Author/Editor		Stjepanović, Aleksandra; Vlahović, Dušan
Title		Pomen adekvatne priprave bolnika na nujni operativni poseg - poudarek na nastanitvi ustrezne intravenske poti
Translated title		Importance of adequate preparation patients for urgent surgery with emphasis on establishment of an appropriate intravenous access
Type		članek
Source		In: Bručan A, Gričar M, editors. Urgentna medicina: izbrana poglavja 6. Zbornik 7. mednarodni simpozij o urgentni medicini; 2000 jun 14-17; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		2000
Volume		str. 727-32
Language		slo
Abstract		Aims: The authors want to emphasise the importance of good patient preparation for emergency operation that actually starts on the general ward or high dependency unit. The main task for the nurse on the general ward or high dependency unit is to establish suitable intravenous access. The aim of this study was to learn how many patients arrive into the emergency operating theatre without suitable intravenous access. Methods: This was prospective study that included 50 adult patients that have arrived from the general ward into the emergency operating theatre. At the arrival of the patient we have recorded the size of the intravenous cannulla, it's location and what kind of fluids were given. We have also recorded the size of the intravenous cannulla introduced by anaesthesia nurse after the patient arrival and the type and quantity of the fluids given to the patients in the emergency operating theatre. Results: The results clearly show that only 11 (22%) of the patients arriving into the emergency operating theatre had suitable intravenous access established. The most frequently used intravenous cannulla on the general ward were 20G and 22G, together in 22 (59,46%) of the cases. Anaesthesia nurses have together established intravenous access in 41 (82%) of the cases, and they have used 14G and 16G cannulla in 28 (68,29%) of the cases. Discussion: The patient who is suitably prepared for emergency surgery, at his arrival to the operating theatre, has already estabtished intravenous access with the 14G or 16G cannulla and is receiving intravenous fluids. In more than a half of the cases included in this study the size of the i.v. access was inadequate (20G and 22G) where in 9 (24,32%) of the cases were introduced into the cubitai vein. The cubitai vein is one of the most appropriate vein for rapid fluid resuscitation. (Abstract truncated at 2000 characters)
Descriptors		EMERGENCY SERVICE, HOSPITAL PREOPERATIVE CARE INFUSIONS, INTRAVENOUS FLUID THERAPY INTENSIVE CARE UNITS HOSPITAL DEPARTMENTS CATHETERIZATION, PERIPHERAL