· Ekstubatsioon on intubatsioonitoru eemaldamine kui laps on isehingamiseks võimeline. de tagab, et intubatsioonitoru eemaldatakse plaaniliselt, mitte juhuslikult. Et seda ei juhtuks on vajalik tagada patsiendile rahulolu ja fikseerida intubatsioonitoru kindalt. ALLIKALOEND Adamson, V. 2007. SA TÜK Infektsioonikontrolliteenistuse raport. Aitkenhead, A. R., Smith, G., Rowbotham, D. J.(toim.) 2007. Textbook of Anaesthesia. Edinburgh: Churchill Livingstone Elsevier, 653-670 Allman, K. G., Wilson, I. H. 2007. Oxford Handbook of Anaesthesia. Oxford: University Press, 760-781 Almodovar, M., Laussen, P., Roth, S. (2000). Synchronized independent lung ventilation in palliated congenital heart disease with variable sources of pulmonary blood flow.// Pediatric Critical Care Medicine, 1(1): 79-83 Arafat, M., Mattoo, T. K. (2009). Measurement of Blood Pressure in Children: recommendations
Operatsioon tuleb edasi lükata või sellest loobuda nii kiiresti kui võimalik. Bronhoskoopia võimaldab tahkete osakeste eemaldamist ja rindkere röntgenit- (Antibiootikumravi) ning arteriaalse vererõhu mõõtmine aitab hinnata vigastuste raskust. Patsient tuleb üle viia intensiivraviosakonda täiendavaks järelvalveks ja hingamisteede raviks (vt lisa 2). (Aitkenhead jt 2013). KASUATUD KIRJANDUS Aitkenhead, A. R.; Rowbotham, D. J.; Smith, G. (2003). Textbook of anaesthesia. Churchill Livingstone. 515-516. Härma, E. “Kui kaua enne operatsiooni ei tohi patsiendile anda süüa ega juua?” (2014). Eesti Arstide Päevad. https://arstideliit.ee/wp-content/uploads/2014/01/Eve-H %C3%A4rma_Kui-kaua-enne-operatsiooni-ei-tohi-anda-s%C3%BC%C3%BCa-ega- juua.pdf (10.10.2015) Tartu Ülikooli Kliinikum (2007). Avatud hingamisteed. Hingamistee anatoomia/füsioloogia. https://arstideliit.ee/wp-content/uploads/2014/01/Eve-H
Peale ambulatoorset operatsiooni kaebas valu 45% (17400 cases) (3) kuni 82% (4) patsientidest 1. Owen H., McMillan V. and Rogowski D. Pain. -1990.- V.41.-P.303-309. 2. Dolin SJ et al. Br. J. Anaesth. 2002; 89; 409-23. 3. Wu Cl et al. Anesthesiology 2002; 96; 994-1003. 4. McHugh GA. Thoms GM. Anasthesia 2002;57(3):270-5 McHugh GA. Thoms GM. The management of pain following day-case surgery. Anaesthesia. 57(3):270-5, 2002 Mar. Päevakirurgis: 17% - tugev valu kohe peale operatsiooni 21% - tugev valu haiglast valjakirjutamise hetkel 82% - valu esimesel päeval 88% - valu 2 4 päeval Postoperative Pain Management- Click to edit Master text style Second level Good Clinical Practice Third level
Berry, P. H., Dahl, J. L. (2000). The new JCAHO pain standards: implications for pain management nurses. Pain Management Nursing, 1(1), 3-12. Burns, N., Grove, S. K. (1993). The practice of nursing research. Conduct, critique, & utilization. Philadelphia: WB Saunders. Gabovits, B. (2006). Ida-Tallinna keskhaigla tohustab valu ravimist. AS Ida- Tallinna Keskhaigla valuraviseminar. Sokos Hotell Viru konverentsikeskus. Tallinn. Gayatri, P. (2005). Post operative pain services. Indian Journal of Anaesthesia, 49(1),17- 19. McCaffery, M., Rolling Ferrell, B., Pasero, C. (2000). Nurses` personal opinions about patients` pain and their effect on recorded assessment and titration of opioid doses. Pain Management Nursing, 1(3), 79-87. Raid, U. (2000). Oenduse arendamine arvestades Eesti patsientide kogemusi loikusjargsest valust ja valu oendusest. Kogumikus: Pruuden, E. (toim.) (2000). Eesti oenduse otsingutel. Artikleid oeteaduse magistrivaitekirjadest (45-62). Tallinn.
