številni algoritmi za oskrbo dihalne poti, ki v urgentnih situacijah zaradi rigidne strukture in relativne zapletenosti niso vedno najbolj uporabni. "Spiralnipristop" oz. "Vortex ... approach" je nov predlog univerzalnega algoritma za enostavnejše razumevanje in pristop k oskrbi dihalne poti v vseh primerih. "Spiralni pristop" predstavlja strukturno in vizualno enostavno kognitivno orodje, ki je uporabno v vseh primerih oskrbe težavne dihalne poti ter velja za celoten tim in s tem olajša proces odločanja ter potencialno izboljša kvaliteto oskrbe. Osnovna premisa "Spiralnega pristopa" k oskrbi dihalne poti je dejstvo, da se zdravnik za začetno zadovoljitev kritične oksigenacije lahko odloči med tremi osnovnimi in enakovrednimi pristopi oz. skupinami pripomočkov; t.j., odloči se lahko med endotrahealno intubacijo (ETI), uporabo supraglotičnih pripomočkov ali uporabo dihalnega balona. Ob morebitnem neuspehu katere izmed izbranih metod (trikratni poizkus vsake izmed tehnik; npr. ETI), "Spiralni pristop" zdravnika opominja, da mora nadaljevati z eno izmed preostalih alternativ. Ob neuspehu vseh treh skupin pripomočkov (ETI, supraglotični pripomočki, dihalni balon) je indicirana kirurška oskrba dihalne poti, na kar opominja osrednje mesto te tehnike v vizualni strukturi "Spiralnega pristopa".Source: Urgentna medicina : izbrana poglavja 2013 : zbornik = Emergency medicine : selected topics [2013] : proceedings (Str. 190-192)Type of material - conference contributionPublish date - 2013Language - slovenianCOBISS.SI-ID - 512311352
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Database name | Field | Year |
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Borovnik Lesjak, Vesna | 56279 |
Prosen, Gregor, 1979- | 37131 |
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