Sestrinski glasnik br. 3 / 2012. - Hrvatska udruga medicinskih sestara

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200 Sestrinski glasnik/Nursing Journal 17 (2012) 192–200<br />[6] BonattiJ, Schachner T, Bonaros N, Laufer G. A new exposure technique<br />for the circumfl ex coronary artery system in robotic totally endoscopic<br />coronary artery bypass grafting. Interact CardioVasc Thorac<br />Surg2006;5:279–281.<br />[7] TevaearaiHT, Mueller XM, Jegger D, Ruchat P, Von Segesser LK. Venous<br />drainage with a single peripheral bicaval cannula for less invasive<br />atrial septal defect repair. Ann Thorac Surg2001;72:1772–1773.<br />[8] Jegger D, Tevaearai HT, Horisberger J, Mueller XM, Boone Y, Pierrel N,<br />Seigneul I, Von Segesser LK. Augmented venous return for minimally<br />invasive open heart surgery with selective caval cannulation. Eur J<br />Cardiothorac Surg1999;16:312–316.<br />[9] Mueller XM, Mallabiabarrena I, Mucciolo G, Von Segesser LK. Optimized<br />venous return with a self-expanding cannula: from computational<br />fl uid dynamics to clinical application. Interact CardioVasc Thorac<br />Surg2002;1:23–27.<br />[10] Jegger D, Corno AF, Mucciolo A, Mucciolo G, Boone Y, Horisberger J,<br />Seigneul I, Jachertz M, Von Segesser LK. A prototype paediatric venous<br />cannula with shape change in situ. Perfusion 2003;18:61–65.<br />[11] MuellerXM, Tevaearai HT, Jegger D, Horisberger J, Mucciolo G, Von<br />Segesser LK. A new expandable venous cannula for minimal access<br />heart surgery. Ann Thorac Surg 2002; 74; S1330–1333.<br />[12] Jegger D, Chassot PG, Bernath MA, Horisberger J, Gersbach P, Tozzi P,<br />Delay D, Von Segesser LK. A novel technique using echocardiography<br />to evaluate venous cannula performance peri-operatively in CPB cardiac<br />surgery. Eur J Cardio thorac Surg2006;29: 525–529.<br />[13] Delay D, Lardi C, Jaussi A, Von Segesser LK. Hepato-atrial anastomosis,<br />‘the other Senning operation’ for treatment of Budd-Chiari syndrome.<br />Swiss Med Wkl2005;135: 235–237.<br />[14] Corno AF, Horisberger J, Jegger D, Von Segesser LK. Right atrial<br />surgery with unsnared inferior vena cava. Eur J Cardiothorac<br />Surg2004;26:219–220.<br />[15] Mejak BL, Stammers A, Rauch E, Vang S, Viessman T. A retrospective<br />study on perfusion incidents and safety devices. Perfusion2000;15:51–<br />61.<br />[16] Gates JD, Bichell DP, Rizzo RJ, Couper GS, Donaldson MC. Thigh ischemia<br />complicating femoral vessel cannulation for cardiopulmonary<br />bypass. Ann Thorac Surg1996;61:730–733.<br />[17] Jegger J, Horisberger J, Boone Y, Jachertz M, Seigneul I, Augstburger<br />M, Von Segesser LK. In vivo analysis of the Smartcanula ® for assisted<br />venous drainage. Swiss Perfusion2003;12:22–25.<br />[18] Corno AF. Systemic venous drainage: can we help Newton. Eur J Cardiothorac<br />Surg 2007;31:1044-1051.<br />[19] Kirsch MEW, Kostantinos Z, Ali F, Vermes E, Bajan G, Loisance DY.. Kinetic<br />assisted venous drainage for orthotopic heart transplantation<br />in patients under mechanical circulatory support: a double-edged<br />sword. Eur J Cardiothorac Surg 2008;33:418-423.<br />[20] Tevaearai HT, Mueller M, Jegger D, Ruchat P, Von Segesser LK. Venous<br />drainage with a single peripheral bicaval cannula for less invasive<br />atrial septal defect repair. Ann Thorac Surg 2001;72:1772-1773.<br />[21] Wenger RK, Bavaria JE, Ratcliff e MB, Bogen D, Edmunds LH Jr. Flow<br />dynamics of peripheral venous catheters during extracorporeal<br />membrane oxygenation with a centrifugal pump. J Thorac Cardiovasc<br />Surg 1988;96:478-484.<br />[22] Mueller XM, Tevaearai HT, Horisberger J, Augstburger M, Burki M, Von<br />Segesser LK. Vacuum assisted venous drainage does not increase trauma<br />to blood cells. Asaio J 2001;47:651-654.<br />[23] Von Segesser LK. Peripheral cannulation for cardiopulmonary bypass.<br />Multimedia Man Cardiothorac Surg 2006. doi: 10.1510/<br />mmcts.2005.001610.<br />[24] Von Segesser LK. Cardiopulmonary support and extracorporeal membrane<br />oxygenation for cardiac assist. Ann Thorac Surg 1999;68:672-<br />677.<br />[25] Jegger D, Tevaearai HT, Mueller XM, Horisberger J, Von Segesser LK.<br />Limitations using the vacuum-assist drainage technique during cardiopulmonary<br />bypass procedures. J Extra Corpor Technol 2003;35:207-<br />211.<br />[26] Mueller XM, Mallabiabarena I, Mucciolo G, Von Segesser LK. Optimized<br />venous return with a self-expanding cannula: from computational<br />fl uid dynamics to clinical application. Interact CardioVasc Thorac<br />Surg 2002;1:23-27.
