Tracheal intubation: ka wā o ka manawa e hiki mai no ka lua o ka ...

Pilikia kūlana i ke kino, i ka wa CPR e e ia e like me ka hikiwawe e loaa ana, pono akaka hana o ka 'inikua nā limahana. Resuscitation Nā Papahana koho manaʻoi ma luna o ka wahi ke kaumaha ma muli o ka hōʻike 'ana i ka make, me ka oolea o ke ahonui i ka ana, a me ka manawa kūpono e lawe pono ana me ke kali ole.

One ia iaoia o ka mālama nui malama intubation. Nāʻikepili no ka tracheal intubation:

U impossibility o ke akemāmā hoʻokomo ea i loko o kekahi papa hana aoao; ia'ku ma ka aoao o nā nā loko a me nā'aʻaʻa (e like me, ia mea paakiki e ventilate na maʻiʻaʻai o hapai wahine me ka toxemia, obese kanaka i loko o ka sternum);

U imua o mau lesions lua penei;

U komo i ka trachea a me ka bronchi vomitus, i ke alo o ka h ÷ mucus i nui na mea, i ke koko hoopiha waha;

U i ka hikiʻole o ka naau resuscitation loko lapaʻau make (eono minuke);

U i ka pono no ka hamama naau lomilomi;

U hoi ka halihali ana i ke ahonui i ka haukapila no ka resuscitation.

Nō hoʻi ma ka resuscitation ka mea, i ka helu ana o contraindications ka wā hiki ole tracheal intubation e pili no o ka make māinoino i ke ola a me ka ola o ka hoʻomanawanui. 'Aʻole i intubated me spinal nā palapū ma ka cervical'āina, i ke alo o ka hohonu ai eha, hikoko, nani, i kaupalena' ia ka hoʻoneʻe temporomandibular ami.

Tracheal intubation, pono e hahai pololei kaʻina hana 'ana i kūpono a wale e lawe mai ma ka' inikua nā limahana no ka pololei ole mea hoʻonoho o ka endotracheal şarkı hiki i 'inoʻino loa.

Nakeke no ka intubation mea he Tube, i ua papahana e i hoʻokomo ea ma ka hoihoi hou ana i airway patency. Kēia Tube kekahi lawelawe 'ana no ke kala ana o ka airway mucus, vomitus. Ua pili endotracheal şarkı a me ka anesthesiology - ia lawe mai i ke kinoea anesthesia.

Kauka hana intubation like penei: i haawiia mai i ka moe ana kulana o ka luahi, me kona poʻo ka lń i hoʻi like ka nui me hiki. I hookuu, nā poʻohiwi e ukuhi i ka uluna, ina ia mea ole - pa kapa ma ke ano o ka lole wili e iki hookiekie i ka sternum. I mea e kū i ka hoʻokomo 'ia' ana o ka endotracheal şarkı ka hoʻohana 'ana i ka laryngoscope. I hookuu i ka hoike o ka endotracheal şarkı ua paa premedication - ka lawelawe ana ai ', e hōʻike i painless intubation a me ka Muscle relaxant, i hoʻonānea nāʻiʻo no anal o ka Tube i loko o ka trachea. Inā i ka hoʻomanawanui i loko o ka thermal ano paha i loko o ka moku'āina o ka lapaʻau ka make, i ka tracheal intubation ua hana me ka hooko ana me kēia mau ana. Pinepine tracheal intubation epileptics i e hana - ma keia hihia, no ka waha Hoʻonui i ka pono a pau, a lawe mai i ka pono hana.

Laryngoscope ke kōmi 'ua ikaika loa o Paulo ma luna o ka epiglottis, ma ia freeing komo i ka hou holomua. mole o ke elelo ua kulaʻi a me ke komo ana i ka larynx hoike hookomoia endotracheal Tube. Ke Ana o ka Tube loli aʻe, ka mea i koho 'ia ma mua ke kaumaha ma muli o ka makahiki o ka hoʻomanawanui.

Inā i ke kaʻina hana e hana pono, a laila, ua puhiʻia i ka lewa i loko o ka Tube ke lohe leo i loko o nā maʻiʻaʻai, i nanaia ana o ka pahu, ka lewa hoi. No ka huikala airway lahilahi Tube ma ka endotracheal şarkı wehe Contents.

Tracheal intubation - he loa kuleana resuscitation. Inā manawa 'aʻole i intubate i ka hoomanawanui, me kona kahua ke deteriorating me kēlā me kēia hala minuke. I ka Ia manawa ka wā intubation mea i pono, e wikiwiki - i ke kaʻina hana e i airway ino pono wikiwiki hookomo o ka Tube. Hoao mai ana e intubate E e pili no ka hou o ekolu minuke - i ole ia e ho'āʻo iʻimi hoʻopunipuni hoʻokomo ea.