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undergraduate thesis
UČESTALOST UPOTREBE SUPRAGLOTIČKOG I-GEL® POMAGALA U OSIGURAVANJU DIŠNOG PUTA U IZVANBOLNIČKOJ HITNOJ SLUŽBI
rad s istraživanjem
2023. urn:nbn:hr:184:207624
Matijević, Mario
University of Rijeka
Faculty of Health Studies
Department of Midwifery

Cite this document

Matijević, M. (2023). UČESTALOST UPOTREBE SUPRAGLOTIČKOG I-GEL® POMAGALA U OSIGURAVANJU DIŠNOG PUTA U IZVANBOLNIČKOJ HITNOJ SLUŽBI : rad s istraživanjem (Undergraduate thesis). Rijeka: University of Rijeka, Faculty of Health Studies. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:207624

Matijević, Mario. "UČESTALOST UPOTREBE SUPRAGLOTIČKOG I-GEL® POMAGALA U OSIGURAVANJU DIŠNOG PUTA U IZVANBOLNIČKOJ HITNOJ SLUŽBI : rad s istraživanjem." Undergraduate thesis, University of Rijeka, Faculty of Health Studies, 2023. https://urn.nsk.hr/urn:nbn:hr:184:207624

Matijević, Mario. "UČESTALOST UPOTREBE SUPRAGLOTIČKOG I-GEL® POMAGALA U OSIGURAVANJU DIŠNOG PUTA U IZVANBOLNIČKOJ HITNOJ SLUŽBI : rad s istraživanjem." Undergraduate thesis, University of Rijeka, Faculty of Health Studies, 2023. https://urn.nsk.hr/urn:nbn:hr:184:207624

Matijević, M. (2023). 'UČESTALOST UPOTREBE SUPRAGLOTIČKOG I-GEL® POMAGALA U OSIGURAVANJU DIŠNOG PUTA U IZVANBOLNIČKOJ HITNOJ SLUŽBI : rad s istraživanjem', Undergraduate thesis, University of Rijeka, Faculty of Health Studies, accessed 25 May 2024, https://urn.nsk.hr/urn:nbn:hr:184:207624

Matijević M. UČESTALOST UPOTREBE SUPRAGLOTIČKOG I-GEL® POMAGALA U OSIGURAVANJU DIŠNOG PUTA U IZVANBOLNIČKOJ HITNOJ SLUŽBI : rad s istraživanjem [Undergraduate thesis]. Rijeka: University of Rijeka, Faculty of Health Studies; 2023 [cited 2024 May 25] Available at: https://urn.nsk.hr/urn:nbn:hr:184:207624

M. Matijević, "UČESTALOST UPOTREBE SUPRAGLOTIČKOG I-GEL® POMAGALA U OSIGURAVANJU DIŠNOG PUTA U IZVANBOLNIČKOJ HITNOJ SLUŽBI : rad s istraživanjem", Undergraduate thesis, University of Rijeka, Faculty of Health Studies, Rijeka, 2023. Available at: https://urn.nsk.hr/urn:nbn:hr:184:207624

