Ma ke ʻano he anesthesiologist, i ka wā e kamaʻilio ai me nā maʻi a i ʻole ko lākou ʻohana, ua ʻōlelo pinepine ʻia ʻo ka tracheal intubation, a pili maoli i ka mīkini anesthesia, "he mīkini ia e hāʻawi ai i ka oxygen ma hope o ka hiamoe ʻana", nui nā anesthesiologists e hoʻolauna pinepine i ka mīkini anesthesia. he mau olelo.ʻO ka mīkini anesthesia, ʻo ia hoʻi ka hana ʻana i ka mīkini anesthesia, ma nā ʻōlelo kaulana, hoʻohana ʻia ka mīkini anesthesia no ka inhalation anesthesia a me ka hoʻokele hanu o nā mea lapaʻau.
Kiʻi 1: Nānā nui o ka mīkini anesthesia hou.
Hōʻike pinepine ʻia nā hana kiʻiʻoniʻoni a me ke kīwī ma luna o ka lima lima e ninini i ka lāʻau lapaʻau, uhi ʻia ka waha o kekahi e huli ʻia ma luna o ke kahua.Pono e hoʻomaopopo ʻia ʻo ia ʻano hoʻolālā e hoʻonui mua ʻia a virtual, ukali ʻia e kēia ʻano o ka lāʻau lapaʻau i wehe ʻia, ʻaʻole hiki ke kāohi i ka nui o nā lāʻau lapaʻau, ʻaʻole hiki ke hoʻomalu i ka hohonu o ka anesthesia, akā maʻalahi hoʻi e numb iā lākou iho.Akā, he okoa ka mīkini anesthetic, he anesthetic volatilization tank, hiki ke hoʻoponopono pololei i ka inhalation o ka hoʻopaʻa ʻana i ka anesthetic, a me kahi laina hanu paʻa, e hōʻoia i ka leak o ka lāʻau.
Kiʻi 2: Inhalation anesthetic pahu vaporization.
ʻO ka vaporizer (i kapa ʻia ʻo evaporator) he mea nui o ka mīkini anesthesia, e like me ka mīkini i loko o ke kaʻa.Ua vaporizes ka wai anesthetic i loko o ke kinoea anesthetic, a kaohi i kona noonoo ana, a laila, hui me ka oxygen a smoothly "momo" i loko o ka mea maʻi māmā e hoʻokō i ke kumu o ka anesthesia.
Me ka hoʻomohala ʻana o ka anesthesia, mai nā mea hana maʻalahi a hiki i nā mea paʻakikī, ma kahi o nā kumu kumu o ka ʻōnaehana hoʻolako kino, ʻōnaehana kahe kahe, anesthesia evaporator a me anesthesia circuit, hoʻohui mālie i ka mīkini ventila, anesthesia exhaust gas removal system, a me ka ʻike naʻauao. ʻōnaehana hana, ʻōnaehana nānā ola a me nā mea hana ʻē aʻe.
Eia nō naʻe, ʻaʻole i haʻalele ʻia kāna mau hana nui ʻelua a hoʻomaikaʻi mau ʻia a hoʻomaikaʻi ʻia, ʻo ia ka hana anesthesia, a ʻo ka mea ʻē aʻe, ʻo ia ka hana hanu hanu.
Kiʻi 3: Hoʻopili ka mea maʻi i ka mīkini anesthesia ma o ka paipu hanu, a ʻo ka ʻāpana ʻōmaʻomaʻo ka kānana hanu.
Hoʻomaopopo ʻia ka hana anesthetic e ka pahu volatilization, a ʻike ʻia ka hana ventilation e ka ventilator.Ke paʻi ʻia ka bellow, hoʻokomo ʻia ka oxygen maʻemaʻe a i ʻole ka oxygen ea i hui pū ʻia me ka lāʻau hanu inhaled i loko o nā māmā o ka mea maʻi;Ke hoʻonui ʻia ka bellow, hoʻihoʻi ʻia ka māmā e ko lākou elasticity ponoʻī, e hoʻihoʻi i ke koena kinoea i loko o ka alveoli i ka mīkini anesthesia, ua like kēia kaʻina me ka hanu kanaka, hoʻololi ʻia ka oxygen a me ke kalapona i loko o ka paipu hanu. hiki ke hōʻoia i ka loaʻa ʻana o ka oxygen ma lalo o ka anesthesia, ʻo ia ke ola o nā maʻi.
E hoʻonui ka anesthesia kiʻekiʻe i kekahi mau mea ʻike i loko o kēia mau paipu e hōʻoia i ka ʻike o ka oxygen, carbon dioxide a me ka inhalation anesthetic concentration, etc., e hoʻonui pū i ka hāmeʻa alarm e pale aku ai i ke kaomi mechanical nui e alakaʻi i ka hoʻonui alveolar a me ka haki ʻana, akā no ka pale ʻana i ka ʻAʻole hana a hana ʻole paha ka mīkini ma muli o nā ulia hypoxia.
Kiʻi 4: Ke nānā nei i nā mea a me nā hōʻike o nā mīkini anesthesia kiʻekiʻe.
Ma waho aʻe o ka hōʻoia ʻana i nā hana ʻelua i luna, ua lako pū nā mīkini anesthesia hou me nā mea nānā like ʻole a i ʻole nā seni e like me nā pono lapaʻau, e like me ka nānā ʻana i nā loli o ke ea, nā hōʻailona koʻikoʻi, ka inhalation anesthetic a me ka hoʻokuʻu ʻana, ka ʻike oxygen, ka noʻonoʻo ʻole o ka. ka hohonu o ka anesthesia, ka pae hoʻomaha ʻiʻo a me nā ʻikepili ʻē aʻe.Aia kekahi mau mea palekana no ka pale ʻana i ka hypoxia a me ka asphyxia, nā ʻōnaehana hoʻāla e pono ai, nā ʻōnaehana hoʻoneʻe kinoea anesthesia a me nā ʻōnaehana nānā carbon dioxide.Hoʻolako pū ʻia ka mīkini anesthesia holomua me ka ʻōnaehana hoʻokele ʻike anesthesia, hiki ke loaʻa, hoʻopaʻa ʻia a mālama i ka ʻike e pili ana i ka maʻi anesthesia clinical a me ka hoʻokele hoʻokele, e hōʻiliʻili aunoa i ka ʻike o ka mea nānā a hoʻopuka koke i nā moʻolelo anesthesia.
Kiʻi 5: ʻO ka pale nānā mīkini anesthesia hou.
E like me ka mea i kapaia "mua-laina ola a me ka mua-laina make", maʻi i loko o ka moku'āina o anesthesia hilinaʻi ma anesthesia mīkini oxygen, kona maikaʻi hoʻoholo i ka maikaʻi o ka anesthesia a me ka palekana o ke ola o ka mea maʻi, anesthesia mīkini hoʻohana i ka kakaikahi nā makamae ʻē aʻe i hoʻomalu i ka mākeke, akā ke piʻi aʻe nei ka mākeke o ka mīkini anesthesia machine localization, e hāʻawi i ka palekana no nā maʻi home.
Ka manawa hoʻouna: Dec-25-2023
