{"id":4756,"date":"2022-02-16T14:01:19","date_gmt":"2022-02-16T13:01:19","guid":{"rendered":"https:\/\/bleskovenoviny.cz\/?p=4756"},"modified":"2022-02-16T14:01:21","modified_gmt":"2022-02-16T13:01:21","slug":"mame-skvely-plicni-ventilator-ale-nejhorsi-covidove-statistiky","status":"publish","type":"post","link":"https:\/\/bleskovenoviny.cz\/?p=4756","title":{"rendered":"M\u00e1me skv\u011bl\u00fd plicn\u00ed ventil\u00e1tor, ale nejhor\u0161\u00ed covidov\u00e9 statistiky"},"content":{"rendered":"\n

Ve slovensk\u00e9m pavilonu na v\u00fdstav\u011b EXPO 2020 v Dubaji je v p\u0159\u00edzem\u00ed v r\u00e1mci technick\u00fdch vychyt\u00e1vek vedle vod\u00edkov\u00e9ho auta, letadla \u010di vesm\u00edrn\u00fdch robot\u016f vystaven i jeden z nejlep\u0161\u00edch plicn\u00edch ventil\u00e1tor\u016f na sv\u011bt\u011b z Chirany Star\u00e1 Tur\u00e1. Paradox je ten, \u017ee v zemi, kde jej vymysleli a vyr\u00e1b\u011bj\u00ed, m\u00e1me nejhor\u0161\u00ed v\u00fdsledky, co se t\u00fd\u010de l\u00e9\u010dby covidu.<\/p>\n\n\n\n

Bianka Stuppacherov\u00e1, Pravda 12.02.2022 06:00 prof. MUDr. Viliam Doni\u010d, PhD., Expo2020,\u2026Foto: Bianka Stuppacherov\u00e1, Pravda
Prof. MUDr. Viliam Doni\u010d, PhD., stoj\u00ed ve Slovensk\u00e9m pavilonu v Dubaji u v\u00edcehladinov\u00e9ho plicn\u00edho ventil\u00e1toru a trena\u017e\u00e9ru pro n\u00e1cvik pokro\u010dil\u00fdch metod plicn\u00ed ventilace.
Experti plicn\u00ed ventil\u00e1tor s metodou v\u00edcehladinov\u00e9 plicn\u00ed ventilace vysoce ocenili tak\u00e9 a v\u00fdstav\u011b \u201eArab Health\u201c, kter\u00e1 se konala ve Sv\u011btov\u00e9m obchodn\u00edm centru v Dubaji koncem ledna 2022. \u201eJde o v\u00fdstavu medic\u00ednsk\u00e9 techniky, kde se n\u00e1\u0161 ventil\u00e1tor Chirana Aura V za\u0159adil mezi nejlep\u0161\u00ed plicn\u00ed ventil\u00e1tory na sv\u011bt\u011b. Ameri\u010dan\u00e9, kte\u0159\u00ed se byli pod\u00edvat u n\u00e1s v Ko\u0161ic\u00edch, se dohodli na z\u0159\u00edzen\u00ed licen\u010dn\u00ed v\u00fdroby a pod zna\u010dkou IPM Chirana se ventil\u00e1tory ji\u017e vyr\u00e1b\u011bj\u00ed i ve Spojen\u00fdch st\u00e1tech,\u201c \u0159\u00edk\u00e1 prof. MUDr. Viliam Doni\u010d, PhD., vedouc\u00ed laborato\u0159e pro v\u00fdzkum pokro\u010dil\u00fdch metod um\u011bl\u00e9 ventilace plic a p\u0159ednosta \u00dastavu l\u00e9ka\u0159sk\u00e9 fyziologie na Univerzit\u011b Pavla Josefa \u0160af\u00e1rika v Ko\u0161ic\u00edch.<\/p>\n\n\n\n

\u201eU\u017e dlouhodob\u011b jsme upozor\u0148ovali na to, standardn\u00ed plicn\u00ed ventil\u00e1tory a b\u011b\u017en\u00e9 ventila\u010dn\u00ed metody nebudou p\u0159i onemocn\u011bn\u00ed COVID-19 dosta\u010dovat. U covida, ale i n\u011bkter\u00fdch dal\u0161\u00edch onemocn\u011bn\u00ed, jde toti\u017e o nehomogenn\u00ed posti\u017een\u00ed plic s nerovnom\u011brnou distribuc\u00ed vzduchu v plic\u00edch. Kdy\u017e do takov\u00fdch po\u0161kozen\u00fdch plic pust\u00edte podp\u016frn\u00e9 d\u00fdch\u00e1n\u00ed z klasick\u00e9ho ventil\u00e1toru s fixn\u00edm nastaven\u00edm ventila\u010dn\u00edch parametr\u016f, destruuje je to. I to je d\u016fvod, pro\u010d dev\u011bt lid\u00ed z deseti na plicn\u00edch ventilac\u00edch sv\u00e9ho \u010dasu v New Yorku zem\u0159elo a lid\u00e9 se za\u010dali plicn\u00edch ventilac\u00ed b\u00e1t.\u201c J\u00edt na plicn\u00ed ventilaci se rovnalo t\u00e9m\u011b\u0159 rozsudku smrti.<\/p>\n\n\n\n

