Öz
Malpractice has gained an alarming dimension especially along with the introduction of compulsory professional liability insurance On the other hand it is quite difficult to say that malpractice is discussed by considering all responsible determinants According to individual focused approach the error is caused by single individual so the solution can be achieved by punishing the individual It is known that this approach does not reduce errors and adversely affect services due to high compensations and increased insurance premiums In Turkey malpractice is simply considered in the customer seller relationship context and individual focused approach is adopted However it is well established that this ldquo;blame culture rdquo; has negative effects on service provided social perception of the profession and job satisfaction Beside recognizing individual professional responsibilities basically it should be stressed that declaring healthcare workers as mainly responsible would not be fair In addition it violates right to health because of increasing the preventable errors and harms Turk Arch Ped 2011; 46: 6 11
Anahtar Kelimeler
Kaynakça
- Keszler M, Abubakar KM. Volume guarantee ventilation. Clin Perinatol 2007; 34: 107-16.
- Luyt K, Wright D, Baumer JH. Randomised study comparing extent of hypocarbia in preterm infants during conventional and patient triggered ventilation. Arch Dis Child Fetal Neonatal Ed 2001; 84: 14-7.
- Dreyfuss D, Saumon G. Ventilator—induced lung injury: lessons from experimental studies. Am J Respir Crit Care Med 1998; 157: 294-323.
- Wiswell TE, Graziani LJ, Kornhauser MS, et al. Effects of hypocarbia on the development of cystic periventricular leuko- malacia in premature infants treated with high-frequency jet ventilation. Pediatrics 1996; 98: 918—24.
- McCalIion N, Davis PG, Morley CJ.Vo|ume—targeted versus pressure-limited ventilation in the neonate. Cochrane Database Syst Rev 2005, Issue 3. Art. No.:CD003666. DOI: 10.1002/14651858.CD003666.pub2.
- Keszler M, Abubakar KM. Volume guarantee: stability of tidal volume and incidence of hypocarbia. Pediatr Pulmonol 2004; 38: 240-5.
- Fujimoto S, Togari H, Yamaguchi N, Mizutani F, Suzuki S, Sobajima H. Hypocarbia and cystic periventricular leukomala- cia in premature infants. Arch Dis Child 1994; 71: 107—10.
- Okumura A, Hayakawa F, Kato T, et al. Hypocarbia in preterm infants with periventricular leukomalacia: the relation between hypocarbia and mechanical ventilation. Pediatrics 2001; 107: 469—75.
- Bell MJ, Ternberg JL, Feigin RD, et al. Neonatal necrotizing enterocolitis. Therapeutic decisions based upon clinical stag- ing. Ann Surg 1978; 187: 1-7.
- infants with respiratory distress syndrome (RDS). Pediatr Pulmonol 2004; 37: 510-4. 811-8.
Yenidoğanda volüm garantili ventilasyon ile basınç kontrollü ventilasyonun karşılaştırılması Özgün Araştırma
Öz
Özet Amaç: Volüm garantili mekanik ventilasyon uygulanan bebeklerle basınç kontrollü mekanik ventilasyon uygulanan bebeklerin incelenmesi ve hangi yöntemin daha uygun olduğunun araştırılması amaçlanmıştır Gereç ve Yöntem: Mersin Üniversitesi Tıp Fakültesi Yenidoğan Yoğun Bakım Birimi 39;nde 2007 2008 yıllarında mekanik ventilasyon uygulanarak izlenen 91 bebek çalışmaya alındı Bebekler volüm garantili solutma işlemi uygulananlar VG grubu; n:49 ve basınç kontrollü solutma işlemi uygulananlar BK grubu; n: 42 olarak iki gruba ayrılarak erken ve geç dönemdeki bulguları incelendi Bulgular: Volüm garantili grubunda mekanik ventilasyon süresi daha kısa ve solunumsal alkaloz sıklığı daha az saptanmakla birlikte bu fark istatistiksel olarak anlamlı değildi Basınç kontrollü grubundaki bebeklerde pnömotoraks ve ölüm oranları anlamlı derecede yüksek saptandı sırasıyla p=0 014 p=0 029 Çıkarımlar: Yenidoğan bebeklerde volüm garantili solutma işleminin basınç kontrollü solutma işlemine göre daha tercih edilebilir olduğu kanısına varıldı nbsp; Türk Ped Arş 2010; 45: 324 8 Anahtar sözcükler: Mekanik ventilasyon volüm garanti yenidoğan
Anahtar Kelimeler
Kaynakça
- Keszler M, Abubakar KM. Volume guarantee ventilation. Clin Perinatol 2007; 34: 107-16.
- Luyt K, Wright D, Baumer JH. Randomised study comparing extent of hypocarbia in preterm infants during conventional and patient triggered ventilation. Arch Dis Child Fetal Neonatal Ed 2001; 84: 14-7.
- Dreyfuss D, Saumon G. Ventilator—induced lung injury: lessons from experimental studies. Am J Respir Crit Care Med 1998; 157: 294-323.
- Wiswell TE, Graziani LJ, Kornhauser MS, et al. Effects of hypocarbia on the development of cystic periventricular leuko- malacia in premature infants treated with high-frequency jet ventilation. Pediatrics 1996; 98: 918—24.
- McCalIion N, Davis PG, Morley CJ.Vo|ume—targeted versus pressure-limited ventilation in the neonate. Cochrane Database Syst Rev 2005, Issue 3. Art. No.:CD003666. DOI: 10.1002/14651858.CD003666.pub2.
- Keszler M, Abubakar KM. Volume guarantee: stability of tidal volume and incidence of hypocarbia. Pediatr Pulmonol 2004; 38: 240-5.
- Fujimoto S, Togari H, Yamaguchi N, Mizutani F, Suzuki S, Sobajima H. Hypocarbia and cystic periventricular leukomala- cia in premature infants. Arch Dis Child 1994; 71: 107—10.
- Okumura A, Hayakawa F, Kato T, et al. Hypocarbia in preterm infants with periventricular leukomalacia: the relation between hypocarbia and mechanical ventilation. Pediatrics 2001; 107: 469—75.
- Bell MJ, Ternberg JL, Feigin RD, et al. Neonatal necrotizing enterocolitis. Therapeutic decisions based upon clinical stag- ing. Ann Surg 1978; 187: 1-7.
- infants with respiratory distress syndrome (RDS). Pediatr Pulmonol 2004; 37: 510-4. 811-8.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Özgün Araştırma |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Aralık 2010 |
| Yayımlandığı Sayı | Yıl 2010 Cilt: 45 Sayı: 4 |