Title Važnost održavanja dišnog puta u vanbolničkim uvjetima
Title (english) The importance of prehospital airway menagement
Author Toni Tokić
Mentor Zvonimir Parčina (mentor)
Committee member Mario Podrug (predsjednik povjerenstva)
Committee member Mario Marendić (član povjerenstva)
Committee member Zvonimir Parčina (član povjerenstva)
Granter University of Split (University Department of Health Studies) Split
Defense date and country 2022-12-15, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences
Abstract Zbrinjavanje dišnog puta je jedan od ključnih elemenata kod pružanja pomoći pacijentu sa ili bez
opstrukcije dišnog puta posebno kad se radi o vanbolničkim uvjetima. Posebno kad je poznato da već koju minutu po
prestanku opskrbe stanica moždanog korteksa kisikom, one odumiru. Stoga, već po dolasku, najbitnije je provjeriti
eventualno postojanje stranog tijela, a zatim se pristupa manualnim metodama kao što su zabacivanje glave i podizanje
brade ili pak potiskivanje donje čeljusti prema naprijed. Nakon toga prohodnost se osigurava pomagalima tipa
orofaringealni i nazofaringealni tubus. Tako se omogućava normalno disanje kod osoba koje samostalno dišu. Ipak,
ovo je kontraindicirano kod osoba koje se opiru ili imaju nadražaj na povraćanje. To je razlog zašto oprema za sukciju
uvijek treba biti pri ruci. U slučajevima respiratornog aresta za osiguravanje dišnog puta te za kvalitetnu ventilaciju i
oksigenaciju, potrebne su naprednije tehnike i pomagala kao što je endotrahealna intubacija koja se s godinama
nametnula kao zlatni standard. Ipak, u slučaju nemogućnosti iste ili pak otežanog samog postupka, u cilju što manjeg
gubljenja vremena, prohodnost dišnog puta se uspostavlja alterantivnim pomagalima poznatijima kao supraglotička
pomagala. Njihova je prednost brzo i efikasno postavljanje čak i kod osoba manje vještih endotrahealnoj intubaciji
uzevši u obzir važnost što ranije uspostave adekvatne ventilacije. U slučajevima kada je riječ o opstrukciji gornjih
dišnih puteva iznad glotisa, ni jedna od ovih tehnika nije moguća zbog čega se pristupa krikotiroidotomiji. I tek nakon
što je diši put osiguran pristupa se ventilaciji, kontroliranoj ili asistriranoj, a sve u cilju postizanja zadovoljavajuće
oksigenacije.
Abstract (english) Airway management is one of the crucial parts in taking care of the patient with or without the airway
obstruction especially in prehospital setting. Especially when it is generally known that only a few minutes after the
cessation of oxygen supply brain cortex cell die. Therefore, immediately upon arrival, the most important thing is to
check the airway for foreign body and then by using basic manual methods, head tilt and chin lift or jaw-thrust, to
ensure the airway with the adjunct to airway techniques such as oropharyngeal and nasopharyngeal tubes. This allows
normal ventilation in persons who are breathing on their own. Still, this is contrindicated in people who resist or have
irritation on vomiting. That is why suction system must always be ready for use. In situation respiratory arrest, in order
to provide the airway, especially for providing high-quality ventilation and oxygenation, advanced techniques like
endotracheal intubation are needed. With years it become a gold standard. In a situation with a difficult intubation or
in inability to do so, in order to waste as little time as possible, it is important to consider alternative techniques such
as supraglottic devices. Their advantage is fast and efficient installation even in less skilled people taking into account
the importance of establishing the airwy as soon as possible. In the case of obstruction of the upper airway above
glottis, none of the te mentioned techniques will be possible which is why it is approached to cricothyroidotomy. And
only after ensuring airway high-quality ventilation, controlled or assisted, must be provided in order to ensure efficient
oxygenation.
Keywords
endotrahealna intubacija
izvanbolnički uvjeti
oksigenacija i ventilacija
supraglotička pomagala
zbrinjavanje dišnoga puta
Keywords (english)
airway management
endotracheal intubation
oxygenation and ventilation
prehospital setting
supraglottic devices
Language croatian
URN:NBN urn:nbn:hr:176:242519
Study programme Title: Nursing (university/undergraduate) Study programme type: university Study level: undergraduate Academic / professional title: sveučilišni prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva (sveučilišni prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Repository Repository of the University Department for Health Studies, University of Split
Created on 2022-12-15 11:32:47