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  Patienters postoperativa upplevelse av i-gel supraglottic airway device versus endotrakeal intubation gällande smärta i hals, heshet, sväljsvårigheter och allmänt obehag.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2011 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

 

Syfte: Att undersöka huruvida patienterna upplever det postoperativa förloppet avseende smärta i hals, heshet, smärta vid sväljning samt generellt obehag beroende på om endotrakealtub (ETT) eller i-gel supraglottic airway device (SAD) använts i samband med generell anestesi vid elektiv kirurgi.

Metod: I denna kvantitativa tvärsnittsstudie samlades informationen in på formulär. Parametrarna skattades av patienterna med hjälp av visuell analog skala (VAS). 60 patienter tillfrågades konsekutivt till studien och 13 föll bort vilket resulterade i 47 patienter som fullföljde studien.

Resultat: Gällande graden av smärta i hals, heshet, sväljsvårigheter och allmänt obehag postoperativt så skattade sammanlagt sju deltagare i grupperna med ETT och i-gel ett VAS värde över 3. Patienter som haft ETT upplevde signifikant mer heshet, och sväljsvårigheter än patienter som haft i-gel.

Slutsats: Denna studie visar att patienter som får ETT eller i-gel skattar sina besvär avseende smärta i hals, heshet, sväljsvårigheter och allmänt obehag i en låg frekvens. Dessutom påvisas att majoriteten av de som skattar besvär gör detta i de lägre segmenten av VAS skalan.

Abstract [en]

 

Aim: To examine how patients perceive the postoperative recovery in regards of pain in the throat, hoarseness, dysphagia, and general discomfort due to the endotracheal tube (ETT) or the i-gel supraglottic airway device (SAD) used in general anaesthesia during elective surgery.

Method: This quantitative cross-sectional study gathered information on forms. The parameters were estimated by patients using visual analogue scale (VAS). 60 patients were asked consecutively to the study and 47 patients completed.

Results: The level of pain in the throat, hoarseness, dysphagia and general discomfort post-operatively were estimated by a total of seven participants in the group with ETT and i-gel as higher VAS values than 3. Patients with ETT perceived significantly more hoarseness and dysphagia than patients with i-gel.

Conclusion: This study shows that patients with ETT or i-gel estimates their complaint regarding pain in the throat, hoarseness, dysphagia and general discomfort in a low frequency. It also demonstrates that the majority of those who estimate these parameters do so in the lower segments of the VAS scale.

Place, publisher, year, edition, pages
2011. , 25 p.
Keyword [en]
Postoperative, i-gel, endotracheal intubation, pain, hoarseness, dysphagia, general discomfort.
Keyword [sv]
Postoperativ, i-gel, endotrakealtub, smärta, heshet, sväljsvårigheter, allmänt obehag.
Identifiers
URN: urn:nbn:se:uu:diva-155102OAI: oai:DiVA.org:uu-155102DiVA: diva2:423850
Subject / course
Caring Sciences
Educational program
Specialistsjuksköterskeprogrammet med inriktining mot anestesisjukvård
Uppsok
Medicine
Supervisors
Examiners
Available from: 2011-06-27 Created: 2011-06-16 Last updated: 2011-06-27Bibliographically approved

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