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Title:Preprečevanje ventilatorske pljučnice z zaprto oziroma odprto endotrahealno sukcijo : diplomsko delo visokošolskega strokovnega študijskega programa prve bolonjske stopnje Zdravstvena nega
Authors:ID Kolar, Dominik (Author)
ID Salkunič, Šefik (Mentor) More about this mentor... New window
Files:.pdf DIP_Kolar_Dominik_2024.pdf (1,56 MB)
MD5: F734227A03A254102C0128B1E4334E4F
 
Language:Slovenian
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:UAMEU - Alma Mater Europaea University
Abstract:Namen: Namen tega diplomskega dela je bil pregledati literaturo in rezultate o preprečevanju ventilatorske pljučnice z odprto oziroma zaprto endotrahealno sukcijo. Metode: Z metodo povzemanja (kompilacije) smo predstavili izsledke literature, z metodo klasifikacije smo podali različne definicije področja uporabe zaprte ali odprte endotrahealne sukcije za preprečevanje ventilatorske pljučnice, z metodo komparacije pa smo primerjali različna mnenja, rezultate in spoznanja avtorjev na tem področju. Rezultati: Poiskali smo 614 člankov v podatkovnih bazah ScienceDirect, PubMed in CINAHL. Od tega smo s pomočjo vključitvenih in izključitvenih kriterijev in PRISMA sistema izključili neustrezne članke ter duplikate. V končni pregled smo vključili 7 člankov, ki so ustrezali vsem pogojem. Razprava: Ventilatorsko povzročena pljučnica (VAP) se pojavi pri pacientih, ki so na mehanski ventilaciji. Endotrahelna sukcija je ena izmed najbolj pomembnih intervencij, ki jih izvajajo medicinske sestre, saj z njo pripomorejo k čiščenju dihalnih poti in preprečujejo dodatne bakterije v dihalih. Vseh sedem raziskav je potrdilo teorijo o tem, da je endotrahealna sukcija definitivno pripomoček za preprečevanje VAP. Štiri od sedmih raziskav podpirajo in prikazujejo rezultate, da je zaprti način aspiracije priporočljivejši in z več prednostmi v primerjavi z odprtim sistemom, saj preprečuje desaturacijo, kontinuirano mehansko ventilacijo, minimalno odprto pot za bakterije in celo zniževanje stroškov; 75 % teh raziskav pa potrjuje teorijo, da je zaprti sistem sukcije uspešnejši pri preprečevanju VAP. Tri od vseh sedmih raziskav pa niso našle povezave pri preprečevanju VAP med primerjanjem odprte in zaprte aspiracije.
Keywords:ventilatorsko povzročena pljučnica, medicinska sestra, endotrahealna sukcija
Place of publishing:Maribor
Place of performance:Maribor
Publisher:D. Kolar
Year of publishing:2024
Year of performance:2024
Number of pages:36 str.
PID:20.500.12556/ReVIS-11877 New window
COBISS.SI-ID:240956163 New window
UDC:616.24-002(043.2)
Publication date in ReVIS:01.07.2025
Views:50
Downloads:1
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Secondary language

Language:English
Abstract:Aim: The aim of this diploma was to review the literature and results on the prevention of ventilator-associated pneumonia with open and closed endotracheal suction. Method: We used the summarisation method to present the literature findings; the classification method to give different definitions of the scope of closed or open endotracheal suction for the prevention of ventilator-associated pneumonia, and we used the comparison method to compare different authors' opinions, results and findings in this field. Results: 614 articles were searched in ScienceDirect, PubMed and CINAHL databases. Of these, we excluded irrelevant articles and duplicates using inclusion and exclusion criteria and the PRISMA system. We included 7 articles in the final review that met all the criteria. Discussion: Ventilator-associated pneumonia (VAP) is common with patients on ventilator. Endotracheal suctioning is one of the most important interventions that we nurses perform, as it helps to clear the airways and prevent additional bacteria in the airways. All seven studies confirmed the theory that endotracheal suction is definitely an aid to VAP prevention. Four of the seven studies support and demonstrate the results that closed aspiration is preferable and more advantageous to the open system, as it prevents desaturation, continuous mechanical ventilation, minimal open pathway for bacteria and even cost reduction; 75% of these studies support the theory that the closed suction system is more successful in preventing VAP. However, three of the seven studies found no association in preventing VAP when comparing open and closed aspiration.
Keywords:ventilator-associated pneumonia, nurse, endotracheal suction


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