Szpital Kliniczny im. Heliodora Święcickiego Uniwersytetu Medycznego im. Karola Marcinkowskiego w Poznaniu jako pierwszy w Polsce korzysta z inteligentnego stołu operacyjnego, który zapobiega odleżynom i uciskom na nerwy. Rozwiązanie pozwala monitorować podczas operacji ciało pacjenta i alarmuje o konieczności zmiany jego ułożenia. Technologia, jak zaznacza prof. dr hab. n. med. Tomasz Banasiewicz, przynosi wiele korzyści, ale otwiera też nowe możliwości w przyszłości.
30-40 proc. odleżyn powstających u pacjentów ma początek na stole operacyjnym. Innowacyjny stół operacyjny, który jako pierwszy w Polsce testuje Szpital Kliniczny im. H. Święcickiego Uniwersytetu Medycznego im. K. Marcinkowskiego w Poznaniu, może odegrać istotną rolę w profilaktyce odleżyn związanych z zabiegami operacyjnymi. Rozwiązanie może być także stosowane w opiece długoterminowej i domowej.
Jak działa inteligentny stół operacyjny?
Inteligentny stół operacyjny został już wykorzystany podczas pierwszych zabiegów w poznańskim szpitalu. Projekt nadzoruje prof. dr hab. n. med. Tomasz Banasiewicz, kierownik Katedry i Kliniki Chirurgii Ogólnej, Endokrynologicznej i Onkologii Gastroenterologicznej Uniwersytetu Medycznego im K. Marcinkowskiego w Poznaniu.
– Nowatorski stół operacyjny składa się z systemu bardzo licznych czujników. Sam materac posiada mnóstwo punktów nacisku. Za pomocą technologii bluetooth do monitora przesyłana jest graficzna wizualizacja sylwetki pacjenta, którą widzimy w trzech kolorach. Niebieski oznacza bezpieczną pozycję, żółty wskazuje na pojawienie się zagrożenia, natomiast czerwony sygnalizuje o konieczności zmiany pozycji operowanego – wyjaśnia prof. dr hab. n. med. Tomasz Banasiewicz.
Ekspert dodaje, że system, który zaimplementowany został w strukturze materaca, jest prosty, natomiast działanie stołu operacyjnego w żaden sposób nie obciąża pacjenta ani personelu medycznego.
Wsparcie w profilaktyce odleżyn
Innowacyjne rozwiązanie testowane w poznańskim szpitalu znajduje zastosowanie w profilaktyce odleżyn. Docelowo skierowane jest do długich i wymagających operacji, podczas których pacjenci narażeni są na powstawanie odleżyn. Prof. dr hab. n. med. Tomasz Banasiewicz podkreśla jednak, że nie ma przeszkód, by rozwiązanie stosować przy każdej operacji.
– Ta technologia działa podobnie do szybkościomierza w samochodzie. Dostarcza cennych i ważnych informacji, ale daje też poczucie bezpieczeństwa i nie przeszkadza. Dlatego może być stosowana przy każdym zabiegu operacyjnym – wyjaśnia prof. dr hab. n. med. Tomasz Banasiewicz.
Cenne wskazówki przed i w trakcie operacji
Prof. dr hab. n. med. Tomasz Banasiewicz wyjaśnia, że personel medyczny już przed operacją uzyskuje z inteligentnego systemu cenne informacje o stanie pacjenta. Zanim rozpocznie się zabieg, pacjent układany jest w odpowiedniej pozycji. Technologia podpowiada, jakie ułożenie pacjenta nie narazi go na powstawanie odleżyn. W czasie zabiegu może jednak pojawić się punkt krytyczny, co zasygnalizuje personelowi, by zmienić pozycję chorego.
– Możemy bardzo łatwo poprawić ułożenie pacjenta lub odciążyć daną część ciała. Z pomocą technologii jesteśmy w stanie szybko wychwycić moment, w którym ucisk się zaczyna. Czasem wystarczy nawet niewielka zmiana pozycji, która nie zaburzy zabiegu. W ciągu kilku minut zapobiegamy powstaniu odleżyny – wskazuje prof. dr hab. n. med. Tomasz Banasiewicz.
Zapobieganie uciskom na nerwy
Technologia zastosowana w materacu pomoże również w wykrywaniu nacisków na nerwy.
– Podczas zabiegów ginekologicznych lub podczas chirurgii układu pokarmowego dolne kończyny pacjenta uniesione są wysoko. Taka pozycja generuje ryzyko uciskania nerwu i wystąpienia porażenia np. kończyny. Dzięki technologii, którą stosujemy w profilaktyce odleżyn, zapobiegamy również powstawaniu ucisku na nerw. Uważam, że jest to bardzo ważny element systemu. Ucisk na nerw skutkuje porażeniem, brakiem czucia, bezwładem kończyny i niemożnością chodzenia – podkreśla prof. dr hab. n. med. Tomasz Banasiewicz.
Nie tylko podczas operacji
Technologia czujników, którą firma Alvo zaimplementowała w materacu, może posłużyć nie tylko pacjentom operowanym, ale także innym osobom narażonym na odleżyny, w tym pacjentom przebywającym w opiece domowej.
– Ta innowacja otwiera zupełnie nowe pole manewru. Z materaców mogliby korzystać pacjenci przebywający pod opieką w domu, a także w hospicjach i ośrodkach dłuższego pobytu. System może powiadomić opiekuna albo samego pacjenta o konieczności zmiany pozycji za pomocą komunikatów głosowych lub graficznych. Szerokie wykorzystanie technologii to także ograniczenie kosztów opatrunków i leczenia odleżyn, które może być drogie i nie zawsze przynosi efekt zgodny z oczekiwaniami. Profilaktyka w postaci nowej technologii jest lepsza, tańsza, bardziej humanitarna – podkreśla prof. dr hab. n. med. Banasiewicz.
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