\u201eToto je model covidov\u00fdch plic a z\u00e1rove\u0148 sou\u010d\u00e1st trena\u017e\u00e9ru pro n\u00e1cvik pokro\u010dil\u00fdch metod plicn\u00ed ventilace zabudovan\u00e9 v tomto ventil\u00e1toru,\u201c vysv\u011btluje profesor Doni\u010d, stoj\u00edc\u00ed vedle ventil\u00e1toru vystaven\u00e9ho v Dubaji. \u201eTento ventil\u00e1tor jsme vyvinuli na l\u00e9ka\u0159sk\u00e9 fakult\u011b v Ko\u0161ic\u00edch v laborato\u0159i pro v\u00fdzkum pokro\u010dil\u00fdch metod um\u011bl\u00e9 plicn\u00ed ventilace. S n\u00e1padem variabiln\u00ed ventilace p\u0159i\u0161el ji\u017e zhruba p\u0159ed 15 lety doc. MUDr. Pavol T\u00f6r\u00f6k, CSc., emeritn\u00ed p\u0159ednosta Kliniky anesteziologie a intenzivn\u00ed medic\u00edny ve V\u00daSCCH v Ko\u0161ic\u00edch. Zabudovali ji do ventil\u00e1toru AURA V v Chiran\u011b Star\u00e1 Tur\u00e1.\u201c<\/p>\n\n\n\n

Doc. MUDr. Pavel T\u00f6r\u00f6k, CSc., p\u0159i unik\u00e1tn\u00ed\u2026Foto: Robo Hakl, Pravda
Doc. MUDr. Pavol T\u00f6r\u00f6k, CSc., p\u0159i unik\u00e1tn\u00ed um\u011bl\u00e9 ventilaci
S pomoc\u00ed v\u00edcehladinov\u00e9 plicn\u00ed ventilace se pou\u017e\u00edvaj\u00ed a\u017e \u010dty\u0159i r\u016fzn\u00e9 hladiny tlak\u016f, jejich\u017e velikost a trv\u00e1n\u00ed \u0159\u00edd\u00ed po\u010d\u00edta\u010d ve snaze napasovat se na chaos, kter\u00fd vznik\u00e1 v distribuci vzduchu v covidov\u00fdch plic\u00edch. Pacient na takov\u00e9 ventilaci m\u00e1 mnohem v\u011bt\u0161\u00ed \u0161anci na p\u0159e\u017eit\u00ed. \u201eM\u00e1me to zdokumentov\u00e1no nejen na modelu, ale i na na\u0161ich pacientech, kte\u0159\u00ed le\u017eeli u n\u00e1s v Ko\u0161ic\u00edch, kdy\u017e doba jejich hospitalizace byla 7,5 dne oproti ostatn\u00edm, co byli hospitalizov\u00e1ni a ventilov\u00e1ni t\u0159i t\u00fddny. U n\u00e1s byla \u00famrtnost 17 % oproti 80 % na jin\u00fdch pracovi\u0161t\u00edch,\u201c \u0159\u00edk\u00e1.<\/p>\n\n\n\n

