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master's thesis
Najčešća stanja koja zahtjevaju mehaničku ventilaciju kod bolesnika u intenzivnoj skrbi Specijalne bolnice za plućne bolesti Rockefellerova
Barišić, Ana
Josip Juraj Strossmayer University of Osijek
Faculty of Dental Medicine and Health Osijek

Cite this document

Barišić, A. (2023). Najčešća stanja koja zahtjevaju mehaničku ventilaciju kod bolesnika u intenzivnoj skrbi Specijalne bolnice za plućne bolesti Rockefellerova (Master's thesis). Osijek: Josip Juraj Strossmayer University of Osijek, Faculty of Dental Medicine and Health Osijek. Retrieved from https://urn.nsk.hr/urn:nbn:hr:243:062987

Barišić, Ana. "Najčešća stanja koja zahtjevaju mehaničku ventilaciju kod bolesnika u intenzivnoj skrbi Specijalne bolnice za plućne bolesti Rockefellerova." Master's thesis, Josip Juraj Strossmayer University of Osijek, Faculty of Dental Medicine and Health Osijek, 2023. https://urn.nsk.hr/urn:nbn:hr:243:062987

Barišić, Ana. "Najčešća stanja koja zahtjevaju mehaničku ventilaciju kod bolesnika u intenzivnoj skrbi Specijalne bolnice za plućne bolesti Rockefellerova." Master's thesis, Josip Juraj Strossmayer University of Osijek, Faculty of Dental Medicine and Health Osijek, 2023. https://urn.nsk.hr/urn:nbn:hr:243:062987

Barišić, A. (2023). 'Najčešća stanja koja zahtjevaju mehaničku ventilaciju kod bolesnika u intenzivnoj skrbi Specijalne bolnice za plućne bolesti Rockefellerova', Master's thesis, Josip Juraj Strossmayer University of Osijek, Faculty of Dental Medicine and Health Osijek, accessed 25 October 2024, https://urn.nsk.hr/urn:nbn:hr:243:062987

Barišić A. Najčešća stanja koja zahtjevaju mehaničku ventilaciju kod bolesnika u intenzivnoj skrbi Specijalne bolnice za plućne bolesti Rockefellerova [Master's thesis]. Osijek: Josip Juraj Strossmayer University of Osijek, Faculty of Dental Medicine and Health Osijek; 2023 [cited 2024 October 25] Available at: https://urn.nsk.hr/urn:nbn:hr:243:062987

A. Barišić, "Najčešća stanja koja zahtjevaju mehaničku ventilaciju kod bolesnika u intenzivnoj skrbi Specijalne bolnice za plućne bolesti Rockefellerova", Master's thesis, Josip Juraj Strossmayer University of Osijek, Faculty of Dental Medicine and Health Osijek, Osijek, 2023. Available at: https://urn.nsk.hr/urn:nbn:hr:243:062987

