Bakgrund: Sambandet mellan hjärtkirurgi med extracorporeal cirkulation (ECC) och blodtransfusion visar risker så som ökad morbiditet och mortalitet. Detta kan orsaka lidande för patienten och leda till kostnader för samhället. Att hantera och administrera blodprodukter är en omvårdnadshandling som sjuksköterskan ansvarar för och detta ställer därför krav på dennes kompetens. Syftet: Syftet med denna studie var att studera intensivvårdssjuksköterskors kunskap om att ge blodtransfusion till patienter som genomgått hjärtkirurgi med ECC och om de ansåg sig ha kunskap om hur blodprodukter ska handhas och administreras på ett patientsäkert sätt, samt vilket behov av kompetensutveckling de ansåg sig ha. Metod: Studien som utfördes hade en kvantitativ design med deskriptiv ansats. Ett icke-slumpmässigt urval gjordes på en Thoraxintensivvårdsavdelningen vid ett universitetssjukhus i Mellansverige och 30 intensivvårdssjuksköterskor inkluderades. Resultat: Intensivvårdsjuksköterskorna hade en mycket låg till låg kunskap om de postoperativa komplikationer vid hjärtkirurgi med ECC som kan ha ett samband med blodtransfusion. Inget statistiskt signifikant samband kunde fastställas mellan intensivvårdsjuksköterskornas upplevda kunskap och faktiska kunskap om dessa postoperativa komplikationer.

Bakrund: Fast track-kirurgi är ett alltmer vanligt förekommande arbetssätt inom hjärtkirurgi. Tidigare studier har påvisat att en tidig extubation har medfört en vinst i patientens rehabili-teringsprocess samt bidragit till kortare vårdtider och sänkta sjukvårdskostnader. Syfte: Syftet med studien är att kartlägga och redovisa graden av smärta och konfusion efter extubation hos patienter som genomgått hjärtkirurgi. Metod: Material inhämtades genom en fortlöpande journalgranskning. Pilotstudien granskade patientjournaler samt övervakningsjournaler i realtid.

Bakgrund: Hjärtoperationer förekommer över hela världen. Förutom den genetiska faktorn så ökar antalet insjuknanden delvis på grund av välfärdssamhället. Studier har visat att personer med hjärtsjukdom upplever ökad oro vid vardagliga aktiviteter. På grund av oron är informationen som ges till patienter mycket viktig. Syfte: Belysa patienters upplevelser av information inför planerad hjärtoperation.

 The aim of the study was auditing medical records examine postoperative blood glucose levels after undergoing CABG surgery. Furthermore the aim was to determine if the ward staff abides the local guidelines frame of reference concerning each ward, regarding blood glucose measurements and blood glucose levels. The study included 70 patients undergoing CABG surgery at the cardiothoracic surgery, Uppsala University Hospital. The study was conducted by retrospective medical record auditing. Studied factors were postoperative blood glucose levels, number of registered blood glucose measurements, a current diagnosis of DM and preoperative HbA1c.

Hydropericardium or pericardial effusion (PE) is the accumulation of fluid in the pericardial sac and is often secondary to pericardial diseases or diseases related to the heart. It is unusual with clinically relevant pericardial diseases in cats but pericardial effusion is the most common one. Since PE causes serious symptoms and may lead to death it is important with a quick diagnosis and treatment. PE can be acute and cause cardiac tamponade, which gives severe clinical signs. Cardiac tamponade needs to be treated immediately or else the cat will die from cardiogenic chock. More common is chronic PE where the fluid accumulates during a longer period of time and the pericardial sac stretches.

Ten colic horses and seven healthy horses were included in a prospective study aiming to evaluate acid-base disturbances in colic horses. Traditional acid-base methods and measurements of lactate were used to study prognosis and changes before, during and after surgery. Strong ion gap, anion gap and base excess were compared to evaluate their ability to predict lactate. Of the ten colic horses that went through surgery, seven survived, two were euthanised and one died. Significant differences in plasma lactate levels were seen between the group of survivals and non-survivals, p=0,000025. No differences were seen in pH and base excess between the two groups.

The aim of this study was to investigate the effects of an infusion of hypertonic saline solution (HSS) in combination with an oral waterload on cows suffering from rightsided displacement of the abomasum (RDA). Six dairy cows were treated with 7,2% HSS in a dosis of 5 ml per kg bodyweight. They also received an oral waterload of approximately 15 liters. To monitor changes in fluid-, acid-base- and electrolyte-balance, bloodsamples were collected during the next 24 hours. During this period, the cows also underwent surgery to empty and correct the position of the abomasum.

