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Evde Mekanik Ventilasyon Uygulaması
2005
Journal:  
Uludağ Üniversitesi Tıp Fakültesi Dergisi
Author:  
Abstract:

Evde mekanik ventilasyon uygulaması, tam veya kısmi ventilasyon desteği gereken, kliniği stabil, kronik solunum yetmezliği olan olguların tedavisinde kullanılmaktadır. Evde uzun süreli mekanik ventilasyon uygulanan olguyu sunduk. 86 yaşında erkek olgu, TUR-P operasyonunun ikinci gününde klinikte ani kardiyak arrest gelişmesi üzerine, kardiyopulmoner resüsitasyonu takiben yoğun bakım ünitesine (YBÜ) alındı (APACHE II Skoru:30, GKS:3). Olgu konjestif kalp yetmezliği ve kronik obstrüktif akciğer hastalığı hikayesine sahipti. Ventilatör desteğinden tamamen ayrılamadı. Ventilatöre bağımlı olgu için YBÜ'de sekizinci ayından sonra evde mekanik ventilasyon programı planlandı. Olgu eve gönderilmeden önce, tedavisinde gerekli spesifik ihtiyaçları ve olgunun bakımından sorumlu kişinin eğitimi sağlandı. Kronik obstrüktif akciğer hastalığı akut atağının tedavisi ve fizik muayene için YBÜ uzmanı tarafından düzenli ziyaretleri yapıldı. Olgu yirmi iki ay sonra öldü. Bu dönemde iki kez YBÜ desteği gerekli oldu.

Keywords:

Mechanical ventilation at home
2005
Author:  
Abstract:

Mechanical ventilation application at home is used in the treatment of phenomena that require full or partial ventilation support, clinic is stable, chronic respiratory failure. We presented the phenomenon of long-term mechanical ventilation applied at home. The 86-year-old man was taken to the intensive care unit after cardiopulmonary resuscitation after the development of sudden heart arrest in the clinic on the second day of the TUR-P operation (APACHE II Score:30, GKS:3). The incident had a history of congestive heart failure and chronic obstructive lung disease. The ventilator cannot be completely removed. After the eighth month in the YBU for the event of the ventilator-dependent, a mechanical ventilation program was planned at home. Before the case was sent home, the training of the person responsible for the specific needs needed in the treatment and the maturity of the fact was provided. Regular visits were made by the YBU specialist for the treatment of the acute attack of chronic obstructive lungs disease and physical examination. He died twenty-two months later. During this period, the support was required twice.

Keywords:

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Uludağ Üniversitesi Tıp Fakültesi Dergisi

Field :   Sağlık Bilimleri

Journal Type :   Ulusal

Metrics
Article : 880
Cite : 2.677
2023 Impact : 0.023
Uludağ Üniversitesi Tıp Fakültesi Dergisi