Q&A
Umbuzo: Ingabe kufanele ngivule imbobo enemisebenzi eminingi kumaski ukuze ngikhuthaze ukuxoshwa kwe-CO2?
A: Ukuvula izimbobo ezinemisebenzi eminingi kumaski ukukhuthaza ukuxoshwa kwe-CO2 empeleni akukhuthazi ukuxoshwa kwe-CO2 ezigulini.Kodwa-ke, lapho isiguli sinokugcinwa okuqinile kwe-CO2, ehlala iphezulu ngemuva kokulungiswa okujwayelekile kwemodi yokuphefumula engahlaseli, imingcele, nokukhethwa kwemaski, futhi imaski ilingana ngokuqinile ebusweni besiguli ngokuvuza komoya okuncane, imbobo encane ingavulwa ukuze ukwandisa inani lokuvuza komoya okungahlosiwe.Le ngxenye yokuvuza komoya inganciphisa isikhala esifile ku-mask, inciphise ukuphefumula okuphindaphindiwe kwe-carbon dioxide futhi ikhuthaze ukukhishwa kwe-carbon dioxide, kodwa kufanele kuthathwe ukunakekelwa ukuze kuqashwe ivolumu yokuvuza komoya ukuthi ingabi nkulu kakhulu, kungenjalo izoba . kuholela esinxephezelweni sokugeleza komoya ngokweqile, ukwanda kokungakhululeki kwesiguli, ukukhukhuleka kwesisekelo se-ventilator, okuholela ekwehleni komfutho womoya, ukuphazamiseka kokugeleza komoya okuyisisekelo, isikhathi eside sokuvumelanisa, ukubambezeleka kokuqalisa noma i-asynchronous trigger, noma i-trigger engavumelekile, ikakhulukazi umthelela omkhulu kakhulu, futhi uzophinde unciphise ukusebenza kahle kokukhipha umoya noma ukwenze ungasebenzi.
Q: Ngesikhathi sokusetshenziswa kwemodi ye-VCV, kuba khona ukwehla kwengcindezi ngasikhathi sinye lapho izinga lokugeleza likhuphuka, kodwa i-waveform ibuyela kokujwayelekile ngemva kokushintshela ephashini elifanisiwe.
IMP: Ezigulini ezigula kakhulu ezithola umoya omncane, ukuvuza kwe-airbag kuvame ukuba yingozi kakhulu.Uma ukuvuza kwe-airbag kutholwa ngesikhathi, ukwelashwa ngokushesha ngeke kubangele imiphumela emibi.Uma ukuvuza kungabonwa ngesikhathi noma umthamo wokuvuza komoya mkhulu, kungase kubangele ukungena komoya okwanele ezigulini ezigula kakhulu, okuholela ekugcinweni kwe-carbon dioxide kanye ne-hypoxemia, okungase kubangele imiphumela emibi futhi kungase kube yingozi empilweni yomuntu ogula kakhulu. iziguli.
Q:Isiguli sihlaliswe kahle futhi imingcele isethwe ngokufanelekile, kungani i-alamu yomkhawulo wokucindezela emoyeni iphezulu?
A: Uma ungakwazi ukukhipha ukubhekana nomshini womuntu, kanye nezinkinga zepharamitha.Khona-ke izindaba eziyinhloko zidinga ukubhekisela kokulandelayo.
1. Isekhethi ye-Ventilator noma izimbangela zendlela yomoya
Isekethe ye-ventilator ivamise ukuvinjwa isekethe ephukile;isekethe ivinjwe amanzi kumjikelezo wokuphefumula.Umzila womoya uvinjwe yizimfihlo;isikhundla se-tracheal tube sishintshiwe futhi ukuvuleka kuseduze nodonga lwe-tracheal;ukukhwehlela, njll.
Izinyathelo zokwelashwa.
(1) Hlola ukuze ungabandakanyi umjikelezo wokungenisa umoya ekucindezelweni, ukuhlanekezeka, kanye nokunqwabelana kwamanzi eshubhuni, gcina indawo yeshubhu elinentambo iphansi kancane kunendawo yesixhumi esibonakalayo seshubhu loqhoqho ukuze uvimbele i-condensate reflux, futhi ulahle i-condensate ngesikhathi esifanele. indlela.
(2) Sula uketshezi lokuphefumula.Iziguli ezenza ukwelashwa kokukhipha umoya ngendlela yokwenziwa zizolahlekelwa indima yazo ngenxa ye-epiglottis, umsebenzi ovimbekile we-mucosal cilia, ukukhwehlela okubuthakathaka okuqinile, okunzima kakhulu ukukhipha isikhwehlela, ukuvaleka kokuphuma komgwaqo womoya, njll., okuholela ekungeneni komoya okuncane noma ukwanda kokutheleleka.Uma uketshezi lwesiguli lunamathela, faka amaconsi kasawoti angu-5~10ml endleleni yokuphefumula ukuze unciphise uketshezi.Ukuze uvimbele ukunqwabelana kokuphuma komgwaqo omncane wokuphefumula, yenza ukuphefumula kwemishini isikhashana ngemva kokuwa kwe-saline, ukuze uketshezi oluhlanjululwe lukwazi ukungena emgwaqeni omncane wokuphefumula ukuze kuhlanjululwe isikhwehlela futhi kusebenze umsebenzi we-ciliary bese wenza ukumunca.Hlola ukusebenza komswakamisi, gcina izinga lokushisa elingu-32℃36℃, umswakama ongu-100%, futhi ngokuvamile ikhambi lokuswakama akufanele libe ngaphansi kuka-250ml amahora angu-24 ukuze uvimbele uketshezi ukuthi lome.
(3) Ngokuhambisana nobude bengxenye eveziwe yepayipi loqhoqhoqho, lungisa indawo yepayipi likaqhoqhoqho futhi ulungise ishubhu loqhoqhoqho noma i-tracheotomy cannula.Uma ishubhu likaqhoqhoqho lilincane, nikeza ivolumu efanele yokugeleza kwamanzi, yehlisa izinga lokugeleza okuphefumulelayo futhi wandise isikhathi sokuphefumula ukuze ugcine umfutho womzila womoya ungaphansi kuka-30cmH2O, bese ubuyisela ishubhu elijiyile uma kunesidingo ngokwesimo esithile.
(4) Lapho esiza isiguli ukuba siphenduke, umuntu kufanele ahlinzwe ngababili.Umuntu oyedwa kufanele akhiphe ishubhu elinentambo esibambi somshini wokungenisa umoya, abambe ishubhu elinentambo ngengalo eyodwa bese ebamba ihlombe lesiguli ngesinye isandla, bese edonsa izinqe zesiguli ngobumnene ebheke ohlangothini lukanesi.Omunye ubambe isiguli emhlane nasezinqeni ukuze asize ngamandla aphinde apheqe isiguli ngemicamelo ethambile.Hlela kabusha ishubhu ngemva kokuyijika futhi uyivikele kusibambi.Vimbela ishubhu lokungenisa umoya ekudonseni uqhoqhoqho kanye nokucasula ukukhwehlela kwesiguli.
2. Izimbangela ze-Ventilator ngokwayo
Ikakhulukazi i-valve yokuphefumula yokuphefumula noma ukungasebenzi kahle kwe-valve yokuphefumula, futhi inzwa yokucindezela ilimele.
Isikhathi sokuthumela: Sep-13-2022