Every spring you can see newborn foals running on fields among the mare. But some unfortunate end up visiting the equine hospital requiring surgery. This is a challenge for the anesthetist because of the neonatal foal?s unique physiology. Therefore you need to take these differences under consideration when you anesthetize foals.

Hydropericardium or pericardial effusion (PE) is the accumulation of fluid in the pericardial sac and is often secondary to pericardial diseases or diseases related to the heart. It is unusual with clinically relevant pericardial diseases in cats but pericardial effusion is the most common one. Since PE causes serious symptoms and may lead to death it is important with a quick diagnosis and treatment. PE can be acute and cause cardiac tamponade, which gives severe clinical signs. Cardiac tamponade needs to be treated immediately or else the cat will die from cardiogenic chock. More common is chronic PE where the fluid accumulates during a longer period of time and the pericardial sac stretches.

During the past few years there has been an observed decrease in physical fitness within different patient groups. As a part of the rehabilitating physiotherapy treatment it is important to acknowledge the physical condition of the patient. Physical fitness testing might be difficult due to physical limitations within different patient groups. A broad range of exercise tests is therefore of importance in clinical practice. The aim of this overview was to describe exercise tests used in rehabilitation contexts, and to define areas of use and restrictions.

Limb-sparing surgery aims to provide a functional pain free leg for the patient after removal of a local tumour in the leg. Reasons to perform limb-sparing instead of amputation can be arthrosis or hipdysplasia or other problems with the locomotor apparatus that makes the patient unsuitable for amputataion. Owner reluctance to amputate is another reason for limb-sparing. This master?s thesis is a case study of a dog with an osteosarcoma in its distal radius. The dog was treated by a limb-sparing method that uses the ipsilateral ulna as a vascularized roll-over autograft.

Introduction: Sex and education level has demonstrated effects on health status.Osteoarthritis is a widespread disease that causes reduced health-related quality of life and isthe most common reason for total hip replacement. Osteoarthritis was ranked as the 11thhighest contributor to global disability as reported in the Global Burden of Disease 2010.Aim: The aim of this study was to explore how sex and education level together affectedhealth-related quality of life after total hip replacement. The aim was also to examine whatdimensions of EQ-5D that changed.Methods: The study is a prospective observational study with a quantitative approach. Dataconsisted of education level, obtained from Statistics Sweden (SCB) and health-relatedquality of life before and one year after total hip replacement from the Swedish HipArthroplasty Register (SHAR). Health-related quality of life was measured with astandardised instrument, the EQ-5D, and the study population consisted of 39,141 patients.Results: Womens? EQ-5D-value, before and one year after surgery, were lower in alleducational categories compared with men.

Background: Myocardial infarction is the most common individual disease among people in the west world. In Sweden there are over 50 000 women and men who get myocardial infarction every year and about 40 % of them dies. Exercise training is one part of cardiac rehabilitation and since 1980 Sweden use the guidelines from that time. Aim: The aim was to review exercise-training modalities in cardiac rehabilitation after myocardial infarction and the physiologic- and psychological effects. Method: Facts were obtained by searching through the database PubMed for articles published from 1994 and ten years forward.

The high incidence of cranial cruciate ligament injury in dogs results in both suffering and significant costs due to treatment and care of affected dogs. Today there are several different technics for surgical treatment in dogs with ruptured cranial cruciate ligament. At University Animal Hospital (UDS), SLU, in Uppsala two fundamentally different methods; TPLO (Tibial Plateau Leveling Osteotomy) and external fixation with suture material are practiced. The aim of this study was to estimate if the different surgery technics result in any difference regarding the function of the dog in a long term perspective. Since motion and function are very affected by arthritis, was the purpose also to determine if there are any differences in developing arthritis between dogs surgical treated with external fixation respectively with TPLO. Development of arthritis is common after surgery or traumatic injuries in a joint, such as cruciate ligament rupture. Unfortunately was the number of dogs in the study to small to achieve two comparable groups.

ABSTRACTIntroduction: An increasing number of patients in Sweden receive epidural anaesthesia (EDA) in connection to surgery. Caring for patients with acute pain is a responsibility that is strongly established within the profession of the nurse anaesthetist. If the care provided by the nurse anaesthetist for patients who receive epidural anaesthesia is to evolve then further insight and knowledge is required regarding the individual´s experience.Aim: To describe patients' experiences in receiving epidural anaesthesia based on an earlier perioperative start-up of the EDA.Method: Based on a qualitative approach, the aim is to conduct semi-structured interviews with patients who receive EDA in connection to abdominal or gynaecological surgery. Research subjects' statements in the context of the interviews will be transcribed and then analysed using qualitative content analysis. In order to evaluate the chosen method regarding data collection and analysis model an exploratory pilot study was conducted.