Použití přístroje Cough Assist u pediatrických pacientů - literární rešerše

• Název práce v češtině: Použití přístroje Cough Assist u pediatrických pacientů - literární rešerše
• Název v anglickém jazyce: The use of Cough Assist machine in pediatric patients - literature review.
• Klíčová slova: Cough Assist, kašlací asistent, mechanická insuflace - exsuflace, parametry nastavení, optimální nastavení, pediatrický pacient
• Klíčová slova anglicky: Cough Assist, mechanical insufflation - exsufflation, settings parameters, optimal settings, pediatric patient
• Akademický rok vypsání: 2022/2023
• Typ práce: bakalářská práce
• Jazyk práce: čeština
• Ústav: Klinika rehabilitace a tělovýchovného lékařství (13-432)
• Vedoucí / školitel: Mgr. Aneta Kolářová
• Řešitel: skrytý - zadáno a potvrzeno stud. odd.
• Datum přihlášení: 15.11.2022
• Datum zadání: 18.04.2024
• Datum potvrzení stud. oddělením: 18.04.2024
• Datum a čas obhajoby: 12.09.2024 08:00
• Datum odevzdání elektronické podoby: 29.07.2024
• Datum odevzdání tištěné podoby: 29.07.2024
• Do kdy má student odevzdat: 14.08.2024
• Datum proběhlé obhajoby: 12.09.2024
• Oponenti: Mgr. Anna Irving

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Předběžná náplň práce

Přístroj Cough Assist se používá pro mechanickou insuflaci – exsuflaci, což je
jedna z hlavních terapeutických strategií pro léčbu neefektivního kašle. Navzdory
rostoucí evidenci potvrzující přínos této terapie, zejména v léčbě neuromuskulárních
poruch, však v klinické praxi chybí ucelené pokyny pro nastavení přístroje, a to zejména
v pediatrické populaci pacientů. Rozhodli jsme se proto pro vytvoření souhrnu aktuálně
dostupných poznatků ohledně optimálního nastavení přístroje Cough Assist
u pediatrických pacientů.
Metodika: Studie publikující doporučení optimálního nastavení byly vyhledány
v medicínských databázích PubMed, Web of Science, EBSCOhost, ScienceDirect,
Scopus a UpToDate. Mezi inkluzivní kritéria bylo zařazeno zaměření na konkrétní
parametry nastavení určené pro pediatrické pacienty a dostupnost abstraktu dané
publikace.
Výsledkem práce je souhrn všech dostupných doporučení, vytvořený na základě
poznatků 7 relevantních studií, a umožňující jejich srovnání na základě charakteru
publikovaných dat.
Závěr: Doporučení relevantních studií se značně rozcházejí. Jejich souhrn však
nabízí možné alternativy pro individualizaci nastavení zkušeným zdravotníkům
a současně algoritmus pro volbu optimálního nastavení, který je naopak vhodný pro
začínající zdravotníky k nabytí zkušeností a získání sebedůvěry.

Předběžná náplň práce v anglickém jazyce

The Cough Assist device is used for mechanical insufflation - exsufflation, which
is one of the main therapeutic strategies for the treatment of ineffective cough. However,
despite growing evidence confirming the benefits of this therapy, particularly
in the treatment of neuromuscular disorders, there is a lack of comprehensive guidelines
for device setup in clinical practice, particularly in the paediatric patient population.
We therefore decided to create a summary of currently available evidence regarding
the optimal setup of the Cough Assist device in pediatric patients.
Methods: Studies publishing recommendations for optimal setup were searched
for in medical databases PubMed, Web of Science, EBSCOhost, ScienceDirect, Scopus,
and UpToDate. Inclusion criteria considered a focus on specific setting parameters
designed for pediatric patients and the availability of the abstract of the publication.
The result of this work is a summary of all available recommendations, based
on the findings of 7 relevant studies, and allowing their comparison based on the nature
of the published data.
Conclusion: The recommendations of the relevant studies diverge considerably.
However, their summary offers possible alternatives for individualizing the setting
for experienced health professionals and at the same time an algorithm for choosing
the optimal setting, which in turn is suitable for novice health professionals to gain
experience and confidence.