Eyona njongo yebhaluni yecatheter

Injongo ephambili yebhaluni ye-catheter emva kwe-endotracheal intubation kukulungisa nokuthintela ukuvuza komoya.Ukongezelela, ugxininiso lobuhlengikazi kukubeka ingqalelo kwixesha lokuzaliswa kwebhaluni, ugweme ukondla ngomlomo, ugcine i-trachea ingabonakali kunye nokunye.I-Endotracheal intubation yi-catheter ekhethekileyo ye-endotracheal, ngomlomo wesigulane okanye kwi-nasal cavity, ngokusebenzisa i-glottis kwi-trachea yesigulane okanye i-bronchus, ukubonelela ngeemeko ze-patentability ye-airway, ukunikezelwa kwe-oksijini kunye nokukhanga kwendlela yokuphefumula, ngumlinganiselo obalulekileyo wokuhlangula izigulane ezinokuphefumula kokuphefumula. .

I. Injongo yengxowa yomoya:

1. Ukulungiswa: Emva kwe-endotracheal intubation, isigulane kufuneka sisebenzise ngokukhawuleza inaliti engenanto yokufaka umoya kwisikhwama somoya.Emva kokuba isikhwama somoya sandise, sinokubambelela kwi-airway kwaye sidlale indima yokulungisa i-trachea ukukhusela i-trachea kwi-prolapse;

2. Ukuthintela ukuvuza komoya: ukuba isigulane sisebenzisa i-ventilator kunye nezinye izixhobo, isikhwama somoya sixingekile kwindlela yomoya ngeli xesha, kwaye umoya otyhalwa yi-ventilator okanye i-oxygen unokuphetshwa ekuphumeni ngaphandle kwesithuba phakathi kwendlela yomoya kunye ne-oxygen. uqhoqhoqho.

II.ukonga:

1. Ixesha lokuzaliswa kwesikhwama somoya: ngokuqhelekileyo emva kwe-endotracheal intubation, isikhwama somoya sichithwa kwi-5-10 imizuzu / ixesha, kwaye igesi kwisikhwama somoya kufuneka ihlanjululwe kanye kwiiyure ze-4-6, kunye nomthamo we-2-5ml.Ukongezelela, ukunyuka kwamaxabiso okugqithisileyo kufuneka kugwenywe, ukwenzela ukuba ungacinezeli udonga lwendlela yomoya, okubangela ukunikezelwa kwegazi okulinganiselwe kwi-tracheal mucosa yendawo, kunye nokuphepha i-necrosis ebangelwa yi-mucosal ischemia kunye ne-hypoxia.Ukuba isikhwama somoya asanelanga, ukuvuza komoya kunokwenzeka;

2. Gwema ukutya komlomo: Ukuba izigulane zifumana i-endotracheal intubation, ukutya komlomo kufuneka kugwenywe ngokusemandleni ukuphepha i-residu yokutya ehlala kwi-trachea, okubangelwa ukuveliswa kwebhaktheriya kunye nokusuleleka kwi-pulmonary;

3. Gcina i-trachea ingabonakali: ukuba i-sputum yesigulane inzima kwaye inzima, kuyimfuneko ukuguqula kwaye ubambe umva ngexesha.I-saline eqhelekileyo okanye i-sodium bicarbonate nayo inokongezwa kwi-tracheal intubation yesigulana ukuhlambulula isikhohlela, okanye isikhohlela sinokuhlanjululwa nge-atomization, ukuze kuthintelwe intubation yoqhoqhoqho evalwe sisikhohlela kwaye ugcine uqhoqhoqho lwesigulane lungenabo.Ukongezelela, iipads zamazinyo kufuneka zisetyenziswe ukuphepha ukuvalwa kwe-occlusal ye-trachea, echaphazela i-patency ye-trachea;

4. Uviwo oluqhelekileyo: Isikhundla se-endotracheal intubation kufuneka sihlolwe rhoqo ukunyakaza, ukuxhatshazwa kunye nezinye izinto.I-tape idla ngokusetyenziselwa ukulungiswa kwesibini ukuphepha i-luminal prolapse.