- MeSH
- ambulantní péče klasifikace MeSH
- epistaxe * etiologie ošetřování MeSH
- hospitalizace MeSH
- informovaný souhlas pacienta MeSH
- lidé MeSH
- ošetřovatelská diagnóza klasifikace MeSH
- perioperační péče metody MeSH
- předoperační péče metody MeSH
- příjem pacientů MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- přehledy MeSH
BACKGROUND: This study focuses on the hearing threshold for bone conduction (BC) after middle-ear surgery. METHODS: A total of 92 patients (120 ears) were treated for newly diagnosed chronic otitis media with cholesteatoma (2013-2018). BC was examined at frequencies of 0.5, 1, 2, and 4 kHz prior to and 1 year after surgery. STAM classification for cholesteatoma location, EAONO/JOS for stage, and surgery according to SAMEO-ATO classification were applied. The bone conduction threshold was compared for individual frequencies in patients with occurrence/absence of cholesteatoma in different locations. RESULTS: For the occurrence of cholesteatoma in the attic (A), a statistically significant difference was found at 4 kHz (p < 0.001), in the supratubal recess (S1) at 4 kHz (p = 0.003), and for the mastoid (M) at 0.5 kHz (p = 0.024), at 1 kHz (p = 0.032), and at 2 kHz (p = 0.039). CONCLUSIONS: Cholesteatoma location can influence the post-operative hearing threshold for bone conduction.
- Publikační typ
- časopisecké články MeSH
OBJECTIVE: To test the efficacy of the a developed medical device, based on the principle of mechanical support of capillary microperfusion. METHOD: In this pilot study involving experimental animals, each pig had two standardised surgical wounds. A cuff that delivered pneumatic three-second micropulses was applied to the wound designated as the 'experimental wound'. The pressure inside the cuff was kept at a level <10mmHg so that during the pulse, the pressure would decrease by one third of the established value. The second wound, designated as the 'control wound', was covered with a standard dressing. Over the course of five days, the pressure inside the cuff was monitored. After the five days, the experimental animal was euthanised and two specimens were collected for histological analysis (one sample from each wound site). Wound healing parameters for the experimental and control wounds were examined by a pathologist. The level of statistical significance was set at 0.05. RESULTS: In this study, 10 experimental animals were used. The average pressure in the cuffs was 8.46mmHg (standard deviation: 3.86). No disparities in wound healing were observed in cases of different average pressures in the experimental wound. With respect to wound healing parameters, a statistically significant difference (p<0.05) was found in favour of the experimental wound. The occurrence of histological signs of poor healing was identical in both study wounds. CONCLUSION: The study shows that a device for the support of capillary microperfusion of the surgical wound had a positive effect. It was confirmed that the mechanical support system of capillary microperfusion was safe and reliable.
- Publikační typ
- abstrakt z konference MeSH
- MeSH
- kontinuální vzdělávání lékařů MeSH
- otorinolaryngologické chirurgické výkony MeSH
- šicí techniky MeSH
- Publikační typ
- zprávy MeSH
- MeSH
- kontinuální vzdělávání lékařů * MeSH
- otologické chirurgické výkony * MeSH
- spánková kost chirurgie MeSH
- Publikační typ
- zprávy MeSH
Příručka pro praxi
1. vydání 9 stran : ilustrace
Příručka pro lékaře o tonzilektomii.
- MeSH
- krční mandle chirurgie MeSH
- tonzilektomie MeSH
- Publikační typ
- příručky MeSH
- Konspekt
- Ortopedie. Chirurgie. Oftalmologie
- NLK Obory
- otorinolaryngologie
- Klíčová slova
- ošetřovatelská péče, studie, chirurgie krku, péče o rány, syndrom krční krajiny,
- MeSH
- hojení ran MeSH
- kompartment syndrom MeSH
The aim of this article was to describe the phenomenon of neck compartment syndrome and its nursing management. Compartment syndrome is currently known as a potentially serious problem occurring mainly in patients with limb trauma or in patients who underwent abdominal surgery. On the other hand, the scientific literature has devoted little attention to compartment syndrome of the neck. The scientific literature describing the physiology of wound healing was reviewed, with a focus on two factors closely related to wound healing in the neck and potentially affecting the development of neck compartment syndrome: neck bandaging techniques and wound drainage. Current knowledge about neck compartment syndrome was summarized. At present, only limited yet important information is available that may assist nurses and other members of the health care team to implement measures to minimize the risk of neck compartment syndrome. The information that is available about neck compartment syndrome could serve as an impetus for nurses to implement care that aims to prevent neck compartment syndrome. Of equal importance is a coordinated effort by the entire health care team to prevent this complication, or, if it develops, to manage it. This study highlights the importance of realizing that compartment syndrome is a potentially serious complication occurring not only in the commonly known anatomical locations (such as the limbs and the abdomen) but also in the neck. Additional studies shedding more light on this complication – using a nursing as well as a multidisciplinary approach – are needed.
- MeSH
- kompartment syndrom * etiologie ošetřování prevence a kontrola MeSH
- krk * chirurgie MeSH
- lidé MeSH
- pooperační období MeSH
- pooperační péče * metody ošetřování MeSH
- předoperační péče MeSH
- terapie ran pomocí řízeného podtlaku metody MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- práce podpořená grantem MeSH