\"\"<\/a><\/figure><\/div>\n\n\n\n

Na Slovensku je k dispozici zhruba 350 takov\u00fdch ventil\u00e1tor\u016f, ze kter\u00fdch se sice \u010d\u00e1st rutinn\u011b pou\u017e\u00edv\u00e1 v nemocnic\u00edch, ale jen velmi mal\u00e9 procento vyu\u017e\u00edv\u00e1 i metodiky v\u00edcehladinov\u00e9 ventilace. \u201ePokud l\u00e9ka\u0159 tuto teorii nem\u00e1 nastudovanou, nedok\u00e1\u017ee pln\u011b vyu\u017e\u00edt mo\u017enost\u00ed, kter\u00e9 mu ventil\u00e1tor nab\u00edz\u00ed,\u201c dod\u00e1v\u00e1 prof. Doni\u010d. \u201eTo, co zde demonstrujeme, je trena\u017e\u00e9r pro n\u00e1cvik t\u00e9m\u011b\u0159 v\u0161ech ventila\u010dn\u00edch metod, m\u016f\u017eete si to p\u0159edstavit jako leteck\u00fd simul\u00e1tor pro n\u00e1cvik pilot\u016f. Nahrazuje pacienta, p\u0159\u00edstroj je schopen generovat dechov\u00fd rytmus, p\u0159i\u010dem\u017e um\u00edme simulovat zm\u011bny mechanick\u00fdch vlastnost\u00ed plic, ale tak\u00e9 hloubku dechu a r\u016fzn\u00e9 frekvence d\u00fdch\u00e1n\u00ed podle toho, zda pacient d\u00fdch\u00e1 rychle, pomalu, hluboko, m\u011blce, nebo ned\u00fdch\u00e1 v\u016fbec. Pl\u00edce nejsou m\u011bch, kter\u00fd se rovn\u011b\u017e pln\u00ed a vyprazd\u0148uje. Kdy\u017e jsou nemocn\u00e9, n\u011bkter\u00e9 plicn\u00ed skl\u00edpky, ji\u017e posti\u017een\u00e9 z\u00e1n\u011btem, se h\u016f\u0159e pln\u00ed, pot\u0159ebuj\u00ed k napln\u011bn\u00ed del\u0161\u00ed dobu. Pokud se jeden plicn\u00ed skl\u00edpek nafoukne p\u0159\u00edli\u0161 a druh\u00fd je mali\u010dk\u00fd, vznikaj\u00ed mezi nimi st\u0159i\u017en\u00e9 s\u00edly, kter\u00e9 p\u0159ihr\u00e1dku roztrhnou. A nen\u00ed to d\u00e1no jen velikost\u00ed tlaku, ale pr\u00e1v\u011b nepom\u011brem distribuce vzduchu. Tato metoda je \u00fa\u010dinn\u00e1 nejen p\u0159i covid\u011b, ale i p\u0159i akutn\u00edm respira\u010dn\u00edm distress syndromu (ARDS), p\u0159i traumatech plic po automobilov\u00fdch hav\u00e1ri\u00edch, po potransf\u00fazn\u00edch komplikac\u00edch. A k \u010demu byl tento ventil\u00e1tor vyv\u00edjen p\u0159ednostn\u011b, jsou nap\u0159\u00edklad pacienti p\u0159i kardiologick\u00fdch operac\u00edch na mimot\u011bln\u00edm ob\u011bhu, kdy se do organismu tak\u00e9 ve zv\u00fd\u0161en\u00e9 m\u00ed\u0159e uvol\u0148uj\u00ed z\u00e1n\u011btliv\u00e9 l\u00e1tky cytokiny. Ty po\u0161kozuj\u00ed nejen pl\u00edce, ale tak\u00e9 vzd\u00e1len\u00e9 org\u00e1ny, a to vede k multiorg\u00e1nov\u00e9mu selh\u00e1n\u00ed.\u201c<\/p>\n","protected":false},"excerpt":{"rendered":"

Ve slovensk\u00e9m pavilonu na v\u00fdstav\u011b EXPO 2020 v Dubaji je v p\u0159\u00edzem\u00ed v r\u00e1mci technick\u00fdch vychyt\u00e1vek vedle vod\u00edkov\u00e9ho auta, letadla \u010di vesm\u00edrn\u00fdch robot\u016f vystaven i jeden z nejlep\u0161\u00edch plicn\u00edch ventil\u00e1tor\u016f na sv\u011bt\u011b z Chirany Star\u00e1 Tur\u00e1. Paradox je ten, \u017ee v zemi, kde jej vymysleli a vyr\u00e1b\u011bj\u00ed, m\u00e1me nejhor\u0161\u00ed v\u00fdsledky, co se t\u00fd\u010de l\u00e9\u010dby covidu. […]<\/p>\n","protected":false},"author":101,"featured_media":4757,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"tdm_status":"","tdm_grid_status":"","footnotes":""},"categories":[278],"tags":[],"class_list":["post-4756","post","type-post","status-publish","format-standard","has-post-thumbnail","category-rady-a-navody"],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/bleskovenoviny.cz\/index.php?rest_route=\/wp\/v2\/posts\/4756","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bleskovenoviny.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bleskovenoviny.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bleskovenoviny.cz\/index.php?rest_route=\/wp\/v2\/users\/101"}],"replies":[{"embeddable":true,"href":"https:\/\/bleskovenoviny.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4756"}],"version-history":[{"count":0,"href":"https:\/\/bleskovenoviny.cz\/index.php?rest_route=\/wp\/v2\/posts\/4756\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bleskovenoviny.cz\/index.php?rest_route=\/wp\/v2\/media\/4757"}],"wp:attachment":[{"href":"https:\/\/bleskovenoviny.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4756"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bleskovenoviny.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4756"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bleskovenoviny.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4756"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}