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Metadata
TitleUČESTALOST UPOTREBE SUPRAGLOTIČKOG I-GEL® POMAGALA U OSIGURAVANJU DIŠNOG PUTA U IZVANBOLNIČKOJ HITNOJ SLUŽBI : rad s istraživanjem
Title (english)FREQUENCY OF USE OF SUPRAGLOTTIC I-GEL® ASSISTS IN SECURING THE RESPIRATORY WAY IN OUT-HOSPITAL EMERGENCY SERVICE : research
AuthorMario Matijević
MentorMarin Vlašić (mentor)
Committee memberKata Ivanišević (predsjednik povjerenstva)
Committee memberMarija Bukvić (član povjerenstva)
Committee memberMarin Vlašić (član povjerenstva)
GranterUniversity of Rijeka
Faculty of Health Studies
(Department of Midwifery)
Rijeka
Defense date and country2023-09, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Nursing
Abstract
UVOD: Smjernice Američkog udruženja za srce (AHA), djelatnicima hitne medicinske službe (HMS), preporučuju ventilaciju maskom sa spremnikom kisika i samoširećim balonom u početnom zbrinjavanju, a „zlatnim standardom“ osiguranja dišnih puteva smatra se endotrahealna intubacija (ETI). Pristup zbrinjavanju dišnim putovima trebao bi se temeljiti na razini profesionalne vještine i situaciji s kojom se suočavaju djelatnici HMS. Međutim, ETI zahtjeva posebne vještine i dugogodišnje iskustvo te spada isključivo u liječničke kompetencije. Obzirom da je vrijeme ključno u preživljavanju kod srčanog zastoja, novija istraživanja pozabavila su se pronalaskom jednostavnije metode koja bi omogućila brže, sigurnije i jednostavnije osiguravanje dišnog puta, a da ga mogu primijeniti i medicinske sestre-tehničari (MS/MT) u timu HMS-a. Neke od tih metoda uključuju upotrebu i I-gel® supraglotičnog pomagala. CILJ ISTRAŽIVANJA: Svrha ovog istraživačkog rada je prikazati učestalost i uspješnost upotrebe I-gel® od strane djelatnika HMS-a Zavoda za hitnu medicinu (ZZHM) Primorsko-goranske županije (PGŽ) u početnom zbrinjavanju tijekom 2022. godine te prikazati u kojim situacijama (dijagnozama i vrstama intervencija) se I-gel® najčešće koristi. ISPITANICI I METODE: Podaci su prikupljeni putem elektronskog programa E-hitna ZZHM PGŽ-a. Korišteni su filteri za pretraživanje: Postupak: HM032 - Postavljanje I-gel maske, Period od: 01.01.2022 00:00:00 do: 31.12.2022 23:59:59. Kriterij isključivanja: Dijagnoze R96 – R99. Podaci su obrađeni metodama deskriptivne statistike, opisani apsolutnim frekvencijama i postocima te prikazani grafički i tabelarno. Za pripremu i kategoriziranje varijabli korišten je računalni program Microsoft Excel (verzija 11, Microsoft Corporation, SAD). REZULTATI: Upotreba I-gel® evidentirana je u 202 intervencije. Bolesti krvožilnog sustava (I00-I99) najčešći su razlog izlaska na intervenciju i upotrebu I-gel® (n=140, 69%), od čega najviše srčani arest (n=132, 82%). Prema Hrvatskom indeksu poziva, najviše je poziva označenih kao: A-crveni prioritet (n=168, 83%). Uspješnost preživljavanja do dolaska u zdravstvenu ustanovu prilikom upotrebe I-gel® za sve uključene dijagnoze (osim dijagnoza R96-R99) iznosi 39%. ZAKLJUČAK: Podaci ne mogu poduprijeti rutinsku upotrebu određenog pristupa upravljanju dišnim putovima, ali prema dobivenim podacima i ostalim istraživanjima spomenutim u ovom radu, jasno je da unutar HMS zajednice postoji interes za korištenjem I-gel® i ostalih SGP kao i za usavršavanjem pri postavljanju istih. U svakom slučaju hipoteze rada su potvrđene, a time i potreba za daljnjim usavršavanjem jednostavnijih pristupa zbrinjavanju dišnih puteva u izvanbolničkim uvjetima.
Abstract (english)
INTRODUCTION: Guidelines from the American Heart Association (AHA), emergency medical service (EMS) employees are recommended to ventilate with an oxygen tank mask and a self-expanding balloon in initial care, and the "gold standard" of airway insurance is considered endotracheal intubation (ETI). The approach to airway management should be based on the level of professional skill and the situation faced by EMS employees. However, ETI requires specific skills and many years of experience, and belongs exclusively to medical competences. Given that time is crucial in surviving cardiac arrest, recent research has dealt with finding a simpler method that would enable faster, safer, and easier airway provision, and that it can be applied by nurses-technicians (NT) in the EMS team. Some of these methods include the use of I-gel® supraglottic aids. RESEARCH GOAL: The purpose of this research paper is to show the frequency and success of the use of I-gel® by EMS employees at the Institute of Emergency Medicine (IEM) of Primorje-Gorski Kotar County (PGC) in initial care during 2022, and to show in which situations (diagnoses and types of interventions) I-gel® is most often used. RESPONDENTS AND METHODS: The data were collected through the electronic program E-emergency IEM PGC. Search filters were used: Procedure: HM032 - Setting up i-gel mask, Period from: 01.01.2022 00:00:00 to: 31.12.2022 23:59:59. Exclusion criterion: Diagnoses R96 – R99. The data were processed using descriptive statistics methods, described by absolute frequencies and percentages, and presented graphically and tabularly. To prepare and categorize variables, the Microsoft Excel computer program (version 11, Microsoft Corporation, USA) was used. RESULTS: The use of I-gel® was recorded in 202 interventions. Diseases of the circulatory system (I00-I99) are the most common reason for intervention and use of I-gel® (n =140,69%), of which the most cardiac arrest (n=132.82%). According to the Croatian Call Index, the most calls are marked as: A-red priority (n=168.83%). The success rate of survival until arrival at a health facility when using I-gel® for all included diagnoses (except diagnoses R96-R99) is 39%. CONCLUSION: The data cannot support the routine use of a certain approach to airway management, but according to the data obtained and other research mentioned in this paper, within the HMS community there is an interest in using I-gel® and other SGA as well as for improvement in inserting them. In any case, the hypotheses of the work have been confirmed, and thus the need for further improvement of simpler approaches to respiratory tract management in outpatient conditions.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:184:207624
Study programmeTitle: Professional study of nursing (Biomedicine and Healthcare; clinical medical sciences)
Study programme type: professional
Study level: undergraduate
Academic / professional title: stručni/a prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva (stručni/a prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2023-09-04 15:05:18