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Patienters skattning av postoperativt illamående och kräkning efter robotassisterad prostatektomi
The Swedish Red Cross University College.
The Swedish Red Cross University College.
2011 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Patients evaluation of postoperative nausea and vomiting after  robotic- assisted prostatectomy (English)
Abstract [sv]

Robotassisterad prostatektomi innebär speciella omständigheter för patienten avseende positionering där de ligger i ett extremt så kallat Trendelenburgläge med huvudet sänkt 45 grader samt att buken blåses upp med koldioxid. Dessa två faktorer predisponerar för att patienten drabbas av postoperativt illamående och kräkningar. Syftet med studien var att undersöka förekomsten av postoperativt illamående och kräkningar 24 timmar efter robotassisterad prostatektomi. Patienterna själva skattade sitt illamående enligt MANE- skalan som är en 7-punktsskala. Metoden som användes är en kvantitativ icke experimentell pilotstudie. 20 patienter deltog i studien. Resultatet visade att mer än en tredjedel av patienterna drabbades av postoperativt illamående och/eller kräkning inom 24 timmar efter operationsslut. Av samtliga 20 deltagare hade enbart en patient erhållit antiemetika i förebyggande syfte. Slutsatsen för denna studie var att man bör gå vidare och undersöka fler patienter för att se om behov finns för att eventuellt justera antiemetikaprofylax för denna patientgrupp i framtiden.

Abstract [en]

Robotic assisted prostatectomy requires special circumstances for the patient regarding their positioning. They lay with the head tilted down 45 degrees in a position called Trendelenburg and their bowel is insufflated with carbon dioxide which both can cause nausea and vomiting. The aim of this study was to investigate the frequency of postoperative nausea and vomiting 24 hours after a robotic assisted prostatectomy. The patients valued their own nausea according to the MANE-scale which is a 7-pointed scale. The method used was a quantitative non- experimental pilot study. 20 patients participated in the study. The result showed that more than a third of the patients were nauseas or vomited within 24 hours after surgery. Of all 20 participants only one had received antiemetics in preventing purpose. The conclusion was that this study should be proceeded and a larger number of patients should be evaluated too see if there is a need to adjust the antiemethic prophylaxis for this patientgroup in the future.

Place, publisher, year, edition, pages
2011. , 24 p.
Keyword [en]
PONV, trendelenburgposition, robotic assisted prostatectomy, antiemetics
Keyword [sv]
PONV, trendelenburgläge, robotassisterad prostatektomi, insufflering av koldioxid, antiemetika
National Category
Nursing
Identifiers
URN: urn:nbn:se:rkh:diva-115OAI: oai:DiVA.org:rkh-115DiVA: diva2:426974
Educational program
Postgraduate Program in Specialist Nursing
Uppsok
Medicine
Available from: 2011-06-27 Created: 2011-06-27 Last updated: 2017-07-07Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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