Problematika monitoriranja i kontinuiranog snimanja srčane električne aktivnosti

master's thesis

• Title (english): Cardiac electrical activity monitoring and continious recording troubleshooting
• Author: Iva Smiljan Benko
• Mentor: Nikola Bulj (mentor)
• Committee member: Boško Skorić (predsjednik povjerenstva)
• Committee member: Matias Trbušić (član povjerenstva)
• Committee member: Nikola Bulj (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Internal Medicine); Zagreb
• Defense date and country: 2021-09-29, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Internal Medicine

Abstract

Monitoring vitalnih znakova je osnova zbrinjavanja kritično oboljelih pacijenata. Minimalne promjene koje bi mogle predstavljati normalne pomake kod zdravih pojedinaca, mogu signalizirati rane odmake kod vitalno ugroženih. Snimanje i monitoriranje EKG-a su jedan od najčešćih dijagnostičkih testova koji su redovito korišteni od strane medicinskih profesionalaca. Posebnu pozornost potrebno je posvetiti načinu korištenja opreme kako bi EKG zapisi bilo što adekvatniji, a istovremeno njihova interpretacija ne bi rezultirala donošenjem krive dijagnoze i primjenom krive terapije. Uz ubrzani razvoj dijagnostičkih i intervencijskih postupaka, tehnologija je omogućila kontinuirani prikaz EKG zapisa, ali njihova preciznost i dalje nije osigurana. S tisućama uređaja i specijalizirane opreme u upotrebi u zdravstvenim ustanovama diljem svijeta, sigurnost i prevencija pogrešaka moraju biti prioritet (Mattox E, 2012). Kako bi uspješno rješavale problematiku snimanja i praćenja EKG-a, medicinske sestre moraju ovladati vještinama procjene tehnologije i stalno preispitivati točnost dobivenih rezultata. Prekomjerna upotreba tehnologije povećava opterećenje osoblja, a ne mora nužno poboljšati ishode liječenja pacijenata. Prepoznavanje artefakata i drugih poteškoća koje proizlaze od micanja pacijenta, vanjske električne interferencije i krivo postavljenih EKG elektrodi u konačnici će rezultirati poboljšanim ishodima (Baranchuk A, Shaw C, Alanazi H et al, 2009). Uz poznavanje dostupnih tehnologija, iskustvo medicinskih sestara i osnovno poznavanje interpretacije EKG-a od vitalne su važnosti.

Abstract (english)

Monitoring of vital signs is a cornerstone of management of the critically ill patient. Subtle changes that might represent normal shifts in a healthy person may signal early decline for those in critical states. ECG recording and monitoring is one of the most common techniques continiuosly used by medical proffessionals in health care. A carfeul attention should be given to equipment setting so that ECG recordings would be as useful as possible and at the same time their interpretation would not result in making a wrong diagnosis and applying the wrong therapy. In addition to the rapid growth of diagnostic and interventional procedures, technology has allowed for most ECG recordings to be continuosly displayed but accuracy is not always ensured. With thousands of devices and specialized equipment in use in health institutions across the world, safety and error prevention must be a priority (Mattox E, 2012). In order to successfully manage the issues of ECG recording and monitoring, nurses must also master technology evaluation skills and continuously question the accuracy of produced results. Overuse of technology increases staff workload while not necessarily improving patient outcomes. Recognizing artifacts and other pitfalls resulting from patient movement, outside electrical interference, and misplaced electrodes and leads will ultimately result in improved patient outcomes (Baranchuk A, Shaw C, Alanazi H et al, 2009). In addition to knowledge of available technologies, nursing experience and basic ECG interpretation knowledge is of vital importance.

• Keywords: Elektrokardiogram; EKG monitoring; problematika EKG snimanja; medicinska sestra; zdravstvena njega
• Keywords (english): Electrocardiogram; ECG monitoring; ECG recording troubleshoot; nurse; nursing care
• Language: croatian
• URN:NBN: urn:nbn:hr:105:794474
• Study programme: Title: Studies in Nursing; Study programme type: university; Study level: graduate; Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2022-06-08 12:19:09