explanation. A third possibility is that Pandora has additional X chromosomes (XXX or XXXX instead of the normal XX female), however this genetic anomaly is associated with mental retardation and physical anomalies/deformities (this is not Klinefelter syndrome, Klinefelter syndrome is only found in males e.g. XXY or XXXY). These two conditions can be identified using tissue samples, but this isn't recommended in an older cat as it involves sedation or anaesthesia. It seems likely that the gene that should produce red pigment is faulty or that some other gene is masking the red pigment out. Since Pandora was spayed before Bill obtained her, it isn't possible to breed her to see if it can be inherited. I have seen the opposite mutation - where a tortoiseshell cat produced red pigment, but not black, resulting in a red, cream and white brindled cat - but this is the first time I have seen a black-and-white brindle where the red is absent.
,ȱ&ȱHaidukewych,ȱG.ȱ(2004).ȱ WoundȱcomplicationsȱafterȱopenȱAchillesȱtendonȱrepair:ȱAnȱanalysisȱofȱriskȱfactors.ȱClinicalȱOrthoȬ pedics,ȱ427,ȱ63–66.ȱ Burger,ȱJ.,ȱLuijendijk,ȱR.,ȱHop,ȱW.,ȱHalm,ȱJ.,ȱVerdaasdon,ȱE.,ȱ&Jeekel,ȱJ.ȱ(2004).ȱLongȬtermȱfollowȬupȱofȱ aȱrandomizedȱcontrolledȱtrialȱofȱsutureȱversusȱmeshȱrepairȱofȱincisionalȱhernia.ȱAnnalsȱofȱSurgery,ȱ 240(4),ȱ578–583.ȱ Callesen,ȱT.ȱ(2003).ȱInguinalȱherniaȱrepair:ȱAnaesthesia,ȱpainȱandȱconvalescence.ȱDanishȱMedicalȱBulleȬ tin,ȱ50(3),ȱ203–218.ȱ Chung,ȱF.ȱ(1995).ȱRecoveryȱpatternȱandȱhomeȬreadinessȱafterȱambulatoryȱsurgery.ȱAnesthesiaȱandȱAnȬ algesia,ȱ80(5),ȱ896–902.ȱ Fallis,ȱ W.,ȱ &ȱ Scurrah,ȱ D.ȱ (2001).ȱ Outpatientȱ laparoscopicȱ cholecystectomy:ȱ Homeȱ visitȱ versusȱ teleȬ phoneȱfollowȬup.ȱCanadianȱJournalȱofȱSurgery,ȱ44(1),ȱ39–44.ȱ Harrington,ȱG.,ȱRusso,ȱP.,ȱSpelman,ȱD.,ȱetȱalȱ(2004)
12. Kaitseväe side-eeskiri. 13. N. L. Caroline Emergency Care in the Streets 1991. 14. Sepura tarkvara V7.2 kasutusjuhend 2007. 15. Teede- ja sideministri 31. oktoobri 2002. a määrus nr 71. 16. The Merck Manual of Diagnosis and Therapy (16th edition) 17. „Mini-Mental State“: A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12:189–198. 18. Seppo Alahuhta, Tero Ala-Kokko jt.: Infusioonravi. Medicina 2009 19. Bolton, P., Pediatric Anaesthesia 2000;10, 687–705 20. Bridges, E. Battlefield and Disaster Nursing Pocket Guide. 2009. 21. Eesti Perinatoloogia selts. Vastsündinu elustamine. 2010. 22. Eesti teise tüübi diabeedi juhend 2008. 23. European Resuscitation Counsil Guidelines for Resuscitation 2010. 24. John R. Hampton. EKG praktikas. 2006. 25. Kiirabi tegevusjuhised 2007. 26. Pandeemilise gripi juhis. Tervishoiuamet. 2006. 27. PHTLS 6th. Edition. 2007. 28. Ross, E. Haige uurimine. 2005. 29
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