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Vasoaktiva läkemedel efter hjärtkirurgi: Vasoaktiva läkemedel och tiden till mobilisering vid tidig extubering
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2013 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Syfte: Att jämföra behovet av vasoaktiva läkemedel och tiden till sittande ställning hos patienter som extuberades inom och efter 90 minuter efter att ha genomgått hjärtkirurgi samt om tiden till extubering korrelerade med mängden vasoaktiva läkemedel samt med tiden till mobilisering.

Metod: Retrospektiv, komparativ journalgranskning av patienter som genomgått en hjärtoperation under perioden november 2012 till mars 2013, vid ett universitetssjukhus i Mellansverige.

Resultat: Nittiotvå patienter inkluderades i studien. Av dessa extuberades 12 patienter tidigt (≤90 min) och 80 extuberades sent (>90 min – 8 timmar) efter ankomst till IVA. Inga signifikanta skillnader hittades mellan grupperna i dygnsdos av vasoaktiva läkemedel, förutom i dygnsdosen av Trandate. Det fanns inga signifikanta korrelationer mellan tid till extubering och behovet av vasoaktiva läkemedel. Det fanns ingen skillnad i tiden till mobilisering men det fanns en negativ korrelation med tiden till extubation.  

Slutsats: Ingen skillnad förelåg i given dos vasoaktiva läkemedel mellan de två extubationsgrupperna. Det fanns heller ingen korrelation mellan tiden till extubering och given dos vasoaktiva läkemedel. Skiftbytet mellan natt- och dagpersonal styrde när patienterna tidigast kunde bli mobiliserade. Det är svårt att generalisera resultatet utan fortsatta studier relaterat till det låga antalet patienter i gruppen som extuberades tidigt.

Abstract [en]

Aim: To compare the need of vasoactive agents and the time to mobilization in patients extubated within or after 90 minutes after heart surgery and if time to extubation correlate with the amount of vasoactive drugs and with time to mobilization.

Method: A retrospective, comparative review of patient records of patients undergoing heart surgery between November 2012 and March 2013 at a university hospital in mid Sweden.

Results: Ninety-two patients were included of which 12 patients were extubated early (≤90 min), and 80 patients were extubated late (>90 min – 8 hours) after arriving to the ICU. There were no differences between the groups in dosage of vasoactive agents except for Trandate. Time to extubation did not correlate with the dosage of vasoactive agents. No differences were found between the groups regarding mobilization. Time to extubation correlated negatively with time to mobilization.

Conclusion: No differences were found in the dosage of vasoactive agents between the extubation groups. Time to extubation did not correlate with the dosage of vasoactive drugs given. A fixed time (the shift change) determined when the patients, at the earliest, could be mobilized and no differences were found between the groups regarding mobilization. It is difficult to generalize the results to a larger population due to the low number of patients included in the early extubation group.

Place, publisher, year, edition, pages
2013. , 30 p.
Keyword [sv]
Hjärtkirurgi, tidig extubering, vasoaktiva läkemedel, mobilisering
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-201195OAI: oai:DiVA.org:uu-201195DiVA: diva2:626463
Subject / course
Caring Sciences
Educational program
Specialistsjuksköterskeprogrammet med inriktning mot intensivvård
Supervisors
Examiners
Available from: 2013-06-12 Created: 2013-06-08 Last updated: 2013-06-12Bibliographically approved

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