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Teoretična izhodišča: Operativni poseg je dejanje, ki grobo posega v bolnikovo integriteto in s katerim se anestezijske medicinske sestre dnevno srečujejo pri svojem delu. Zato je zelo pomembno, da je pristop k obravnavi bolnika na najvišji strokovni ravni, tako pred, med in po operativnem posegu. V diplomskem delu smo opisali bolezni srca in vlogo anestezijske medicinske sestre pri operaciji na odprtem srcu in v perioperativni zdravstveni negi. Namen raziskave: Namen diplomskega dela je predstaviti vlogo anestezijske medicinske sestre pri operaciji na odprtem srcu in obravnavi bolnika pred, med in po operaciji, ter ugotoviti individualen pogled anestezijskih medicinskih sester na delo pri operaciji na srcu in njihovo vlogo v zdravstveni negi. Metode: V empiričnem delu smo izvedli klinično raziskavo. Podatke smo zbrali s pomočjo anketnega vprašalnika, ki je vseboval 17 vprašanj zaprtega tipa. Rezultati: Ugotovili smo, da so za profesionalni razvoj perioperativne zdravstvene nege, potrebna permanentna dodatna strokovna izobraževanja medicinskih sester, da je vloga anestezijskih medicinskih sester pri operacijah premalo poznana med bolniki in da več kot polovica anketiranih meni, da bi morebitna uvedba sestrske vizite dan pred operativnim posegom pri bolniku, omogočila boljše prepoznavanje dela in njihove vloge pri operaciji med bolniki in s tem tudi javnostjo. Ugotovili smo, da anestezijske medicinske sestre pri operaciji na srcu delajo pod večjimi obremenitvami, kot na ostalih deloviščih zaradi večjega obsega dela in same narave bolezni pri tovrstnih operacijah, kar predstavlja obenem tudi večjo možnost napak pri delu. Background: A surgery is an act which largely interferes with a patient’s integrity and something nurse anesthetists encounter in their everyday practice. Therefore it is very important that a patient is approached on the highest professional level prior, during and after the surgery. The paper discussed cardiac diseases and the role of nurse anesthetist in open heart surgery and perioperative nursing care. Purpose: The purpose of this paper is present the role of nurse anesthetist in an open heart surgery and treatment of patient prior, during and after operation as well as to establish an individual perspective of nurse anesthetist on work during a heart surgery and their role in nursing care. Methods: We conducted a clinical study in the empirical part of the paper. Data was collected by means of a survey consisting of 17 closed - ended questions. Results: We established that additional professional training of nurses is required for a professional development of perioperative nursing care. We also concluded that patients are not familiar enough with the role of nurse anesthetists in surgeries and more than a half of respondents believe that introducing a nurse round a day prior to surgery would enable better identification of work and their roles during surgery among patients as well as society. Nurse anesthetists are under additional pressure during an open heart surgery on account of extra work and nature of the disease in these types of surgeries, which presents a greater possibility of making errors at work.

Teoretična izhodišča: Bolečina je pojav, s katerim se medicinska sestra pogosto srečuje na vseh področjih svojega delovanja. V diplomski nalogi smo opisali različne načine lajšanja pooperativne bolečine s poudarkom na lajšanju pooperativne bolečine z neprekinjeno infuzijo analgetičnih učinkovin v operativno rano, apliciranih s pomočjo elastomerske črpalke. Namen raziskave: Namen diplomskega dela je predstaviti delokrog in pristojnosti anestezijske medicinske sestre pri lajšanju pooperativne bolečine, pripravo učinkovin za neprekinjeno infuzijo analgetičnih učinkovin v operativno rano ter ugotoviti, katera analgetična mešanica najbolj učinkovito lajša pooperativno bolečino pri porodnicah po carskem rezu. Metode: V raziskovalnem delu smo izvedli klinično raziskavo. Podatke smo zbrali s pomočjo anketnega vprašalnika in ocenjevanja bolečine pri porodnicah z vizualno analogno lestvico. Anketni vprašalnik je vseboval 13 vprašanj zaprtega tipa. Rezultati in razprava: Glede na rezultate ankete so bile porodnice ustrezno seznanjene z načini lajšanja bolečine po carskem rezu, razumele so tudi pomen merjenja jakosti bolečine. Z razlago načina lajšanja pooperativne bolečine po carskem rezu z elastomersko črpalko je bilo dobro seznanjenih 18 porodnic (90 %), 2 porodnici (10 %) pa nista bili seznanjeni. Zadovoljivo lajšano bolečino je ocenilo 17 (85 %) porodnic. Porodnice, ki so dobile po elastomerski črpalki aplicirano analgetično mešanico 0,25 % levobupivakain in ketorolaka, so bile 48 ur po carskem rezu brez bolečin (1-2 po vizualni analogni lestvici). Theoretical basis: Pain is a clinical sign with which a nurse deals daily in all fields of her work. We described different ways of postoperative pain management with the emphasis on the uninterrupted infusion of analgesic substances into the operative wound with an elastomeric pump. Research goal: The aim of this study is to present the workplace and competences of a nurse anesthetist regarding postoperative pain management, drug preparation for an uninterrupted infusion of analgesic substances into the operative wound and establishing which analgesic drug is better in postoperative pain management after a caesarian section. Methods: We conducted a clinical study. Data was gathered with the help of an anonymous survey and a visual analogue scale grading pain . The survey contained thirteen closed-ended questions. Results and discussion: On the base of our results we concluded that the parturients were correctly informed about pain management after a caesarian section and understood the meaning of measuring pain intensity. 18 (90%) parturients with postoperative pain management after a caesarian section with an elastomeric pump were well-informed and 2 (10%) were considered the information unsatisfactory, despite the fact that all the patients received the same information about pain management. Pain management was satisfactory in 17 (85%) parturients. Parturients who received an elastomeric pump with the applied analgesic mixture of 0.25% Levobupivacaine and Ketorolac were without pain (1-2 on visual analogue scale) 48 hours after a caesarian section.