Za metodu/postupak imobilizacije najčešće se upotrebljava<br />termin „stavljanje gipsa“, zbog čega je termin „gipsanje“<br />postao sinonim za postupak imobilizacije [1, 2].<br />Imobilizacije je postavljanje ozlijeđenih ili oboljelih dijelova<br />tijela u mirovanje. Za razliku od privremene ili transportne<br />imobilizacije, terapeutska ili defi nitivna imobilizacija provodi<br />se na razini specijalističke kirurške djelatnosti [3]. Cilj<br />je terapeutske ili defi nitivne imobilizacije da se ozlijeđeni/<br />oboljeli dijelovi tijela učine nepokretnima, i to onoliko koliko<br />je potrebno za cjelovito izlječenje bolesti i/ili ozljede [4].<br />Preduga imobilizacija uzrokuje neželjene i štetne posljedice,<br />i to zbog smanjene pokretljivosti dijela tijela koje je imobilizirano<br />[5]. Štetni su učinci imobilizacije na organizam<br />zbog smanjene pokretljivosti: kontrakture zglobova, atrofi -<br />je mišića i drugih mekanih tkiva [6, 7].<br />Au tor za ko res pon den ci ju/Corresponding aut hor:<br />Mario Aničić<br />General Hospital “Dr. Josip Benčević”, Department for Surgery,<br />Andrije Štampara 42, 35000 Slavonski Brod, Croatia<br />Tel: +385-35-201-201<br />Fax: +385-35-446-121<br />E-mail:opca-bolnica-sb@sb.t-com.hr<br />Sestrinski glasnik/Nursing Journal 17 (2012) 201–203 201<br />Suho razvlačenje gips-longete i ušteda materijala<br />Dry bed plasters splints and material saving<br />Mario Aničić<br />Opća bolnica “Dr. Josip Benčević”, Odjel za kirurške bolesti, Andrije Štampara 42, 35000 Slavonski Brod, Hrvatska<br />General Hospital “Dr. Josip Benčević”, Department for Surgery, Andrije Štampara 42, 35000 Slavonski Brod, Croatia<br />Received September 26 th 2012 Accepted October 28 th 2012<br />Sažetak:<br />Danas su u uporabi dvije klasične metode i suha metoda/postupak za izradu i postavljanje longete. Prednosti suhe u odnosu na klasične metode izrade i postavljanja<br />longete jesu: minimalan rizik od nastanka poremećaja cirkulacije; nema oštrih rubova koji uzrokuju nastanak rana; longeta se ne pomiče i ne rotira se na ekstremitetima;<br />longeta nije glomazna i nije preteška; mala potrošnja materijala; estetski prihvatljivija; bolesnici iskazuju više zadovoljstva. Znatna je i ušteda materijala i isplativija<br />je fi nancijska analiza uporabe suhe metode.<br />Ključne riječi: longeta • ušteda • gips • materijal<br />Kratki naslov: Suho razvlačenje gips longete<br />Abstract:<br />Today are in use two classical methods and dry methods / procedures for making and placing splints. Advantages of dry methods compared to classical methods of<br />making and installing splint are: minimal risk of circulatory disorders, no sharp edges which could cause wounds, splints are not moving and are not rotated on extremities;<br />splints are cumbersome and not overweight; low consumption of materials; aesthetically more acceptable, patients expressing higher levels of satisfaction.<br />There are, also, signifi cant savings in material and cost.<br />Keywords: splints • cost savings • cast • material<br />Running head: Dry bed plasters splints<br />Danas je u uporabi više metoda/postupaka izrade gips longete.<br />Longeta se izrađuje dvjema metodama/postupcima,<br />i to:<br />Ad 1] klasičnom metodom;<br />Ad 2] suhom metodom.<br />Danas su u uporabi dvije klasične metode za izradu<br />longete:<br />Ad 1] gips binda umoči se u vodu i razvlači koliko je potrebno.<br />Preko tako razvučene udlage stavlja se zavoj ili sintetska vata,<br />i stavlja se na povrijeđeni ili oboljeli dio tijela.<br />Ad 2] na povrijeđeni ili oboljeli dio tijela postavi se zaštitna<br />čarapa i sintetska vata. Zatim se izradi gipsana longeta na<br />isti način, i to umakanjem gips bindi u vodu i razvlačenjem<br />na stolu do potrebne duljine te se postavi na povrijeđeni ili<br />oboljeli dio tijela.<br />Suha metoda/postupak izrade i postavljanja<br />longete:<br />Ad 1] na povrijeđeni ili oboljeli dio tijela postavlja se zaštitna<br />čarapa i sintetska vata [slika 1, slika 2]. Zatim se izradi<br />gipsana longeta tako da se uzme mjera povrijeđenog ili<br />oboljelog dijela tijela, i to sa suhom gips bindom ili metrom<br />SIGURNOST BOLESNIKA/<br />PATIENT SAFETY
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Sestrinski glasnik br. 3 / 2012. - Hrvatska udruga medicinskih sestara

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