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Metadata
TitleNajčešća stanja koja zahtjevaju mehaničku ventilaciju kod bolesnika u intenzivnoj skrbi Specijalne bolnice za plućne bolesti Rockefellerova
Title (english)The most common conditions that require mechanical ventilation in patients in intensive care of the Rockefeller Special Hospital for Lung Diseases
AuthorAna Barišić
MentorIgor Filipčić (mentor)
Committee memberSandra Kocijan Lovko (predsjednik povjerenstva)
Committee memberIgor Filipčić (član povjerenstva)
Committee memberDavor Bodor (član povjerenstva)
GranterJosip Juraj Strossmayer University of Osijek
Faculty of Dental Medicine and Health Osijek
Osijek
Defense date and country2023-07-21, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Nursing
Abstract
Ciljevi istraživanja: Analizirati broj bolesnika liječenih na mehaničkoj ventilaciji dulje od 24 sata u periodu od 2018. godine do 2022. godine. Istražiti prosječnu dob te analizirati dobnu i spolnu raspodjelu. Istražiti koja su stanja najčešće zahtijevala liječenje na mehaničkoj ventilaciji. Analizirati bolesnike koji su zadovoljili kriterije za odvajanje od mehaničke ventilacije. Istražiti krajnji ishod liječenja ventilatorom (ekstubirani, dekanilirani, traheotomirani, kronični (doživotni) respiratori) Nacrt studije: Provedeno je retrospektivno povijesno istraživanje u intenzivnoj skrbi Specijalne bolnice za plućne bolesti Rockefellerova. Ispitanici i metode: U istraživanju su sudjelovali bolesnici liječeni u intenzivnoj skrbi u periodu od 2018. godine do 2022. godine. Prikupljeni su podatci iz bolničkog informacijskog sustava. Za opis distribucije frekvencija istraživanih varijabli upotrijebljene su deskriptivne statističke metode. Za provjeru razlika u rezultatima među više kategorijskih varijabli korišten je Fisher's exact test. Kao razinu statističke značajnosti uzeta je vrijednost P<0,05. Za obradu je korišten statistički paket IBM SPSS 25, proizvedeno u Chicago, SAD, 2017. godine. Rezultati: Od početka 2018. godine do kraja 2022. godine na mehaničkoj ventilaciji je liječeno 76 bolesnika. Najčešća stanja koja su prethodila postavljanju bolesnika na mehaničku ventilaciju su akutna respiratorna insuficijencija i akutna respiratorna insuficijencija uzrokovana infekcijom COVID-19. Ostala učestala stanja su respiratorni arest, kardiorespiratorni arest i neuromuskularna bolest. Respiratorno zatajenje često slijedi pogoršanjem osnovne bolesti poput KOPB-a, astme i ARDS-a. Bolesnici koji su zadovoljili kriterije za odvajanje od mehaničke ventilacije, najčešće imaju prisutno spontano disanje, a oni koji se ne odvoje najčešći razlog tome je postojanje slabosti respiratorne muskulature ili neuromuskularna bolest. Smrtnost na respiratoru je iznosila 39,5%, dok je najčešći ishod među preživjelim bolesnicima bio kronični respirator (23,7%). Zaključak: Mehanička ventilacija je metoda liječenja koja u kritičnom stanju bolesnika, spašava život. Može pružiti dostatno vrijeme oporavka od pogoršanja osnovne bolesti koja je dovela do zatajenja disanja. Pravilno upravljanje mehaničkim ventilatorom povećava uspješnost oporavka i odvajanja od respiratora, bez obzira na uzrok spajanja. Veliku ulogu u liječenju i zbrinjavanju bolesnika na mehaničkoj ventilaciji i sprječavanju komplikacija ima cijeli tim intenzivne skrbi; liječnici, medicinske sestre i respiratorni fizioterapeuti.
Abstract (english)
Research Objectives: To analyze the number of patients receiving mechanical ventilation for more than 24 hours from 2018 to 2022. To research the average age and analyze age and gender distribution. To investigate the most common conditions requiring mechanical ventilation. To analyze patients who met criteria for weaning patients from the ventilator. To investigate the final treatment outcomes of ventilation (extubation, decannulation, tracheostomy, chronic lifelong ventilation). Study Design: A retrospective historical research was conducted in the intensive care unit of the Rockefeller Special Hospital for Pulmonary Diseases. Participants and Methods: The study included patients treated in the intensive care unit from 2018 to 2022. Data were collected from the hospital information system. Descriptive statistical methods were used to describe the frequency distribution of the variables under investigation. Fisher's exact test was used to compare results among multiple categorical variables, with a significance level set at P<0.05. Data analysis was performed using the IBM SPSS 25 statistical package, produced in Chicago, USA, in 2017. Results: From the beginning of 2018 to the end of 2022, 76 patients received mechanical ventilation. The most common conditions preceding the initiation of mechanical ventilation were acute respiratory failure and respiratory failure due to COVID-19 infection. Other frequent conditions included respiratory arrest, cardiorespiratory arrest, and neuromuscular disease. Respiratory failure often follows exacerbation of underlying diseases such as COPD, asthma, and ARDS. Patients who meet the criteria for weaning from mechanical ventilation most commonly exhibit spontaneous breathing, while the presence of respiratory muscle weakness or neuromuscular disease was the most common reason for unsuccessful weaning. The mortality rate while on the ventilator was 39.5%, with the most common outcome among survivors being chronic lifelong ventilation (23.7%). Conclusion: Mechanical ventilation is a life-saving treatment method for critically ill patients. It provides sufficient time for recovery from the exacerbation of the underlying disease leading to respiratory failure. Proper management of mechanical ventilation improves the success of recovery and weaning, regardless of the cause of ventilation. The entire intensive care team, including physicians, nurses, and respiratory therapists, plays a significant role in the treatment and care of patients on mechanical ventilation and the prevention of complications.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:243:062987
Study programmeTitle: University Graduate Study of Nursing
Study programme type: university
Study level: graduate
Academic / professional title: magistar/ magistra sestrinstva (magistar/ magistra sestrinstva)
Type of resourceText
File originBorn digital
Access conditionsAccess restricted to students and staff of home institution
Terms of useLicence In copyright icon
Created on2024-05-09 09:39:31