Journal of Nursing Theory and Practice

[Perfusionist’s status in Hungary and the application of the low prime in coronary artery bypass]

DEÁK András1, FUSZ Katalin2, PRÉMUSZ Viktória3, RAPOSA L. Bence4, VÁRADYNÉ Horváth Ágnes, MADARÁSZ Ildikó5, OLÁH András6

DECEMBER 30, 2019

Journal of Nursing Theory and Practice - 2019;32(6)

[With the development of the equipments of extracorporeal circulation, international studies underline reducing the amount of filling fluid. Our retrospective study was conducted at the Heart Surgery Clinic of the University of Pécs between 1 January 2017 - 31 December 2017 with ECC cardiac operated patients. During the document analysis, data were collected from 157 patients between 50 and 70 years who underwent CAB surgery. They were classified into Low- (n=47) and Standard-prime (n=110) group. Medium negative correlation (r=-0.28; p<0.001) was found between prime/body surface area and haematocrit during last perfusion. As inflammatory parameter, the last measured CRP values were 36.00 mg/l (low) vs. 70.62 mg/l (standard). Our research justified the use of low-prime during ECC. The implementation of the method requires the scientific advancement of perfusionists, the preparation of national protocols and the improvement of the perfusionist’s training and legal background. ]

AFFILIATIONS

  1. Pécsi Tudományegyetem Klinikai Központ, Sürgősségi Orvostani Tanszék, Pécs
  2. Pécsi Tudományegyetem Általános Orvostudományi Kar, Élettani Intézet, Pécs
  3. Pécsi Tudományegyetem Egészségtudományi Kar, Egészségtudományi Doktori Iskola
  4. Pécsi Tudományegyetem, Egészségtudományi Kar, Alapozó Egészségtudományi és Analitikai Laboratóriumi Kutatóközpont, Pécs
  5. Pécsi Tudományegyetem Egészségtudományi Kar, Pécs
  6. Pécsi Tudományegyetem, Egészségtudományi Kar, Ápolástudományi, Alapozó Egészségtudományi és Védônôi Intézet, Pécs

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[Since population ageing is one of the greatest problem of our time, we should aim not only to increase life expectancy but also healthy life years. Ageing is considered to be a normal biological process that can be characterized by the decline of body functions contributing to the age-related changes in nutrition as well. Although the process is not necessarily accompanied by pathological conditions (such as malnutrition, dehydration, obstipation, cognitive deterioration, fragility, polypharmacy), the evolving physiological changes undoubtedly increase the susceptibility to diseases and accidents. Elderly care should be adapted to the evolving changes, and should meet the person’s specific needs. ]

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