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Title:Zdravljenje pacientov s traheostomo na Kliničnem oddelku za nevrokirurgijo UKC Ljubljana - retrospektivna študija
Authors:ID Mužina, Luka (Author)
ID Mirković, Tomislav (Mentor) More about this mentor... New window
Files:.pdf 3927$$muzina_magistrska_-_oddaja.pdf (1,65 MB)
MD5: C69DD00B37082BA5122C5CA36ED79731
 
Language:Slovenian
Work type:Master's thesis/paper
Organization:UNM FZV - University of Novo mesto - Faculty of Health Sciences
Abstract:Izhodišča: Čeprav traheostomska kanila omogoča preživetje, pomembno vpliva na kakovost življenja bolnikov in predstavlja pomemben mejnik za sprejem v rehabilitacijske in oskrbovalne ustavove. Rehabilitacija, katere cilj je dekanilacija, predstavlja kompleksen in pogosto dolgotrajen proces, ki zahteva individualiziran pristop. Namen raziskave je bil ugotoviti najpogostejše razloge za nezmožnost dekanilacije pri bolnikih, hospitaliziranih na nevrokirurškem oddelku ter identificirati dejavnike, ki so povezani z večjo verjetnostjo uspešne dekanilacije. Metode: Analizirali smo 20 bolnikov, ki so bili v letu 2024 hospitalizirani na Kliničnem oddelku za nevrokirurgijo UKC Ljubljana. Bolnike, pri katerih je bila dekanilacija uspešna, smo primerjali s tistimi, pri katerih ta ni bila izvedena. Analiza je vključevala oceno ravni zavesti, sodelovanja, mobilnosti, sposobnosti dihanja ob zaprti kanili, prisotnosti komorbidnosti in drugih dejavnikov, ki lahko vplivajo na izid dekanilacije. Rezultati: Uspešna dekanilacija je povezana z višjo stopnjo zavesti in sodelovanja, višjo stopnjo mobilnosti ter manjšo potrebo po aspiracijah med hospitalizacijo. Daljši čas dihanja ob zaprti kanili nakazuje ugoden napovedni trend uspešne dekanilacije. Prisotnost komorbidnosti je bila povezana s slabšim izidom dekanilacije. Razprava: Obstoječi protokol, uporabljen na Kliničnem oddelku za nevrokirurgijo, je ustrezen in skladen z literaturo. Priporočamo vključitev meritve Peak Cough Flow v protokol obravnave bolnikov za oceno dekanilacije. Ključna ostaja celostna obravnava bolnika ob upoštevanju celostnega vidika in komorbidnosti bolnika.
Keywords:respiratorna fizioterapija, nevrokirurgija, traheostomska kanila, rehabilitacija, dekanilacija
Year of publishing:2025
PID:20.500.12556/ReVIS-12224 New window
Publication date in ReVIS:18.09.2025
Views:40
Downloads:4
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Secondary language

Language:English
Title:Treatment of patients with tracheostomy at the Clinical Department of Neurosurgery, University Medical Centre Ljubljana - a retrospective study
Abstract:Introduction: Although it enables survival, a tracheostomy tube significantly affects patients’ quality of life and it serves as a key criterion for entry into rehabilitation and care facilities. Rehabilitation, which aims at decannulation, represents a complex and often prolonged process that requires an individualized approach. The purpose of this research was to identify the most important causes preventing successful decannulation in neurosurgical patients and to determine which factors are associated with a high probability of successful decannulation. Methods: We analyzed 20 patients who were hospitalized at the Clinical Department of Neurosurgery at the Ljubljana University Medical Centre in 2024. We compared successfully decannulated and non-decannulated patients in terms of consciousness, cooperation, mobility, ability and duration of breathing with a capped tube, comorbidities, and other factors that may influence decannulation outcomes. Results: Successful decannulation is associated with a higher level of consciousness and cooperation, greater mobility, and a reduced need for aspiration during hospitalization. Ability to tolerate tube capping for a longer period indicates a favorable predictive trend for successful decannulation. The presence of comorbidities was associated with poorer decannulation outcomes. Discussion: The current protocol used in the Clinical Neurosurgery Department appears appropriate and is consistent with existing literature. However, it is recommended to incorporate Peak Cough Flow measurement into the decannulation protocol. A comprehensive and multidisciplinary approach to patient care remains essential, with careful consideration of both clinical status and comorbidities.
Keywords:respiratory physiotherapy, neurosurgery, tracheostomy tube, rehabilitation, decannulation


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